학술논문
A clinico-pathological study of fistula-in-ano
Document Type
Report
Author
Source
Journal of Evolution of Medical and Dental Sciences. October 27, 2016, Vol. 5 Issue 86, p6395, 4 p.
Subject
Language
English
ISSN
2278-4748
Abstract
BACKGROUND Fistula-In-Ano has been one of the oldest described conditions inflicting man throughout history. Its prevalence has been estimated to be 8.6 to 10/100,000 of the population per year with [...]
BACKGROUND Fistula-In-Ano has been one of the oldest described conditions inflicting man throughout history. It is the commonest cause for a persistent perianal discharge and discomfort. This study deals with its aetiology, pathology and the different modes of treatment and their efficacy in detail. MATERIALS AND METHODS For this study fifty patients were selected who were diagnosed as fistula-in-ano, admitted in Krishna Hospital and Medical Research Centre, Karad, during the period of December 2012 to May 2014. Every patient in the study underwent definitive treatment. RESULTS Data related to the objectives of the study were collected. Majority of patients belonged to the age group of 31-60 years, which accounts for 26 (52%) of patients. Male:Female ratio is 7.3:1. Most of the fistulas are low anal 42 (84%) and 22 (44%) of patients developed fistula in a previously burst opened or surgically drained perianal abscess. About 33 (66%) of external openings are posterior to the anal axis, of which 26 (52%) followed the Goodsall's rule. Fistulectomy is commonly performed, i.e. in about 46 (92%) of cases and the operated wound has healed in a range of 2 weeks to 4 weeks with a mean duration of 3 weeks. The postoperative complications were very minimal; there was recurrence of fistula in 1 case (2%) after 4 weeks and it was excised again. CONCLUSION We concluded from the study that the spontaneously ruptured or inadequately drained pyogenic abscess is the most common aetiological factor for fistula-in-ano. Operative morbidity is usually low. There is a male predisposition for the disease and the fistulectomy remains the commonest procedure in our study series. Even with advent of newer techniques, probably to remove the diseased part at one stage operation. The post-operative complications are usually mild in nature and are minimal. KEYWORDS Fistula-In-Ano, Fistulectomy, Fistulotomy, Seton Placement, Perianal Abscess.
BACKGROUND Fistula-In-Ano has been one of the oldest described conditions inflicting man throughout history. It is the commonest cause for a persistent perianal discharge and discomfort. This study deals with its aetiology, pathology and the different modes of treatment and their efficacy in detail. MATERIALS AND METHODS For this study fifty patients were selected who were diagnosed as fistula-in-ano, admitted in Krishna Hospital and Medical Research Centre, Karad, during the period of December 2012 to May 2014. Every patient in the study underwent definitive treatment. RESULTS Data related to the objectives of the study were collected. Majority of patients belonged to the age group of 31-60 years, which accounts for 26 (52%) of patients. Male:Female ratio is 7.3:1. Most of the fistulas are low anal 42 (84%) and 22 (44%) of patients developed fistula in a previously burst opened or surgically drained perianal abscess. About 33 (66%) of external openings are posterior to the anal axis, of which 26 (52%) followed the Goodsall's rule. Fistulectomy is commonly performed, i.e. in about 46 (92%) of cases and the operated wound has healed in a range of 2 weeks to 4 weeks with a mean duration of 3 weeks. The postoperative complications were very minimal; there was recurrence of fistula in 1 case (2%) after 4 weeks and it was excised again. CONCLUSION We concluded from the study that the spontaneously ruptured or inadequately drained pyogenic abscess is the most common aetiological factor for fistula-in-ano. Operative morbidity is usually low. There is a male predisposition for the disease and the fistulectomy remains the commonest procedure in our study series. Even with advent of newer techniques, probably to remove the diseased part at one stage operation. The post-operative complications are usually mild in nature and are minimal. KEYWORDS Fistula-In-Ano, Fistulectomy, Fistulotomy, Seton Placement, Perianal Abscess.