Patients Satisfaction and Outcome of Fistulotomy Versus Fistulectomy for Low Anal Fistula
Journal of Surgery
Volume 4, Issue 2-1, March 2016, Pages: 15-19
Received: Oct. 12, 2015; Accepted: Oct. 13, 2015; Published: Jan. 13, 2016
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Aly Saber, Department of General Surgery, Port-Fouad General Hospital, Port-Fouad, Egypt
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Introduction: Anal fistulae are still negatively influencing the patient's quality of life by causing minor pain, social hygienic embarrassment, and in severe cases, frank sepsis. Although a number of surgical techniques have been proposed to treat this condition, there is still no single ideal technique for the treatment of this disease. Generally, fistulectomy is an adequate surgical procedure for the treatment of a simple or low transsphincteric fistula while others reported that fistulotomy continues to have excellent results. Patients and Methods: This study represented parallel prospective randomized clinical trial where 200 patients were divided randomly into two main groups; A and B. Group A patients were subjected to fistulotomy and those of group B were subjected to fistulectomy for low anal fistulae. The study included all patients having low anal fistulae complicating perianal abscesses. Patients with high fistulae and patients with multiple external openings were excluded. The primary end point was anal incontinence and the secondary end points were time off from work, postoperative pain, wound discharge, wound healing and patients’ satisfaction. Results: The mean operative time, time taken for wound discharge to cease and time taken for complete healing was significantly less in patients of group A. Regarding the occurrence of fecal incontinence, no permanent cases were reported in our series but temporary incontinence was observed in 2 patients in fistulotomy group while in fistulectomy group there were 4 patients. Therefore, the overall patient satisfaction mean values were 90.6 ± 8.87and 85.6 ± 13.2 for patients in group A and B respectively with statistically insignificant distribution. Conclusion: Fistulotomy could be used as a primary treatment of low anal fistula as being safe and simple to perform with good patient’s satisfaction as regard postoperative pain and outcome.
Low Anal Fistula, Fistulotomy, Fistulectomy, Patient’s Satisfaction
To cite this article
Aly Saber, Patients Satisfaction and Outcome of Fistulotomy Versus Fistulectomy for Low Anal Fistula, Journal of Surgery. Special Issue: Gastrointestinal Surgery: Recent Trends. Vol. 4, No. 2-1, 2016, pp. 15-19. doi: 10.11648/j.js.s.2016040201.14
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