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ORIGINAL ARTICLE
Year : 2016  |  Volume : 29  |  Issue : 3  |  Page : 564-569

Fistulectomy versus fistulotomy in the management of simple perianal fistula


Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Correspondence Address:
Ahmed M Khatan
11 El-Safa w El Marwa Street, Damanhour, El-Behera, 32511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.198710

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Objective The objective of this research was to study the functional and clinical outcomes of fistulectomy versus fistulotomy in the treatment of simple perianal fistula. Background Anal fistula has been known as a common surgical ailment for over two and a half millennia. Current management remains dependent on surgeon preference between options such as fistulotomy and fistulectomy. Patients and methods This is a prospective clinical study that included 30 patients suffering from simple perianal fistula; patients were divided into two groups each containing 15 patients: group A was managed by fistulectomy and group B was managed by fistulotomy. Both groups were evaluated according to the operative time, postoperative pain, time of wound healing, postoperative complication, incontinence, and recurrence. Results There was a significant decrease in the operative time in group B compared with group A (P < 0.05), there was a significant decrease in postoperative pain in group B compared with group A (P < 0.05), and there was a significant decrease in the time needed for wound healing in group B compared with group A (P < 0.05). There was no significant difference in postoperative complications, incontinence, and recurrence between the two groups (P > 0.05). Conclusion Fistulotomy is a simple and effective method for the treatment of simple perianal fistula, as it has shorter operating time with less postoperative pain and less time needed for wound healing compared with fistulectomy, with the same incidence of postoperative complications, incontinence, and recurrence as fistulectomy.


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