SAIF AHMAD, NAWSHAD PERWAIZ, RIZWAN NASEEM, TALAT MAHMOOD

ABSTRACT

Objective: To determine the efficacy of primary closure of wound after fistulectomy in anal fistulae patients as a method of successful treatment to reduce the time of healing and hospital stay with special reference to recurrence and continence.

Design & Duration: Descriptive, retrospective study from 1995 to 2005.
Setting: Sindh Government Qatar Hospital Orangi Town Karachi and author’s private clinic, Medlyn Hospital Block H North Nazimabad Karachi.

Patients: 300 patients who presented with low anal fistula (Park’s classification I & II) during the above-mentioned period.

Methodology: The data of all 300 patients were analyzed as regards to presentation, treatment, and the outcome.

Results: A total of 300 patients with low fistula in ano were treated by primary closure. The postoperative complications were minimal and managed conservatively. The mean length of follow-up was 3 years. Recurrence took place in 3% patients. The average recovery time was 12 days. Similarly return to work is also early 14 days. Three patients were incontinent to flatus while 1 was incontinent to faeces and flatus for the first six months.

Conclusion: It is observed that following fistulectomy and primary closure of low fistula in ano, sound healing can be achieved in over 97% of cases with amazingly early return to work.

Key Words: Fistula in ano, Fistulectomy, Primary closure.

For Full text contact to:
Prof. Dr. Farah Mansuri
editor@annals-ashkmdc.org

Department of Surgery, Sindh Government Qatar Hospital Orangi Town, Karachi.