TY - JOUR
A1 - Elsebai, Olfat
A1 - Elsesy, Alaa
A1 - Ammar, Mohammed
A1 - Khatan, Ahmed
T1 - Fistulectomy versus fistulotomy in the management of simple perianal fistula
Y1 - 2016/7/1
JF - Menoufia Medical Journal
JO - Menoufia Med J
SP - 564
EP - 569
VL - 29
IS - 3
UR - http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2016;volume=29;issue=3;spage=564;epage=569;aulast=Elsebai
DO - 10.4103/1110-2098.198710
N2 - 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.
ER -