An Indian doctors, he pointed out has come up with a good technique for Fistulotomy
and repair of sphincter.
Fistulectomy was performed in patients in group A while fistulotomy
was done in patients in group B.
Bennett treated 114 patients by fistulotomy
and found out that time for full recovery was variable according to the type and complexity of fistula ranging from 04 weeks to 17 weeks which is quite a long period for the post op wound to heal17.
51 years (range: 21-72 years) in the fistulotomy
group and 41.
Data related to preoperative and intra-operative interventions along with postoperative outcome was collected for patients who were treated with either fistulectomy, fistulotomy
or seton placement.
and fistulectomy are best known to solve the problem radically up to 90% ; however, they also have the highest percentage of different degrees of incontinence.
It can be compared to the gold standard1 Fistulectomy and Fistulotomy
but the latter are associated with increased trauma and increased morbidity.
Alternatives to fistulotomy
also should be considered in patients with impaired continence, in patients with Crohn's disease and AIDS, and in women with anterior fistulas.
The most common complication of perirectal abscess is fistula formation, which may require a fistulotomy
Many can be repaired with a simple procedure called a fistulotomy
, but approximately 30 percent of anal fistulas are considered complex and require alternative treatments less likely to prevent anal incontinence.
is not appropriate for high anal fistula because of post operative fecal incontinence and management of this clinical entity remains a surgical challenge.