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Volume 3 Issue 1 (January - March, 2015)

Original Articles

Assessment of risk factors for recurrence and incontinence after anal fistula surgery
Raman Gupta

Background: Anal fistulae and abscesses of the perianal region are different manifestations of the same clinical disease.The ideal surgical treatment for anal fistula should eradicate sepsis and promote healing of the tract, whilst preserving the sphincters and the mechanism of continence. Hence; under the light of above mentioned data, the present study was planned to assess various risk factors for recurrence and incontinence after anal fistula surgery. Materials & methods: A total of 100 patients scheduled to undergo anal fistula surgery were included in the present study. Detailed demographic and clinical data of all the patients was obtained. Anal fistula surgery was carried out in all the patients. Data in relation to the existence of preoperative or postoperative incontinence, and the appearance of recurrences were obtained. All the results were recorded in Microsoft excel sheet and were analysed by SPSS software.  Results: Transsphincteric type of fistulae was the most common found to be present in 55 percent of the patients. In the present study, total recurrence rate was found to be 13 percent. Maximum recurrence rate was found to be present in Extrasphincteric fistulae, followed by Suprasphincteric fistulae. Incontinence associated factors were found to be highest for extrasphincteric fistula. Conclusion: Under the light of above obtained data, the authors conclude that the presence of recurrent of fistula-in-ano (External type) is associated with to non-recognition of the internal fistula opening by the surgeon. However; further studies are recommended.
Key words: Anal, Fistula, Recurrence
Corresponding author: Dr. Raman Gupta, Associate Professor, Department of General Surgery, Adesh Institute Medical Sciences and Research, Bathinda, Punjab, India  
This article may be cited as:  Gupta R. Assessment of risk factors for recurrence and incontinence after anal fistula surgery. J Adv Med Dent Scie Res 2015;3(1):225-228.

 
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