A study on clinicopathology of fistula in ano in RGGGH

Emil Phinehas, M (2016) A study on clinicopathology of fistula in ano in RGGGH. Masters thesis, Madras Medical College, Chennai.

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Abstract

BACKGROUND: While the majority of fistula in ano are anatomically simple and easy to treat, a significant fistula are high or anatomically complex and the leave the potential to become a major management problem. METHODS: Seventy five patients undergone fistuloa surgery were studied retrospectively and prospectively with standardized purposive sampling method. RESULTS: The Descriptive and Observational study were carried out to determine the clinicopathology of perianal fistula including the various modalities of treatment and its efficacy. Seventy five patients fulfilling the inclusion criteria from surgery department were studied during the period of August 2014 to July 2015. Fistulas were common in 30-39age group. Male to female ratio is 3:1. Diabetes was the predominant factor (13.3%). All the patients presented with perianal discomfort with more than 50% of patients presented with perianal discharge . MRI found to be golden investigation of choice in all types of fistula in ano. Fistulotomy was the most commonly performed procedure for low anal fistula (68%) . Seton was preferred in high anal fistula with external sphincter involvement. Regarding etiology, Tuberculosis was seen in 13% of patients. Most common complications being anal incontinence seen in 16 %. 10.6% patients recurred. Fistulotomy found to have least complication rates . Seton found to have high complication rates. CONCLUSION: Proper pre operative evaluation and planning of treatment is essential to prevent complications. Fistulotomy is preferred for low anal fistulas. Proper management protocols to be established.

Item Type: Thesis (Masters)
Uncontrolled Keywords: clinicopathology ; fistula ; ano ; RGGGH ; Rajiv Gandhi Government General Hospital : Chennai.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 27 Sep 2017 01:06
Last Modified: 27 Sep 2017 01:26
URI: http://repository-tnmgrmu.ac.in/id/eprint/3366

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