Murugesan, S (2014) Effectiveness of cyanoacrylate glue in the management of low anal fistula. Masters thesis, Coimbatore Medical College, Coimbatore.
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Abstract
BACKGROUND AND OBJECTIVES: Fistula in ano is a commonly seen surgical problem; fistulotomy is the gold standard treatment in the management of low anal fistula. But fistulotomy is associated with discomfort and incontinence. This study was designed to evaluate the effectiveness of cyanoacrylate glue in the management of low anal fistula. We present our short term results with a 6 month follow up. MATERIALS AND METHODS: Thirty patients were enrolled in our study. Patients were analyzed clinically and then subjected to fistulogram. The fistula tracks were probed and washed with saline and excessive granulation tissue was curetted. The glue was then injected in to fistulous track from a syringe nozzle through an infant feeding tube. Patients were further examined in the outpatient department until 6 months. RESULTS: Five of thirty patients (16.6%) healed with glue treatment. Twenty of thirty (66.7%) patients got recurrence; five patients are lost follow up. CONCLUSION: Patients were followed up for a period of 6 months after glue instillation. Post operative pain, discomfort, incontinence were absent in case of glue instillation. Early ambulation and less time of stay in hospital were added advantage in case of glue instillation. Recurrence rate is high in case of cyanoacrylate glue instillation in our study.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | cyanoacrylate glue ; management ; low anal fistula. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Devi S |
| Date Deposited: | 06 Jul 2018 16:25 |
| Last Modified: | 07 Jul 2018 17:25 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8674 |
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