Khalid Hussain Qureshi, Mustafa Kamal, Muhammad Hamid Ali Shah, Naseer Ahmed Tariq, Salman Ahmad Tipu.
Management of Fistula-in-Ano.
J Coll Physicians Surg Pak Jan ;12(6):361-3.

Objective: To find out the recurrence rate and continence of low or high anal fistula, following surgery. Design: A prospective study. Place and Duration of Study: First Surgical Unit, Nishtar Hospital, Multan from January 2000 to July 2001. Materials and Methods: Fifty-four patients were subdivided into two groups i.e. low and high anal fistulae and were operated by laying open technique (fistulotomy) for low fistulae and by two-stage fistulotomy, seton cut-through technique and re-routing of the tract for high fistulae. Results: Overall recurrence was 4.44% for low fistulae and 11.11 % for high fistula in-ano. Minor incontinence was observed following surgery for high variety. No such complication occurred in low variety. Conclusion : Low fistulae can be laid open with minimal loss of sphincter muscle but as far as the high variety is concerned it is safer to place a seton or stage the procedure.


USER COMMENTS

ssalamoalaikum Hi Mr. Khalid Read ur article in JCPSP.Good work but comparing two different types of fistulae seems strange ,as high anal fistula is a different type of problem as compared o low one.
Posted by: TK on Aug 2002

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