Abstract
Background: Perianal fistulas remain a surgical treatment challenge in colorectal practice due to high recurrence rates and the risk of postoperative wound infection and incontinence. Anal fistula represents one of the most frequent anorectal diseases.Methods: This is a randomized comparative prospective study of 30 cases of fistula-in-ano presenting at the surgical OPD of Almeen Medical College and Research Institute from 1 September 2017 to 31 june 2018.Results: In our study the age of the patient varied from 25-60 years, patient’s wound healed in 3-4 weeks in those who underwent open fistulectomy, whereas in the primary closure method the wounds healed in 1-2 weeks. Recurrence of fistula occurred in 5 patients.Conclusions: The primary closure method of fistulectomy is a safe and feasible method and more effective in the management of fistula-in-ano.
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