Abstract
Introduction: Surgery is the only main treatment for anal fistula. Anal fistulas have been known to humans for over 2000 years, but as a result, surgical treatment remains difficult due to differences in recurrence rates and risk of incontinence. Aim: To compare the efficacy, effectiveness, post operative outcome in fistulectomy with sphincteroplasty vs. fistulectomy with sphincteroplasty with martius flap repair. Materials and Method: A total of 24 patients were selected for this study. Out of 24 patients, 13 patients who underwent fistulectomy with sphincteroplasty and 11 patients who underwent fistulectomy with sphincteroplasty with martius flap repair. Results: Fistulectomy with sphincteroplasty had success rate of 38.4% (5 patients) where 8 patients showed recurrence. The martius flap repair had success rate of 72.7% (8 patients) where 3 patients showed recurrence and were treated conservatively for 2 weeks and fistulas healed. Conclusion: The outcomes of this study that martius flap has better post-operative results in terms of recurrence, incontinence; post op wound infection and patient satisfaction
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