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The sphincter preserving perianal fistulectomy: A better alternative
R. N. Mangual, D. N. Tudu, S. P. Pattnaik, S. S. Mohanty, K. P. Prusty
Abstract
A fistula-in-ano is not only a common problem associated in surgical practice, but also its patho-anatomy is poorly understood by many. In this series, over a period of 12 years, 120 cases were included in the study, explained the patho-anatomy, that all the perianal fistula are not fistula, rather perianal sinus. In all the cases by a simple method of methylene blue dye injected into the tract to visualise the internal opening and condemned the probing as unscientific. The result of sphincter preserving aseptic fistulotomy, is a better alternative to conventional procedures, which avoids complications like colostomy, soiling, incontinence, morbidity and prolong hospitalisation.
Keywords
Fistuna-in-ano, Anal fistula, Perianal sinus.
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