Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective study
Objectives Management of fistula-in-ano is associated with recurrence and, occasionally, with anal incontinence. We investigated the clinical characteristics and outcomes of fistula-in-ano. Methods We included patients with fistula-in-ano managed at a tertiary care center (2016–2021). We collected c...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-09-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231194516 |
| _version_ | 1797685485533921280 |
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| author | Vinoprasath Shivakumar Umesh Jayarajah Dharmabandhu Nandadeva Samarasekera |
| author_facet | Vinoprasath Shivakumar Umesh Jayarajah Dharmabandhu Nandadeva Samarasekera |
| author_sort | Vinoprasath Shivakumar |
| collection | DOAJ |
| description | Objectives Management of fistula-in-ano is associated with recurrence and, occasionally, with anal incontinence. We investigated the clinical characteristics and outcomes of fistula-in-ano. Methods We included patients with fistula-in-ano managed at a tertiary care center (2016–2021). We collected clinical characteristics and 1-year outcomes using questionnaires. The chi-square test was used in statistical analysis. Results In total, 284 patients (231 men, 81.3%; median age 39.5 [range: 7–73] years) were included. Most patients had simple fistulae (n = 191, 67.3%). Transphincteric (n = 110, 38.7%) fistulae were the most common type, followed by intersphinteric fistulae (n = 103, 36.6%). Fistulotomy (n = 157, 55.3%) was the most common procedure. Follow-up details were traceable in 157 (55.3%) patients. At 1 year, the overall healing rate was 88.5% (n = 136). There was no association between type of surgical procedure and incontinence. The mean Vaizey score, used to assess anal incontinence, was 0.84 (range: 0–14). Incontinence was observed in 32 patients (20.9%), and flatus incontinence was the most common type (n = 17, 53.1%). Complex fistulae were associated with higher recurrence rates than simple fistulae (32.6% vs. 2.8%). Conclusion The healing rate in surgical treatment of fistula-in-ano was 88.5%, with acceptable complication rates. There was no association between surgical procedure type and incontinence. |
| first_indexed | 2024-03-12T00:44:51Z |
| format | Article |
| id | doaj.art-25fe66b4c1f04ed98754c953056e0f04 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-03-12T00:44:51Z |
| publishDate | 2023-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-25fe66b4c1f04ed98754c953056e0f042023-09-14T18:03:23ZengSAGE PublishingJournal of International Medical Research1473-23002023-09-015110.1177/03000605231194516Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective studyVinoprasath ShivakumarUmesh JayarajahDharmabandhu Nandadeva SamarasekeraObjectives Management of fistula-in-ano is associated with recurrence and, occasionally, with anal incontinence. We investigated the clinical characteristics and outcomes of fistula-in-ano. Methods We included patients with fistula-in-ano managed at a tertiary care center (2016–2021). We collected clinical characteristics and 1-year outcomes using questionnaires. The chi-square test was used in statistical analysis. Results In total, 284 patients (231 men, 81.3%; median age 39.5 [range: 7–73] years) were included. Most patients had simple fistulae (n = 191, 67.3%). Transphincteric (n = 110, 38.7%) fistulae were the most common type, followed by intersphinteric fistulae (n = 103, 36.6%). Fistulotomy (n = 157, 55.3%) was the most common procedure. Follow-up details were traceable in 157 (55.3%) patients. At 1 year, the overall healing rate was 88.5% (n = 136). There was no association between type of surgical procedure and incontinence. The mean Vaizey score, used to assess anal incontinence, was 0.84 (range: 0–14). Incontinence was observed in 32 patients (20.9%), and flatus incontinence was the most common type (n = 17, 53.1%). Complex fistulae were associated with higher recurrence rates than simple fistulae (32.6% vs. 2.8%). Conclusion The healing rate in surgical treatment of fistula-in-ano was 88.5%, with acceptable complication rates. There was no association between surgical procedure type and incontinence.https://doi.org/10.1177/03000605231194516 |
| spellingShingle | Vinoprasath Shivakumar Umesh Jayarajah Dharmabandhu Nandadeva Samarasekera Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective study Journal of International Medical Research |
| title | Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective study |
| title_full | Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective study |
| title_fullStr | Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective study |
| title_full_unstemmed | Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective study |
| title_short | Characteristics and post-operative outcomes of surgery for fistula-in-ano managed at a tertiary care hospital in Sri Lanka: a retrospective study |
| title_sort | characteristics and post operative outcomes of surgery for fistula in ano managed at a tertiary care hospital in sri lanka a retrospective study |
| url | https://doi.org/10.1177/03000605231194516 |
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