The Incidence of Low Fistula in Ano and Results of Fistulectomy

Abstract

Background: Fistula in the ano is one of the most common coloproctological conditions. This research aims to determine the prevalence of ano fistula in the rural population, as well as the outcomes of fistulotomy surgery.

Methodology: From January 1 to December 31, 2020, this study was conducted in Jharkhand. During the study duration, 72 patients with Low fistula in Ano were included. Fistulotomy surgery was performed on all 72 patients. The aim of this study was to determine the prevalence of low-level fistula in rural populations, as well as the male-female ratio, as well as the outcome of one surgical procedure, fistulotomy, in terms of postoperative pain, wound healing time, infection, incontinence, and recurrence.

Results: In rural areas, the incidence of ano fistula was estimated to be around 8.6 per 1 lakh people, with a male to female ratio of 11.8:1. Patients ranged in age from 22 to 55 years old, with the average age being about 38 years. Post-operative pain lasted 2.9±2 days, with wound healing taking 28.5±7 days. There was no anal incontinence in any of the 72 patients, and only three of them (4.17 %) had recurrence.

Conclusion: In rural Papulation of Jharkhand, the incidence of low fistula in ano is about 8.6 per 100000, with a male to female ratio of 11.8:1. In our research, fistulotomy is one of the best surgical procedures.