Fistulotomy With Marsupialization Versus Fistulectomy With Wound Sutures In Simple Anal Fistula, A Comparative Clinical Trial.

[摘要] Fistulotomy and fistulectomy are effective in treatment of simple anal fistula, marsupialization offistulotomy and closure of fistulectomy wounds were introduced as attempts for improving healing time, inthis study we are comparing both techniques regarding all aspects of their outcome. Two groups of patientswith simple anal fistula each one 46 patients, group I; underwent fistulotomy and marsupialization of woundedges, group II; underwent fistulectomy and closure of fistulectomy wound, preoperative and postoperativedata including healing time, recurrence, rate and incontinence rate were collected and properly analyzed. Werecorded non-significant differences regarding demographic and preoperative data between both groups,transsphincteric fistula is more common in both groups than low intersphincteric fistula, operative time andpostoperative pain are more or less the same in both groups, healing time was 33.78±6.3 in group I and 18.97±2.58 in group II, temporary incontinence occurred in 2 cases of group I and 1 case in group II, recurrence ratewas 6 cases in group II and 1 case in group I. Marsupialization of the fistulotomy wound edges has significantlylonger healing time, but fistulectomy with wound closure carries significantly higher complication rateespecially , local wound complications and recurrence ratein treatment simple anal fistula.

[学科分类] 工程和技术（综合）

[关键词] Fistulotoy;anal fistula;fistulectomy;wound sutures.