FACTORS INCREASING THE RISK OF RECURRENCE IN FISTULA IN ANO
DOI:
https://doi.org/10.48047/qyc4c484Abstract
BACKGROUND: Fistula in ano is a path that connects the anal canal or rectum to the epidermis surrounding the anus. Anorectal infection is the most common cause of anorectal fistula. Key aspects of anal fistula treatment include closing the internal opening of the fistula tract, draining infection or necrotic tissue, and excising the fistulous tract while preserving sphincter function.
OBJECTIVE: The aim of this study was to evaluate various aspects such as per operative complications, post-operative complications, and various factors associated with recurrence and management of fistula in ano including fistulotomy, fistulectomy, setons, and an anal advancement flap.
METHODOLOGY: A retrospective cohort study was conducted in Ayub teaching hospital abbotabad from 2018 till 2022. The sample size was calculated and a total of 130 people were included in this study. SPSS was used for data analysis which included quantitative and qualitative data.
RESULT: The mean age of presentation for fistula in ano was 38 years (SD ± 10.32) with age ranging from 18 to 60 years, showing a statistically significant recurrence rate with p value of 0.022. The study also included males greater than females with insignificant statistical association of p value 0.706. The type of surgical procedure performed and co morbidities presented were significantly associated with recurrence with a p value of 0.00 and 0.01 respectively.
CONCLUSION: Fistulotomy and fistulectomy demonstrated lower recurrence rates compared to setons. Additionally, comorbidities such as diabetes, hypertension, and age were found to be significantly associated to recurrence.
KEYWORDS: FACTORS; RISK; RECURRENCE; FISTULA
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