PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 67, No. 5, OCTOBER 2017

OUTCOME OF PERI-ANAL SURGERIES WITHOUT USE OF PROPHYLACTIC ANTIBIOTICS, IN TERMS OF POST OPERATIVE WOUND INFECTION

Muhammad Asif, Ahsan Ali Mirza, Ayesha Saeed

Abstract

Objective: To determine the outcome of perianal surgeries without use of antibiotics in terms of post operative infection.
Study Design: Descriptive study.
Place and Duration of study: Department of general surgery, Pakistan Atomic Energy Commission General Hospital, from Jan 2014 to Jun 2015.
Material and Methods: All patients, both male and female admitted for hemorrhoidectomy, fistulectomy and lateral internal sphincterotomy for Anal Fissure with minimum 02 months follow-up were included in the study through non probability consecutive sampling technique. The selected patients were not administered any antibiotics pre or postoperatively. All these patients were followed up for any post-operative surgical site
infection up to 02 months. Patients were advised only to take pyodine sitz bath regularly.
Results: One hundred and eighty two patients were selected for the study. Patients mean age was 48.0 ± 11.4 years. 68.68% were male and 31.3% were female patients. In our study most frequent clinical presentation was hemorrhoids (37.9.0%), followed by anal fissure (33.5%). Least frequent clinical presentation was of anal fistula (28.57%). None of the patients developed surgical site infection post operatively.
Conclusions: In our study we found that there was no additional beneficial role of prophylactic antibiotics in
perianal surgeries Perianal surgeries can safely be performed without the use pre or post-operative antibiotics there by significantly reducing health care expenses.

Keywords : Anal Fissure, Fistula in ano (FIA), Fistulectomy, Hemorrhoid, Hemorrhoidectomy, Lateral Internal sphincterotomy (LIS).



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