TREATMENT OF HIGH TRANS-SPHINCTERIC ANAL FISTULA: COMPARISON OF ANAL FISTULA PLUG USING SURGICAL VERSUS CUTTING SETON

Authors

  • Falak Siyar Combined Military Hospital Bahawalpur/ National University of Medical Sciences (NUMS) Pakistan
  • Raheel Khan Combined Military Hospital Bahawalpur/ National University of Medical Sciences (NUMS) Pakistan
  • Mukarram Hussain Combined Military Hospital Quetta/ National University of Medical Sciences (NUMS) Pakistan
  • Zahid Anwar Combined Military Hospital Kharian/ National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Zahid Hussain Combined Military Hospital Tarbela/ National University of Medical Sciences (NUMS) Pakistan

Keywords:

Anal fistula plug, Cutting seton, High trans-sphincteric anal fistula, Surgicel

Abstract

Objective: To compare the anal fistula plug using surgical versus cutting seton in the treatment of high transsphincteric anal fistula, in terms of frequency of fistula closure.

Study Design: Randomized controlled trial.

Place and Duration of Study: Combined Military Hospital, Bahawalpur from Aug 2013 to Feb 2014.

Patients and Methods: A total of 120 patients were randomly divided into two groups of 60 patients each using lottery method. Group-A comprised patients undergoing treatment with anal fistula plug while group B included patients undergoing treatment with seton. The patients were then checked for fistula closure for three months post operatively.

Results: Fistula closure at 3 months was observed in 40 patients (66.7%) of group-A and in 27 patients (45.0%) in group-B. The difference between two groups was statistically significant (p=0.017).

Conclusion: Anal fistula plug is superior to cutting seton in terms of frequency of fistula closure in patients with high anal fistula.

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Published

01-10-2020

How to Cite

Siyar, F., Khan, R., Hussain, M., Anwar, Z., & Hussain, M. Z. (2020). TREATMENT OF HIGH TRANS-SPHINCTERIC ANAL FISTULA: COMPARISON OF ANAL FISTULA PLUG USING SURGICAL VERSUS CUTTING SETON. Pakistan Armed Forces Medical Journal, 67(SUPPL-1), S6–9. Retrieved from https://pafmj.org/PAFMJ/article/view/5657

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