A prospective interventional study on ligation of intersphincteric fistula tract in patients with fistula-in-ano-as a tertiary care centre

Perianal fistula is an abnormal tract or cavity that connects a primary opening inside the anal canal to a secondary opening in the Perianal skin. It is a probably an inflammatory condition in which infection begins in anoglandular region. Presently, parks classification is the most accepted system for fistula in ano, which divide it into intersphincteric, trans-sphincteric, supra-sphincteric and extra sphincteric. There is no single technique is appropriate for the management of all fistula in ano, the surgeon’s skill, experience and judgement must guide treatment dicisions. Most of the anal fistulas are simple and can be treated easily by laying open the fistulous tract or fistulectomy. While complex fistulas are less likely to see, various modalities are available, such as debridement and fibrin glue injection, endorectal advancement flap closure and the use of seton.