A Retrospective Study of Fistula in Ano & Primary Sphincter Repair (Sphincteroplasty) in Complex Fistulas

Fistula in ano is a common perianal disease of the mankind. It is secondary to mainly cryptoglandular infections & abscess. Persistence of chronic infection will lead to fistula formation. 1 Management of high-level fistulas is complicated due to incontinence, which is troublesome; hence, many procedures have been tried by many surgeons, but without any supremacy over others. Immediate reconstruction of divided sphincter muscle will give good result. 2 We have done fistulectomy & repair of the external anal sphincter & followed for the last two decades with no incontinence & minimal recurrences. only. 136 & operated. Intersphincteric trans-sphincteric 49%, high fistulas & fistulas Vicryl. ano in ano abscess Fistulotomy in simple & subcutaneous tracts - fistulectomy done in Curetting of high

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