Related Experiment Videos
Fistula in ano in Nigerians
Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|July 1, 1989
Summary
This study reviewed 77 patients with fistula in ano, finding late presentation common. Surgical treatment for anal fistulas proved effective with no complications or recurrence.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Surgical Outcomes
Background:
- Fistula in ano is a common anorectal condition.
- Delayed presentation can complicate treatment and outcomes.
- Understanding patient demographics and clinical features is crucial for effective management.
Purpose of the Study:
- To review the clinical presentation and surgical outcomes of patients with fistula in ano.
- To identify factors associated with delayed hospital presentation.
- To evaluate the efficacy of surgical intervention for anal fistulas.
Main Methods:
- Retrospective review of 77 patients treated for fistula in ano between 1982-1986.
- Analysis of patient demographics, clinical presentation, fistula type, and diagnostic methods (fistulograms).
- Evaluation of surgical outcomes, including complications and recurrence rates.
Main Results:
- A majority of patients (66.24%) presented late, over 2 years after symptom onset.
- Common symptoms included rectal pain, perianal itching, lax anal sphincter tone, and purulent discharge.
- 49 patients had low/posterior fistulas, while 29 had high fistulas; surgery was successful in all cases without complications or recurrence.
Conclusions:
- Late presentation is a significant issue in fistula in ano management.
- Surgical treatment for fistula in ano is highly effective, offering excellent outcomes.
- Further research into early detection and patient education may improve outcomes.