CLINICAL STUDY AND MANAGEMENT STRATEGY OF FISTULA IN ANO IN R.D.G.M.C. UJJAIN

Abstract

Background & Method: The present prospective study entitled “Clinical Study and Management Strategy of Fistula in ANO in R.D.G.M.C. Ujjain” carried out at department of general surgery C.R.GARDI Hospital of RD GARDI MEDICAL COLLEGE, Surasa, Ujjain in Surgical OPD and ward, Department of Surgery from February 2017 to June 2018. 84 patient admitted from surgery OPD in surgery ward of RDGMC for definite treatment of fistula in ano were selected for study.

Result: During the period of study i.e. Feb 17 to June 18  in RDGMC  Ujjain total IPD was 58471 out of which 9982 ( 17.07  %)  were surgical patient and 143 (1.43%) are the cases of fistula in ano. Out of 143 we have randomly selected 84 patients for our study group, 62 patient having purulent discharge, 12 patient having serosanguinous discharge while 10 patient having serous discharge.24 patient have pruritus. Continuous pain found in 18 patient while 41 pt have interictal pain. Bleeding P/R found in 10 patient.46 patient has constipation while 22 patient has diarrhoea.we found in our study that 76 (90%) pt of fistula in  ano out of 76 ( %)gives history of burst open and in 38 patient incision drainage done.

Conclusion: Most of the fistula-in-ano are the end result of cryptoglandular infection. A Fistulogram is useful to outline the course of fistula tract, helps to identify the internal opening and any related abscess. It is mandatory especially in high level fistula, fistula with multiple secondary tract and recurrence fistula to prepare a treatment plan. 

Keywords: Aetiopathogenesis, Fistula-in-ano & Clinical Presentation.

Study Designed: Prospective Observational Study.