DOI: 10.36347/sjmcr.2023.v11i08.012

Pages: 1467-1471

Anorectal abscess and fistula in ano pose common challenges in colorectal surgeons. This case series of 25 patients with complex fistula in ano highlights the importance of precise preoperative evaluation, including imaging modalities such as CT scan and MRI. Surgical management involved the placement of cutting rubber setons in most cases, combined with a ten-day antibiotic course. Follow-up evaluations at six months revealed successful outcomes in terms of wound healing and continence maintenance through patient education on kegel exercises. This study emphasizes the significance of individualized treatment strategies and meticulous postoperative care for achieving favorable results in complex fistula cases.