DOI: 10.36347/sasjs

Pages: 219-222

Background: Fistula in ano is an abnormal communication, lined by granulation tissue between the anal canal and the skin, which causes chronic inflammatory response. Most commonly these fistulae develop following an anal abscess secondary to infection of an anal gland. It is the most common cause of seropurulent discharge in perianal region. To determine the etiology, clinical presentation, efficacy of different surgical approach, early and late post-operative complications, and recurrence rate in cases of fistula in Ano. Methods: Prospective Observational Study was conducted in Department of General Surgery, Bangabandhu Sheikh Mujib Medical University, with Sample size of 60 cases randomly selected. Results: Total 60 patients included in our study. Maximum 38.3% patients are from age group 18-29 years and minimum 6.7% patients are from age group > 60 years. The distribution of patients according to gender show 73.3% patients are male and 26.7% patients are female. Most common etiological factor is perianal sepsis following Crypto glandular infection, with pain as most prevalent symptom. Simple fistula is more common, and in complex fistula most prevalent type is high transsphincteric fistula. Most common procedure done is fistulotomy. Most common complication is recurrence. Most number of complications was seen in fistulotomy. Maximum recurrence is seen after fistulotomy. Conclusion: Most common cause is crypto glandular infection, most common feature is pain, Fistulectomy is more efficacious, and complications are maximum with fistulotomy, highest recurrence seen after fistulotomy.