DOI: 10.36347/sasjs

Pages: 92-95

Fistula in ano is a common surgical problem. Conventional surgical options for a simple fistula in ano include a fistulotomy and fistulectomy. Lay open of the fistula tract is a commonly used procedure in the management of fistulain-ano. It can cure the fistula but this may involve prolong wound healing, and compromise of anal continence. The wound edges may be marsupialized to the laid open fistula tract leaving less raw unepithelialized tissue to heal over. There are inadequate data comparing fistulotomy with or without marsupialization.To compare marsupialization (MS) versus lay open (LO) technique in management of simple fistula in ano (FIA) in terms of healing time as a primary outcome and postoperative complications as a secondary outcomes) postoperative bleeding, postoperative pain, wound infection, anal incontinence and recurrence). A prospective interventional study was conducted in Omdurman teaching hospital, department of general surgery, in the period from 2014 July to 2015 July. All patients who presented with simple anal fistula were included. Patients with associated co-morbid conditions and patients refused consent for the procedure were excluded. A predesigned, pretested questionnaire was used as a data collection tool. A computer program, Statistical package for social sciences (SPSS) version 20 was used .A Total number of 80 patients with simple FIA were studied. Forty patients were involved in each group.