الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 101 |  |  |
| | | from | 101 | | |
Abstract
The perianal fistula is a chronic abnormal communication usually lined by some degree of granulation tissue which runs outward from anorectal lumen “internal opening “to the external opening in the skin of the perineum or the buttock.
They are usually classified based on relation to the anal sphincter complex. Milligan & Morgan classified the fistulas into high fistulas-those in which the internal opening lies above the anorectal ring and low fistulas-those in which the internal opening lies below the anorectal ring.
Our study was carried on 30 children diagnosed to have symptomatic low peri-anal fistula. They were subjected to the following: Full History taking from parents, General and ano-rectal examination and full investigations.
The patients were divided into two equal groups:
- group (A): 15 patients were treated by Fistulotomy.
- group (B):15 patients were treated by Fistulectomy.
All patients were subjected to preoperative preparations. Both techniques were performed under general anesthesia.
All Patients were followed up weekly for 5 weeks then monthly for 6 months at the outpatient clinic. The two methods compared as regard time of operation, postoperative time needed for complete healing of the wound and post-operative wound infection, granuloma and recurrence.
In our study, males predominate females in both groups. Most of the cases were preceded by perianal abscess (PAA).Operative time was significantly lower in group (A) compared to group (B) (13-17 minutes versus 15-20 minutes).
The mean values of healing time were 19.27 ± 4.64 days for group A (range 15-28 days) and 23.53 ± 3.58 days for group B (range 20-30 days).
There was statistically significant difference between the two groups in both operative time and healing time. There was one recurrence, one wound infection and two granuloma in group (B), while in group (A) there were two wound infections.