slide1
Download
Skip this Video
Download Presentation
Dr.Manoharan Nandakishore General and Laproscopic Surgeon Apollo Hospitals,Chennai

Loading in 2 Seconds...

play fullscreen
1 / 21

Dr.Manoharan Nandakishore General and Laproscopic Surgeon Apollo Hospitals,Chennai - PowerPoint PPT Presentation


  • 444 Views
  • Uploaded on

Prospective Analysis of 48 Consecutive Cases of VAAFT. Dr.Manoharan Nandakishore General and Laproscopic Surgeon Apollo Hospitals,Chennai. CONFLICT OF INTEREST. NONE. AIM. To study the safety, efficacy and patient comfort factor in the treatment of fistula in ano with VAAFT.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Dr.Manoharan Nandakishore General and Laproscopic Surgeon Apollo Hospitals,Chennai' - viho


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Prospective Analysis of 48 Consecutive Cases of VAAFT

  • Dr.Manoharan Nandakishore
  • General and Laproscopic Surgeon
  • Apollo Hospitals,Chennai
slide3
AIM

To study the safety, efficacy and patient comfort factor in the treatment of fistula in ano with VAAFT.

materials and methods
MATERIALS AND METHODS

This was a prospective study from August 2011 to February 2012 involving 48 patients, who had presented with fistula in ano.

materials and methods1
MATERIALS AND METHODS
  • 9 patients – Low anal fistula
  • 16 patients – Intersphincteric fistula
  • 23 patients – Transsphincteric fistula
recurrent fistula
RECURRENT FISTULA

6 of 16 Intersphincteric fistula

4 of 23 Transsphincteric fistula

specific investigation
SPECIFIC INVESTIGATION

MR fistulogram

For all intersphinteric and transsphinteric cases and two cases of low anal fistula.

anaesthesia
ANAESTHESIA
  • General Anaesthesia – 11 patients
  • Spinal Anaesthesia – 37 patients
closure of internal opening
CLOSURE OF INTERNAL OPENING

32 patients

  • 12 patients - Mucosal flap – 8 patients had glue reinforcement
  • 20 patients – Stapler + glue reinforcement
pain score
PAIN SCORE

Score 1 - 11 patients

Score 2 - 29 patients

Score 3 - 8 patients (GA)

length of hospital stay
LENGTH OF HOSPITAL STAY
  • 26 patients – Day care
  • 22 patients – 24 hours
recurrence1
RECURRENCE

Total 7

Low anal – 1

Intersphincteric -4 (2)

Transsphincteric – 2(2)

return to normalcy
RETURN TO NORMALCY

100 % in 48 hours

conclusion
CONCLUSION
  • Safe
  • Effective
  • Low morbidity
  • Less Post operative pain
  • Better convalescence
  • Intact sphincter control
  • Less mutilating
ad