Prospective Analysis of 48 Consecutive Cases of VAAFT
Sponsored Links
This presentation is the property of its rightful owner.
1 / 21

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


  • 343 Views
  • Uploaded on
  • Presentation posted in: General

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.

Download Presentation

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

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


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.


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 METHODS

  • 9 patients – Low anal fistula

  • 16 patients – Intersphincteric fistula

  • 23 patients – Transsphincteric fistula


RECURRENT FISTULA

6 of 16 Intersphincteric fistula

4 of 23 Transsphincteric fistula


SPECIFIC INVESTIGATION

MR fistulogram

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


ANAESTHESIA

  • General Anaesthesia – 11 patients

  • Spinal Anaesthesia – 37 patients


CLOSURE OF INTERNAL OPENING

32 patients

  • 12 patients - Mucosal flap – 8 patients had glue reinforcement

  • 20 patients – Stapler + glue reinforcement


PAIN SCORE

Score 1 - 11 patients

Score 2 - 29 patients

Score 3 - 8 patients (GA)


PRE OPERATIVE


POST OPERATIVE


LENGTH OF HOSPITAL STAY

  • 26 patients – Day care

  • 22 patients – 24 hours


3 MONTHS POST OPERATIVE


RECURRENCE


RECURRENCE

Total 7

Low anal – 1

Intersphincteric -4 (2)

Transsphincteric – 2(2)


RETURN TO NORMALCY

100 % in 48 hours


SPHINTER INCONTINENCE

NONE


CONCLUSION

  • Safe

  • Effective

  • Low morbidity

  • Less Post operative pain

  • Better convalescence

  • Intact sphincter control

  • Less mutilating


  • Login