Title

Comparison of fistulotomy and fistulotomy in managing low anal fistula: A prospective study

Authors

Upendra Singh¹, Kaushlendra Singh Narwariya², Krishna Pratap Singh³*, Pooja Rajput⁴, Parul Nema⁵ & Vishnu Kumar Gupta⁶

Affiliation

¹Department of General Surgery, Government Medical College, Satna, Madhya Pradesh, India; ²Department of General Surgery, S.R.V.S. Medical College, Shivpuri, Madhya Pradesh, India; ³Department of Surgery, Motilal Nehru Medical College, Prayagraj, Uttar Pradesh, India; ⁴Consultant Radiologist, Sai diagnostic Centre and Surgical care, Shivpuri, Madhya Pradesh, India; ⁵Department of Pathology, SRVS Medical College, Shivpuri, Madhya Pradesh, India; ⁶Department of Community Medicine, SRVS Medical College, Shivpuri, Madhya Pradesh, India; *Corresponding author

Email

Upendra Singh - E-mail: lvmshr4@gmail.com
Kaushlendra Singh Narwariya - E-mail: dr.k.s.narwariya@gmail.com
Krishna Pratap Singh - E-mail: mailtokp82@gmail.com
Pooja Rajput - E-mail: pr282291@gmail.com
Parul Nema - E-mail: drparulnema@gmail.com
Vishnu Kumar Gupta - E-mail: vishnukgupta@gmail.com

Article Type

Research Article

Date

Received January 1, 2026; Revised January 31, 2026; Accepted January 31, 2026, Published January 31, 2026

Abstract

Low anal fistula is a common anorectal disorder and fistulectomy and fistulotomy are frequently used surgical treatments. Therefore, it is of interest to evaluate the clinical outcomes, complications and recurrence rates between these two approaches in 120 patients with low anal fistula. Patients were randomly divided into two groups, with 60 undergoing fistulectomy and 60 undergoing fistulotomy. The study found that fistulotomy had significantly lower operative times, postoperative pain and faster wound healing compared to fistulectomy. There was no significant difference in recurrence or continence between the two groups. Fistulotomy proved to be a simpler, quicker and less painful procedure, making it the preferred option in selected cases.

Keywords

Low anal fistula; fistulotomy; fistulectomy; wound healing; recurrence

Citation

Singh et al. Bioinformation 22(1): 348-352 (2026)

Edited by

Ritik Kashwani

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.