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Online Published: 21 Nov 2022
 


Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula

Gaurav Nirwal, Abhishek Gaur, Diksha Agarawal.


Abstract
Introduction:
Surgery is the only main treatment for anal fistula. Anal fistulas have been known to humans for over 2000 years, but as a result, surgical treatment remains difficult due to differences in recurrence rates and risk of incontinence.
Aim: To compare the efficacy, effectiveness, post operative outcome in fistulectomy with sphincteroplasty vs. fistulectomy with sphincteroplasty with martius flap repair.
Materials and Method: A total of 24 patients were selected for this study. Out of 24 patients, 13 patients who underwent fistulectomy with sphincteroplasty and 11 patients who underwent fistulectomy with sphincteroplasty with martius flap repair.
Results:
Fistulectomy with sphincteroplasty had success rate of 38.4% (5 patients) where 8 patients showed recurrence. The martius flap repair had success rate of 72.7% (8 patients) where 3 patients showed recurrence and were treated conservatively for 2 weeks and fistulas healed.
Conclusion: The outcomes of this study that martius flap has better post-operative results in terms of recurrence, incontinence; post op wound infection and patient satisfaction

Key words: Anal Fistuals, Sphincteroplasty, Fistulectomy


 
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How to Cite this Article
Pubmed Style

Nirwal G, Gaur A, Agarawal D. Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula. Int J Med Rev Case Rep. 2022; 6(22): 80-85. doi:10.5455/IJMRCR.172-1660156211

Web Style

Nirwal G, Gaur A, Agarawal D. Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula. https://www.mdpub.net/?mno=102091 [Access: April 02, 2025]. doi:10.5455/IJMRCR.172-1660156211

AMA (American Medical Association) Style

Nirwal G, Gaur A, Agarawal D. Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula. Int J Med Rev Case Rep. 2022; 6(22): 80-85. doi:10.5455/IJMRCR.172-1660156211


Vancouver/ICMJE Style

Nirwal G, Gaur A, Agarawal D. Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula. Int J Med Rev Case Rep. (2022), [cited April 02, 2025]; 6(22): 80-85. doi:10.5455/IJMRCR.172-1660156211


Harvard Style

Nirwal, G., Gaur, . A. & Agarawal, . D. (2022) Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula. Int J Med Rev Case Rep, 6 (22), 80-85. doi:10.5455/IJMRCR.172-1660156211


Turabian Style

Nirwal, Gaurav, Abhishek Gaur, and Diksha Agarawal. 2022. Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula. International Journal of Medical Reviews and Case Reports, 6 (22), 80-85. doi:10.5455/IJMRCR.172-1660156211


Chicago Style

Nirwal, Gaurav, Abhishek Gaur, and Diksha Agarawal. "Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula." International Journal of Medical Reviews and Case Reports 6 (2022), 80-85. doi:10.5455/IJMRCR.172-1660156211


MLA (The Modern Language Association) Style

Nirwal, Gaurav, Abhishek Gaur, and Diksha Agarawal. "Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula." International Journal of Medical Reviews and Case Reports 6.22 (2022), 80-85. Print. doi:10.5455/IJMRCR.172-1660156211


APA (American Psychological Association) Style

Nirwal, G., Gaur, . A. & Agarawal, . D. (2022) Comparative Study Of fistulectomy With Sphincteroplasty Vs. Fistulectomy With Sphincteroplasty With Martius Flap Repair For Rectovaginal Fistula. International Journal of Medical Reviews and Case Reports, 6 (22), 80-85. doi:10.5455/IJMRCR.172-1660156211


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