BACKGROUND AND OBJECTIVES:
Fistula in ano is a commonly seen surgical problem; fistulotomy is the gold standard treatment in the management of low anal fistula. But fistulotomy is associated with discomfort and incontinence. This study was designed to evaluate the effectiveness of cyanoacrylate glue in the management of low anal fistula. We present our short term results with a 6 month follow up.
MATERIALS AND METHODS:
Thirty patients were enrolled in our study. Patients were analyzed clinically and then subjected to fistulogram. The fistula tracks were probed and washed with saline and excessive granulation tissue was curetted. The glue was then injected in to fistulous track from a syringe nozzle through an infant feeding tube. Patients were further examined in the outpatient department until 6 months.
RESULTS:
Five of thirty patients (16.6%) healed with glue treatment. Twenty of thirty (66.7%) patients got recurrence; five patients are lost follow up.
CONCLUSION:
Patients were followed up for a period of 6 months after glue instillation. Post operative pain, discomfort, incontinence were absent in case of glue instillation.
Early ambulation and less time of stay in hospital were added advantage in case of glue instillation. Recurrence rate is high in case of cyanoacrylate glue instillation in our study.
Incisional hernia is a common complication following an abdominal surgery. They have ideally managed with open/ laparoscopic mesh repair. Mesh related complication are many due to increasing number of surgeries. This is a case of complete transluminal migration of a IPOM mesh and an eroding Onlay mesh presenting as a sub-acute intestinal obstruction after 2 years of incisional hernia surgery. Mesh migration is one of the complications of incisional hernia repair because of inadequate fixation or by ongoing inflammation (foreign body reaction). Complete trans luminal mesh migration is a rare complication with very few reports noted on bowel and urinary bladder. Transluminal migration into small bowel is a rare complication and it should be considered in differentials whenever patient comes with abdominal symptoms with past history of hernia repair.
'%3e%3ccircle r='20' fill='%23008'/%3e%3ccircle r='17.5' fill='%23fff'/%3e%3ccircle r='3.5' fill='%23008'/%3e%3cg id='d'%3e%3cg id='c'%3e%3cg id='b'%3e%3cg id='a' fill='%23008'%3e%3ccircle r='.875' transform='rotate(7.5 -8.75 133.5)'/%3e%3cpath d='M0 17.5.6 7 0 2l-.6 5L0 17.5z'/%3e%3c/g%3e%3cuse xlink:href='%23a' transform='rotate(15)'/%3e%3c/g%3e%3cuse xlink:href='%23b' transform='rotate(30)'/%3e%3c/g%3e%3cuse xlink:href='%23c' transform='rotate(60)'/%3e%3c/g%3e%3cuse xlink:href='%23d' transform='rotate(120)'/%3e%3cuse xlink:href='%23d' transform='rotate(-120)'/%3e%3c/g%3e%3c/svg%3e)
