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Anal Fistulas: Conventional Treatment and Postoperative Results
Hepato-Gastroenterology Department, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
Higher Institute of Health Sciences, Yembila Abdoulaye Toguyeni University, Fada N’Gourma, Burkina Faso
Higher Institute of Health Sciences, Yembila Abdoulaye Toguyeni University, Fada N’Gourma, Burkina Faso
Hepato-Gastroenterology Department, CHU Sourô Sanou, Bobo Dioulasso, Burkina Faso
Hepato-Gastroenterology Department, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
Hepato-Gastroenterology Department, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
Notre Dame de la Paix Polyclinic, Ouagadougou, Burkina Faso
Hepato-Gastroenterology Department, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
Health Sciences Training and Research Unit, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
General Surgery Department, CHRU Fada N’Gourma, Fada N’Gourma, Burkina Faso
Hepato-Gastroenterology Department, CHRU Fada N’Gourma, Fada N’Gourma, Burkina Faso
Higher Institute of Health Sciences, Nazi Boni University, Bobo Dioulasso, Burkina Faso
General Surgery Department, CHU Tengandogo, Ouagadougou, Burkina
- 1 Hepato-Gastroenterology Department, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
- 2 Higher Institute of Health Sciences, Yembila Abdoulaye Toguyeni University, Fada N’Gourma, Burkina Faso
- 3 Higher Institute of Health Sciences, Yembila Abdoulaye Toguyeni University, Fada N’Gourma, Burkina Faso
- 4 Hepato-Gastroenterology Department, CHU Sourô Sanou, Bobo Dioulasso, Burkina Faso
- 5 Hepato-Gastroenterology Department, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
- 6 Hepato-Gastroenterology Department, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
- 7 Notre Dame de la Paix Polyclinic, Ouagadougou, Burkina Faso
- 8 Hepato-Gastroenterology Department, CHU Yalgado Ouedraogo, Ouagadougou, Burkina Faso
- 9 Health Sciences Training and Research Unit, Joseph Ki-Zerbo University, Ouagadougou, Burkina Faso
- 10 General Surgery Department, CHRU Fada N’Gourma, Fada N’Gourma, Burkina Faso
- 11 Hepato-Gastroenterology Department, CHRU Fada N’Gourma, Fada N’Gourma, Burkina Faso
- 12 Higher Institute of Health Sciences, Nazi Boni University, Bobo Dioulasso, Burkina Faso
- 13 General Surgery Department, CHU Tengandogo, Ouagadougou, Burkina
Open Journal of Gastroenterology·Volume 15 (2025)·Pages 596–604·Published 23 September 2025·DOI10.4236/ojgas.2025.1510055
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Abstract
Introduction: Anal fistula is the chronic form of Hermann et Desfosses gland infection. Objective: To study the therapeutic and evolutionary aspects in order to improve the management of anal fistulas. Patients and Method: Descriptive case series study from January 1, 2005 to December 31, 2015 in two main private health facilities in the city of Ouagadougou. All patients operated on for anal fistula were included in this study. Results: We collected 50 cases of anal fistulas, representing 20.5% of all proctological pathologies. The mean age was 40.5 years, with a sex ratio of 5.25. Anal discharge was the functional symptom in 88% of cases. Hemorrhoidal disease was associated with anal fistula in 26% of cases. Treatment was surgical in all cases, and consisted of fistulectomy alone or combined with seton drainage in 68%. A fistulotomy was performed in 22% of cases. Recurrence was noted in four patients, delayed healing in four and anal incontinence in two. The average hospital stay was 2.44 days. Operative mortality was zero. Conclusion: Fistulectomy remains the most widely used surgical technique in our practice. Postoperative morbidity could probably be reduced by the use of new techniques.
KeywordsAnal FistulaFistulectomyIncontinenceSphincter Sparing
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