대한대장항문학회

The curative fistulectomy including the repair of the anal sphincter muscle in the anal<br>fistula. We analysed 98 patients who were operated due to the anal fistula from June<br>1989 to August 1991 in our hospital. The anal fistula was classified as<br>SC(subcutaneous), LA(low anal), HA (high anal), AR(anorectal), special(dual, multiple,<br>horseshoe) type. The operative methods of anal fistula were fistulotomy, fistulectomy,<br>fistulectomy with the repair of the anal sphincter muscle, fistulectomy with the repair of<br>the anal sphincter muscle and the skin and seton ligation. The results were as follows;<br>1) The ratio of the male and female was about 3: 1 and the most common age<br>groups were 3th and 4th decades.<br>2) The most common symptom was the discharge.<br>3) The most common past medical history was the drainage of the perianal abscess.<br>4) The proportion of the fistulectomy regardless of the sphincter muscle repair was<br>83%.<br>5) The mean healing time was from the 32 days to the 38 days according to the<br>operative method.<br>6) The numbers of complication and recurrence were 4 and 3 cases each other.<br>7) There were no functional impairment in our cases.<br>The curative fistulectomy including the anal sphincter mucle repair can make the<br>removal of anal crypt near the internal opening that develops anal fistula. And it<br>remains the clean tissue bed, free of fibrins and granulation tissue. We can diagnose the<br>anal cancer accompanying with the anal fistula earlier. In conclusion, we should consider<br>the curative fistulectomy including the ana] sphincter muscle repair.<br>