Early Postoperative Pain in Video Assisted Anal Fistula Treatment Versus Open Fistulectomy

Introduction: Anal fistulas are chronic anorectal infections with constant pus containing discharge from the perianal region which can only be treated surgically. Aims & Objectives: To compare mean duration of post-operative pain in patients undergoing video-assisted treatment (VAAFT) with patients who were cared for with an open fistulectomy. Place and Duration of Study: This randomized controlled trial was conducted in the Surgical Department of Chaudhry Mohammad Akram Hospital, Lahore from 1st March 2022 to 31st August 2022. After necessary permission and approval from Ethics Committee and Research Department of Azra Naheed Medical College, Lahore. 60 patients who were assessed according to inclusion criteria of this study were taken. Materials and Methods: 60 patients of both genders who had presenting complaint of anal fistula were randomly assigned to two groups ( n=30) each. Group A were provided video-assisted fistula treatment and Group B with open fistulectomy approach. Physiological parameters as age, BMI and importantly postoperative pain were observed on 2nd day post procedure. SPSS version 20 was used to analyse the data, P-value