Assessing the Effectiveness of Cyanoacrylate Adhesive in Treating Anal Fistulas

Abstract

Background: Anal fistulas are a prevalent medical issue, and traditional surgical methods, including fistulectomy and fistulotomy, have been linked to potential complications such as excessive bleeding, infection, and recurrence. The utilization of cyanoacrylate glue represents a promising and contemporary approach. The objective of this study was to assess the effectiveness of cyanoacrylate glue in the management of anal fistulas. Methods: The study was carried out on patients diagnosed with fistula-in-ano who were admitted to various surgical units within Krishna Hospital, KIMS, karad. A total of 40 patients meeting the specified criteria were enrolled in the study. These patients underwent the procedure under spinal anesthesia. Subsequently, post-operative follow-up examinations were conducted every two weeks. The success of the procedure was evaluated post- treatment by monitoring the incidence of infection and recurrence. Results: Out of the 40 patients, 26 achieved healing with the initial application, resulting in the cessation of any discharge from the fistulous tract. Four patients necessitated a second application, while two patients required a fistulotomy. Additionally, two patients presented with complex fistulas and underwent treatment involving colostomy and fistulectomy. Six patients experienced purulent discharge following the glue application, requiring IV antibiotic treatment, and eventually achieved complete healing. Conclusion: Cyanoacrylate glue can be proposed as an alternative to fistulectomy, preserving the sphincter function in patients with anal fistulas.