This prospective randomized controlled trial compared the outcomes of laser versus open surgical techniques in the management of fistula-in-ano among 100 patients at a tertiary care center. Patients were diagnosed with intersphincteric or transsphincteric fistulas using clinical examination and MR fistulogram and were randomly assigned to undergo either laser surgery (n=50) or open surgery (n=50). The primary endpoints included postoperative pain, hospital stay duration, and time to return to normal activity. Secondary outcomes assessed were recurrence, wound infection, incontinence, need for reoperation, and patient satisfaction.
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Postoperative Pain at 48 Hours
Timeframe: 48 hours post-surgery
Length of Hospital Stay
Timeframe: From day of surgery to discharge (typically within 7 days)
Time to Return to Normal Work
Timeframe: Within 6 weeks post-surgery