Abstract
The "sutured" or "sealed in" wound on anorectal surgery is highly unphysiologic and contrary to the surgical principle of anorectal wound drainage, preventing proper drainage and sealing in infection in the deeper tissues. There is likelihood of infection, surgically created ulcer and fistula formation, prolonged healing, abscess formation and postoperative anal stenosis.
No suture is necessary. Suture should not be used.
We have to know the fact, primary union in anorectal operated wound, seldom occur owing to the contamination of fecal discharge and the difficulty of keeping the part clean. Further the closure the anorectal operated wound causes the above complications.
For these reasons suture is to be definitely avoided, and it is permitted to heal by granulation secon-darily, by leaving the wound wide open.
Author's abstracts
