A CASE STUDY OF KSHARSUTRA LIGATION WITH PARTIAL FISTULECTOMY IN THE MANAGEMENT OF POSTERIOR HORSESHOE FISTULA IN ANO – BHAGANDARA
Keywords:
Horseshoe Fistula, Bhagandara, Partial Fistulectomy, Kshar Sutra LigationAbstract
Abstract
Introduction: A fistula-in-ano is an epithelial-lined tract connecting the anal canal to the perianal skin. Anal fistulas can have many causes but are most commonly the result of an anorectal abscess. Classification of the fistula is determined in relation to the anal sphincters. Although benign, the condition can cause significant distress and embarrassment to the patient. Treatment focuses on control of the infection and maintaining fecal continence. So partial fistulectomy with kshar sutra ligation selected in posterior horse shoe abscess with fistula in ano
Material & Method : A 38 Years male Patient treated with Abscess I & D and Partial Fistulectomy with Kshar Sutra Ligation. Kshar sutra changed weekly, Total 5 Sitting of Kshar- sutra therapy done.
Result: After 5 Sitting of Kshar- sutra therapy remaing fistulotus tract completely cut with complete wound heal and patient was completely cured.
Discussion : . fistulotomy, fistulectomy, anal fistula plug, FilaC , VAAFT, LIFT. But there is a high recurrence rate and loss of continence. Kshar sutra act like cutting seton and cut anal sphincter gradually so there is a no risk of incontinence and also act like sphincter saving procedure.
References
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