Anal fistula with Prepubic Space extension (Recto Inguinal Fistula) treated by Kshara Sutra and track debridement therapy - A Case Report
Keywords:
Anal fistula, Prepubic Space extension, Kshara Sutra
Abstract
Earliest reference about anal fistula is available in Sushrutha Samhita an ancient Indian surgical text book, written in 500BC. Different varieties of anal fistulae have been mentioned, like complicated tracts, curved tracts and fistula with multiple openings or those which take a round path to anal canal.[1] Such fistulae were common in surgical practice. Sometimes it is difficult to diagnose anal fistula, when patient presents with unusual signs and symptoms of disease. Ksharasutra (medicated seton) therapy is being practiced in India with high success rate (recurrence of 3.33%) in the management of complicated anal fistula.
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References
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Vasilevsky C.A., Gordon P.H. Results of treatment of fistula-in-ano. Diseases of the Colon and Rectum. 1985;28:225–231. [PubMed] [Google Scholar]
Deshpande P.J., Sharma K.R. Successful nonoperative treatment of high rectal fistula. American Journal of Proctology. 1976;24:39–47. [PubMed] [Google Scholar]
Pankaj S., Manoranjan S. Efficacy of Kshar Sutra (medicated Seton), therapy in the management of fistula-in-ano. World Journal of Colorectal Surgery. 2010;2(2) (Art. 6:01-10) [Google Scholar]
Belekar D.M., Dewoolkar V.V., Desai A.A., Anam J.R., Parab M.B. An unusual case of complex transphincteric fistula-in-ano. The Internet Journal of Surgery. 2009;19(2.) [Google Scholar]
Singhal GD, et al. Bhagandarachikitsaadhyaya, 17th chapter. SushruthasamhithaAncientIndian Surgery part II. Delhi: Chaukambha Sanskrit samsthana, 319.
Lilius H.G. Investigation of human fetal anal ducts and intermuscular glands and a clinical study of 150 patients. ActaChirurgica Scandinavica. 1968;383:7– 88. [PubMed] [Google Scholar]
Garcia-Aguilar J., Belmonte C., Wong W.D., Goldberg S.M., Madoff R.D. Anal fistula surgery: factors associated with recurrence and incontinence. Diseases of the Colon and Rectum. 1996;39:723– 729. [PubMed] [Google Scholar]
Shukla N.K., Narang R., Nair N.G.K., Radhakrishna S., Satyavati G.V. Multicentric randomized controlled clinical trial of Ksharasootra, (ayurvedic medicated thread) in the management of fistula-in-ano. Indian Journal of Medical Research. 1991;94:177– 185. [PubMed] [Google Scholar]
Sainio P., Husa A. Fistula-in-ano. Clinical features and long-term results of surgery in 199 adults. ActaChirurgicaScandinavica. 1985;151:169– 176. [PubMed] [Google Scholar]
Vasilevsky C.A., Gordon P.H. Results of treatment of fistula-in-ano. Diseases of the Colon and Rectum. 1985;28:225–231. [PubMed] [Google Scholar]
Deshpande P.J., Sharma K.R. Successful nonoperative treatment of high rectal fistula. American Journal of Proctology. 1976;24:39–47. [PubMed] [Google Scholar]
CITATION
DOI: 10.21760/jaims.v4i06.797
Published: 2019-12-31
How to Cite
1.
Dr. Shivprasad Mhetre, Dr. Pravin Kakade, Dr. Ganesh Mali. Anal fistula with Prepubic Space extension (Recto Inguinal Fistula) treated by Kshara Sutra and track debridement therapy - A Case Report. J Ayurveda Integr Med Sci [Internet]. 2019Dec.31 [cited 2025Apr.2];4(06):246-8. Available from: https://jaims.in/jaims/article/view/797
Section
Case Report
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