EJMCR. 2018; 2(3): 117-120

Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report

Authors: Monica Shrestha, Tukaram S Dudhamal.

ABSTRACT

Background: Hippocrates advocated the use of a seton. Ksharsutra works as a cutting and draining seton, besides that, it has antimicrobial property and chemically cauterizes the unhealthy tissue lining the fistulous tract; and thus, decreasing the recurrence rate in cases of complicated fistula-in-ano. This study aims to diagnose the recurrent complicated case of fistula-inano, to treat the case by integrated method (Partial fistulectomy with Ksharsutra), to improve the quality of life of the young patient, and assess the result of Ksharsutra with trans rectal ultrasonography (TRUS). Case Presentation: This was a case of a 32-years-old male patient with recurrent horseshoe high anal fistula operated twice at a reputable hospital in Vellore (Tamil Nadu) arrived with seton in situ. On examination, a seton was seen at 6 o’clock and a scar was seen at 2 o’clock position. Partial fistulectomy was done along with Ksharsutra. On the 20th week, the Ksharsutra got cut through and the wound healed completely. There was no pus discharge and sphincter tone was within the normal limit. Post-operative TRUS showed no evidence of fistula. Conclusion: Ksharsutra was a successful integrated intervention in recurrent horseshoe fistula-in-ano.

Keywords:
Ayurveda, Bhagandara, Basti, chronic disease, seton, case report.


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Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report


Authors
Monica Shrestha
Department of Shalyatantra, IPGT&RA, Gujarat Ayurved University, Jamnagar, India
PubMed articlesGoogle scholar articles

Tukaram S Dudhamal
Department of Shalyatantra, IPGT&RA, Gujarat Ayurved University, Jamnagar, India
PubMed articlesGoogle scholar articles


Correspondence to:
. Monica Shrestha, Department of Shalyatantra, IPGT&RA, Gujarat Ayurved University, Jamnagar, India; shresthamonica33@gmail.com

Publication history
Received 24 Aug 2018
Accepted 18 Sep 2018
Published in print 12 Oct 2018

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Pubmed Style

Shrestha M, Dudhamal TS. Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. EJMCR. 2018; 2(3): 117-120. doi:10.24911/ejmcr/173-1535125374


Web Style

Shrestha M, Dudhamal TS. Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. http://www.ejmcr.com/?mno=5315 [Access: November 15, 2018]. doi:10.24911/ejmcr/173-1535125374


AMA (American Medical Association) Style

Shrestha M, Dudhamal TS. Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. EJMCR. 2018; 2(3): 117-120. doi:10.24911/ejmcr/173-1535125374


Vancouver/ICMJE Style

Shrestha M, Dudhamal TS. Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. EJMCR. (2018), [cited November 15, 2018]; 2(3): 117-120. doi:10.24911/ejmcr/173-1535125374


Harvard Style

Shrestha, M. & Dudhamal, . T. S. (2018) Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. EJMCR, 2 (3), 117-120. doi:10.24911/ejmcr/173-1535125374


Turabian Style

Shrestha, Monica, and Tukaram S Dudhamal. 2018. Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. European Journal of Medical Case Reports, 2 (3), 117-120. doi:10.24911/ejmcr/173-1535125374


Chicago Style

Shrestha, Monica, and Tukaram S Dudhamal. "Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report." European Journal of Medical Case Reports 2 (2018), 117-120. doi:10.24911/ejmcr/173-1535125374


MLA (The Modern Language Association) Style

Shrestha, Monica, and Tukaram S Dudhamal. "Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report." European Journal of Medical Case Reports 2.3 (2018), 117-120. Print. doi:10.24911/ejmcr/173-1535125374


APA (American Psychological Association) Style

Shrestha, M. & Dudhamal, . T. S. (2018) Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. European Journal of Medical Case Reports, 2 (3), 117-120. doi:10.24911/ejmcr/173-1535125374


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