EJMCR |

Case Report

Volume: 2 | Issue: 3 | Published: Jan 01, 1970 | Pages: 117 - 120 | DOI: 10.24911/ejmcr/173-1535125374

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

Article Info

Authors

Monica Shrestha

Department of Shalyatantra, IPGT&RA, Gujarat Ayurved University, Jamnagar, India

Tukaram S Dudhamal

Department of Shalyatantra, IPGT&RA, Gujarat Ayurved University, Jamnagar, India

Publication History

Received: August 24, 2018

Accepted: September 18, 2018

Published: January 01, 1970

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, green

Pubmed Style

Monica Shrestha, Tukaram S Dudhamal. Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. EJMCR. 1970; 01 (January 1970): 117-120. doi:10.24911/ejmcr/173-1535125374

Web Style

Monica Shrestha, Tukaram S Dudhamal. Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. https://ejmcr.com/articles/1517 [Access: December 04, 2024]. doi:10.24911/ejmcr/173-1535125374

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Monica Shrestha, Tukaram S Dudhamal. Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. EJMCR. (1970), [cited December 04, 2024]; 01 (January 1970): 117-120. doi:10.24911/ejmcr/173-1535125374

Harvard Style

Monica Shrestha, Tukaram S Dudhamal (1970) Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. EJMCR, 01 (January 1970): 117-120. doi:10.24911/ejmcr/173-1535125374

Chicago Style

Monica Shrestha, Tukaram S Dudhamal. "Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report." 01 (1970), 117-120. doi:10.24911/ejmcr/173-1535125374

MLA (The Modern Language Association) Style

Monica Shrestha, Tukaram S Dudhamal. "Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report." 01.January 1970 (1970), 117-120. Print. doi:10.24911/ejmcr/173-1535125374

APA (American Psychological Association) Style

Monica Shrestha, Tukaram S Dudhamal (1970) Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report. , 01 (January 1970), 117-120. doi:10.24911/ejmcr/173-1535125374