Management of Complex Recto-Vaginal Fistula By An Ayurvedic Surgical Approach – A Rare Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Fistula-in-ano is an inflammatory track, lined by unhealthy granulation tissue and fibrous tissue that connects deeply in anal canal or rectum and superficially on the skin around the anus. It is considered second to hemorrhoids among all ano-rectal abnormalities. The prevalence in men is 12.3cases & in women is 5.6 cases per 1, 00,000 populations. Recto-vaginal fistula is very rare and complicated case. Operative procedures adopted are Fistulectomy, Fistulotomy and use of a seton, newer methods like fibrin plug, Endo anal flap etc. Because of the lack of satisfactory results newer techniques have constantly been adopted for its management. Up to 26.5 percent recurrence rate, 40percent of high risk of impaired continence and 5.6 percent non healing of the wound were reported after surgical treatment. In addition to this, there will be severe post-operative pain which persists for many days. Moreover surgical treatment requires hospitalization, regular dressing and postoperative care for longer duration. Treating fistula with Apamarg ksharsutra is very common in Ayurvedic science, but Recto-vaginal fistula is rare one. This could be the first documented evidence case in treating Recto-vaginal fistula with ksharsutra line of treatment. Thus this study states successful use of ksharsutra in complicated recto-vaginal fistula.
Authors and Affiliations
Dr Shivalingappa J Arakeri, Dr Syeda Ather Fathima
Keywords
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- EP ID EP416333
- DOI 10.9790/0853-1711077578.
- Views 72
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