Ksharsootra (medicated seton) treatment for fistula-in-ano.
Article
in English
| IMSEAR
| ID: sea-64368
ABSTRACT
BACKGROUND:
Recurrence and incontinence are common after conventional surgery for fistula-in-ano. Medicated seton (ksharsootra) is a time-tested therapy.METHODS:
Seton treatment was given to 114 patients with anal fistulae. The initial loose seton was changed weekly to achieve fistulotomy.RESULTS:
Application of non-medicated seton did not show any cutting action; hence all patients were treated with ksharsootra after 3 weeks. Anal discharge (n = 114) and burning pain (35) were noted in the first 48-72 hours. The cut-out rate was around 1 cm/week, with mean cut-out time 8.3 weeks (range 3-18). All wounds healed well and patients remained ambulatory. Local induration developed in 18 patients; four had an abscess. There was no incontinence or recurrence over a follow-up of 6 months to 2 1/2 years.CONCLUSIONS:
Ksharsootra treatment for anal fistulae is safe and effective, with low complication rates.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Safety
/
Wound Healing
/
Aged
/
Female
/
Humans
/
Male
/
Retrospective Studies
/
Follow-Up Studies
/
Suture Techniques
/
Adolescent
Type of study:
Observational study
/
Prognostic study
Language:
English
Year:
1997
Type:
Article
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