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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.
Subject(s)
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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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