Concept of Fistula in Ano (Nasoore-E-Maqad) and Its Management in Unani System of Medicine (original) (raw)

Management of Fistula in Ano at King Hussein Medical Center

Journal of the Royal Medical Services, 2013

Objective: To describe the treatment of fistula-in-ano in the newly formed colorectal unit at King Hussein Medical Center. Methods: This is a descriptive, retrospective review of case medical records of 91 patients with different types of fistula-in-ano treated surgically between March 2009 and May 2011. Anatomic classification and operative procedure of all fistulae were recorded. Results: Eighty-five patients underwent surgery for fistula-in-ano. There were 93 fistulae in our study group; with eight patients having two fistulae tracts. There were 76 (89%) males, with a mean age of 39.1 years (range 19-76). Eleven patients had superficial, 5 patients had inter-sphincteric, 68 patients had trans-sphincteric, 3 patients had supra-sphincteric and 5 patients had extra-sphincteric fistulae. Thirty-eight patients (45%) had complex fistulae. The radial site of fistulae was detected, with 44 (47%) presenting with an internal opening in the posterior anal canal, 19 (21%) opening into the anterior canal and 30 (32%) opening laterally. Fistulotomy was the commonest procedure (n=40) with marsupialization in 20 patients, followed by loose Seton (n=33), endorectal advancement flap (n=5), tight Seton (n=4) and ligation of the intersphincteric fistula tract (LIFT) procedure (n=2). Conclusions: Careful selection of the treatment method that takes into account the anatomy of the fistula, state of the anal sphincters and patient's preference is central in the successful management of fistula-in-ano.

A study on clinicopathology of fistula in ano

International Surgery Journal

Background: Perianal fistula is a common surgical problem which poses great discomfort to patients and causes prolonged morbidity when improperly managed or developed complications. Its management protocols are ill defined, and the efficacy of newer treatment modalities are not well established. The aim of the study was to study the clinicopathology of Perianal fistula and its prognostic factors.Methods: This was a prospective study conducted at the Department of General Surgery, Rajiv Gandhi Government General Hospital between August 2014 and July 2015. Purposive sampling method was used select patients with fistula in ano. After obtaining informed consent, patient details were collected in pre-tested structured questionnaire. Data entry and analysis were done using SPSS software.Results: Males between thirty and fifty years were the most affected population. Most of the patients had no co-morbidities while Diabetes Mellitus was the prevalent co-morbid factor, seen especially in th...