Abstract
Especially transphincteric anorectal fistulas have shown to be complex with involvement of many anatomical structures and rather high recurrence rates. The need for modularity in the annular dissecting fistula as well as in the sphincteric functioning became pronounced in treatment for the disorder. This is done so that conditions such as fecal incontinence are not realized in the process of undergoing surgery. The patient was a 52-year-old man with many symptoms of the disease including transphincteric fistula with many openings internally or externally. An example of a patient suitable for using the new surgical method for assessment of the outcome would be a patient with no clinical conditions such as diabetes or hypertension. This approach uses modern approaches in drainage together with the ancient Ayurveda technique of Kshara sutra technique in the treatment of the tissue in order to ensure that there is a constant drainage of the contents of the fistulous tract. Among all these techniques, methylene blue infiltration has been found quite helpful in identifying the fistula tract. These procedures are aimed at achieving maximum surgical effect which will minimize the possibility of the recurrence of the illness and enhance the muscular tone of the anal sphincter. The characteristics of the patient’s healing state also evolved in treatment: several changes were observed already on the 10th day after the operation. After the second month, the patient had no signs of the fistula tract any more: there were no recurrences or complications. Since there are neither other known influences that could significantly influence the general status of the patient, the presence of markers that could suggest how well the surgical intervention addressed the fistulas stresses the potential of the approach as a set of basic strategies for managing difficult fistulas. From the article, one may infer the important of precision and innovation in performing surgeries. Also, it has the potential to enhance patients’ outcome and exclude the factors of long-term adverse effects commonly seen in anorectal fistulas.
Published Version
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