Tuesday, 27 December 2011

FISTULA IN ANO

Dear Dr 
I have got a mail patient aged about 55 yrs with coplaints of purulent discharge from anal region 
O/E-he has 2 ext.openings 
1.at 5oclock position 6-7 cms from anal margin.
2.at 8 o clock posiion 10 cms away from anal margin 
he has underwent fistulectomy 6 times.now 
I have did ksharsutra legition to bo the openings.
BUT NOW HE IS DEVELOPING ABSCESS AND INDURATION AWAY FROM THESE SITES LIKE 15-20 CM AWAY FROM ANAL MARGIN AT 9 OCLOK POSITION.
if any one has experince please write me....


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