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Case Report

AAM. 2018; 7(1-2): 41-44


Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report

Ramesh Shivappa Killedar, Shubham Gupta, Pradeep Shahjirao Shindhe.




Abstract

Ischiorectal rectal abscess is a common ano rectal disorder with trauma as its rare cause. The most common complication of ischio rectal abscess is fistula in ano because of inadequate drainage of pus or improper dressing in the post-operative phase. The management in the contemporary science is described in two step procedure involving incision and drainage followed with fistula management. We present a case of traumatic bilateral ischio rectal abscess with blind internal opening at posterior midline. The case was managed by incision (Bhedana) and ksharasutra application (medicated seton therapy) bilaterally in a single step. Ksharasutra was changed every week till 3 weeks and then removed after confirming the growth of healthy granulation tissue without waiting for complete cut through of tract in order to minimise the pain and burden of the patient.

Key words: Traumatic Bilateral Ischiorectal abscess, Kshara sutra, Fistula in ano






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