OUTCOME OF USE OF 1% SILVER NITRATE IN PATIENTS WITH LOW LYING PERIANAL FISTULA

Journal Title: Journal of Ayub Medical College Abbottabad - Year 2019, Vol 31, Issue 3

Abstract

Background: Anorectal fistula is a common illness which is seen among the middle-aged male patients. Various surgical procedures have been proposed and are associated with the recurrence of the fistula, repeated surgery and in some cases incontinence which may reach up to 43% in complicated fistulas. The purpose of this study was to assess and formulate a non-surgical procedure for fistula in ano through irrigation of the fistula tract with 1% of silver nitrate solution in healing the low perianal fistula. Methods: Seventy-nine patients presenting to the outpatient department of Ward 3, Surgical unit 1 in Jinnah Postgraduate Medical Centre during a period of 8 months from April to November 2017 with complain of perianal pain and pussy discharge were included in the study. Three patients of the total 79 patients lost to follow up. Outcome measure were cessation of the symptoms for consecutive 10 weeks. Results: Seventy-six patients were assessed and underwent irrigation using this 1% of silver nitrate solution. Out of 76 patients, 58 (76.3%) patients showed complete clinical healing while 18 (23.68%) of patients showed failure to clinical healing. Patients with continuous discharge had a significantly higher rate of complete clinical healing than those with intermittent discharge. Conclusion: From this study it can be concluded that cauterizing and corrosive properties of silver nitrate are effective in treating the patients with low lying perianal fistula. We suggest that this method should be used as a first line treatment option for all the patients presenting with low lying anal fistula since it is simple, can be easily performed on an OPD basis is minimally invasive and avoids any complication.

Authors and Affiliations

Keywords

Related Articles

SPLEENIC ABSCESS AS A COMPLICATION OF EXTRAPULMONAY TUBERCULOSIS

Tuberculosis continues to be a fatal infectious disease in developing countries. Despite the advances in medical sciences and introduction of potent therapeutic regimes tuberculosis has still managed to survive and preva...

FREQUENCY OF ELEVATED TROPONIN T IN PATIENTS OF CHRONIC RENAL FAILURE WITHOUT CLINICALLY SUSPECTED ACUTE MYOCARDIAL INFARCTION

Background: Cardiac Troponins are established markers of myocardial injury; however, they may be elevated in chronic renal failure (CRF) patients even in absence of acute myocardial infarction. The objective of the study...

GASTRIC DUPLICATION CYST: A RARE CONGENITAL ANOMALY CAUSING GASTRIC OUTLET OBSTRUCTION

Gastrointestinal duplication cyst is a rare congenital anomaly with a reported incidence of 1 in 4500 live births. Any part of gastrointestinal tract from mouth to anus can be affected with this anomaly. Among gastrointe...

HEPATIC GLYCOGENOSIS IN CHILDREN: SPECTRUM OF PRESENTATION AND DIAGNOSTIC MODALITIES

Background: Objectives of the study were to determine the clinical spectrum of presentation and various modalities helpful in the diagnosis of liver glycogenosis short of genetic analysis. Methods: All patients under 18...

LOCALIZATION OF ACCESSORY PATHWAYS IN WOLFF PARKINSON WHITE SYNDROME USING R/S RATIOS ON SURFACE ECGs

Background: This study was conducted to establish the accuracy of R/S ratios in localizing accessory pathways in Wolff Parkinson White Syndrome on surface ECGs. Methods: This was a retrospective cross-sectional study fro...

Download PDF file
  • EP ID EP673584
  • DOI -
  • Views 198
  • Downloads 0

How To Cite

(2019). OUTCOME OF USE OF 1% SILVER NITRATE IN PATIENTS WITH LOW LYING PERIANAL FISTULA. Journal of Ayub Medical College Abbottabad, 31(3), 355-358. https://europub.co.uk/articles/-A-673584