Clinical Examination for Complex Fistula in Ano: Relevance in Present Times -A Clinical Study
Journal Title: Asian Pacific Journal of Health Sciences - Year 2018, Vol 5, Issue 3
Abstract
Background: Fistula in Ano has been known as a chronic painful disease since centuries past with no proven well defined course of management even till the present times. This has given rise to various forms of treatment ranging from seton to flaps. Materials and Methods: Total 83 adult patients with age ranging from 16 to 70 years were studied over a span of 8 years starting from Jan’10 to Dec’17. Clinical findings were compared with MR Imaging and correlated with Intraoperative Methylene blue injection. The findings were tabulated and compared regarding effectiveness of each method in determining the exact anatomy of the fistula and statistical significance was determined by Chi square test. Results: Our studies showed that the chances of detecting the internal opening by clinical examination is significantly better than MRI, however neither clinical examination nor MRI is a full proof mechanism for detecting the type of fistula. Conclusion: Even though Imaging is better at detecting the fistula anatomy there is still a role for a proper clinical examination in outpatient department. Clinical Examination compares favorably with MR Imaging in detecting Internal Opening of a Fistula. Even in complicated Fistulas, a proper clinical examination is better than Imaging in detection of anatomy of a fistula, even though there is no statistically significant difference between the two methods.
Authors and Affiliations
Bushra Khan
Keywords
Related Articles
- EP ID EP516765
- DOI 10.21276/apjhs.2018.5.3.9
- Views 387
- Downloads 0
Prevalence of Exclusive Breastfeeding Practices and Its Associated Factors in Maharashtra: A Spatial and Multivariate Analysis
India is committed to achieving its National and Millennium Development Goal 4 of reduction in infant mortality. Government of India has been implemented initiative to promote breastfeeding through the national health pr...
Formulation and evaluation of controlled porosity osmotic pump-based tablet of tramadol hydrochloride
Introduction: Extended-release formulation of tramadol hydrochloride based on osmotic technology was developed and evaluated. The effect of different formulation variables, namely level of swellable polymer in the core a...
Closed reduction and internal fixation with kirschner wires for supracondylar fracture humerus in children
Background: Supracondylar fracture of humerus is the commonest injury around elbow in children. It constitutes about 60% of all the fractures about the elbow in children. Aim: To evaluate the results of supracondylar fra...
A study on probable correlation of AST/ALT (De Ritis) ratio with the advancement of underlying severity of alcoholic liver disease in the North East Indian population
Background: Alcohol consumption has been linked with one of the most common causes of liver disease, and the AST/ALT (De Ritis) ratio has emerged as a useful indicator for its diagnosis. Our study is on patients of alcoh...
Ethnomedicinal value and pharmacognosy of the member of Acanthaceae: Adhatoda vasica (Linn.)
Due to fewer side effects of herbal medicines, they have gained considerable importance in recent years. There is a booming business opportunity in herbal medicines market so it is important to tap the knowledge of our t...