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 409
- Downloads 0
Prevalence of obesity among apparently healthy school children aged5– 15years of shimoga town
Developing countries are undergoing nutritional transition due to increased economic development and market globalization leading to rapid changes in lifestyle and dietary habits. Malnutrition, in every form, presents si...
Reconstruction of surgical defects following Cancer surgery
Introduction: The most common tumours in the skin are the SCC, BCC and malignant melanoma. Most of the tumours are excised with wide margins. Surgery remains the treatment of choice and adjuvant treatment is recommended...
Housing features and household access to sanitation facilities in a rural Nigerian community
Good housing and adequate sanitation are linked as both are important in disease prevention and the overall promotion of health and well-being of man including residents in rural communities. This study was carried out t...
Management of mandibular first premolar with vertucci type III root canal configuration
Mandibular premolars exhibit a complex and variable root canal morphology and the identification of these variations requires thorough knowledge of root canal morphology and proper interpretation of radiographs for succe...
Antimicrobial susceptibility of coagulase negative Staphylococci isolates from suspected cases of bovine subclinical mastitis in parts of Bundelkhand region
Background: Increasing importance of Coagulase negative Staphylococci as etiological agent in health concerns of domestic animals is recognized in various studies. A significant concern of CoNS isolates from bovine subcl...