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  • Classification of Fistula

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    GAURAV
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    Simple low track 1. Uncomplicated 1. Secondary to anal fistula 2. High blind track 2.high blind track 2.secondary to trauma 3. High track with 4. Secondary to pelvic perineal opening inflammation 5.extrarectal extension 6.fistula from pelvic disease MANAGEMENT PREVENTIVE CURATIVE MEDICAL SURGICAL PARASURGICAL Nidana Local Chhedan Raktamokshana parivarjana Systemic Bhedan Agnikarma Sup

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    Simple low track 1. Uncomplicated 1. Secondary to anal fistula 2. High blind track 2.high blind track 2.secondary to trauma 3. High track with 4. Secondary to pelvic perineal opening inflammation 5.extrarectal extension 6.fistula from pelvic disease MANAGEMENT PREVENTIVE CURATIVE MEDICAL SURGICAL PARASURGICAL Nidana Local Chhedan Raktamokshana parivarjana Systemic Bhedan Agnikarma Sup

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    504 tayangan2 halaman

    Classification of Fistula

    Diunggah oleh

    GAURAV
    Simple low track 1. Uncomplicated 1. Secondary to anal fistula 2. High blind track 2.high blind track 2.secondary to trauma 3. High track with 4. Secondary to pelvic perineal opening inflammation 5.extrarectal extension 6.fistula from pelvic disease MANAGEMENT PREVENTIVE CURATIVE MEDICAL SURGICAL PARASURGICAL Nidana Local Chhedan Raktamokshana parivarjana Systemic Bhedan Agnikarma Sup

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    Attribution Non-Commercial (BY-NC)
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    dari 2

    CLASSIFICATION OF FISTULA-IN-ANO BY DIFFERENT AUTHORS

    Milligan Morgan’s Ernst mile’s Melcheor,Goz Steltzner


    & Goligher & Chericesco

    1. Subcutaneous 1. Subcutaneous 1. Subcutaneous 1. Muscular


    2. Submucous 2. Subsphincteric 2. Submucous 2. Transsphincteric
    3. Low anal 3. Submucous 3. Ischiorectal 3. Extrasphincteric
    4. High anal 4. Intermuscular
    5. Anorectal 5. Pararectal
    (a) Ischiorectal
    (b) PelvirectaL

    PARK’S CLASSIFICATION

    Intersphincteric Transsphincteric Suprasphincteric Extrasphincteric


    (45%) (30%) (20%) (5%)

    1.Simple low track 1. Uncomplicated 1. Uncomplicated 1.Secondary to anal fistula


    2.High blind track 2.High blind track 2.High blind track 2.Secondary to trauma
    3.Hightrack with 3. Secondary to Anorectal
    rectal opening disease
    4.High fistula without 4.Secondary to Pelvic
    perineal opening inflammation
    5.Extrarectal extension
    6.Fistula from pelvic disease

    MANAGEMENT

    PREVENTIVE CURATIVE

    MEDICAL SURGICAL PARASURGICAL

    • Nidana Local Chhedan Raktamokshana


    parivarjana Systemic Bhedan Agnikarma
    • Suppuration Kshara karma
    of Pidaka Kshara sutra
    - General Kshar Varti
    - Local

    PRINCIPLES OF MANAGEMENT

    NON SURGICAL SURGICAL PARA SURGICAL

    • 4% Silver nitrate Fistulotomy Seton Division


    • Bismuth sulphate Fistulectomy
    Paste
    • Quinine & Urithane

    KSHARA SUTRA SETON DIVISION


    Medicated Thread Non medicated thread
    Apamarga Kshara – Lekhana
    Snuhi Ksheera – Proteolytic
    Haridra - Vrana shodana, ropana, & krimighna

    Draining & Cutting Draining & Cutting

    Debridement – due to Kshara No debridement

    Faster healing Delayed healing

    Weekly changing of KS Weekly tightening of Knot

    Loosening of the knot is usually not seen. Loosening of the knot is usually seen.

    UCT – Specific –1cm. / 7 days UCT - Non specific

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