Complex Transphincteric Fistula Treatment: A Case Study Demonstrating Swift Recovery and Innovative Techniques in Surgical Intervention

Abstract

The target of this case report is to see the way of effective treatment for a transphincteric fistula in a 56 years old male patient who has not had any earlier surgeries despite this problem already exists for one year. What was remarkable about that was that the fistulogram with MRI demonstrated the interesting structure of the fistula: both openings – the send and the outflow – were at the 12 o’clock brightest place, hence a more precise treatment having to be employed. Utilizing methylene blue infiltration and metal probing for prompt and exact diagnosis, the next step was the formulation of a detailed treatment approach that would best suit the needs of our patient. As a part of treatment regimen , it was decided to use an Ayurvedic approach called kshara sutra therapy. the treatment had a planned part where we removed sections of the distal tract, and finally packing left intermittent openings. After a two-month-long remarkably successful treatment. Such impressive results reflect the effectiveness of the multifaceted approach. , this case marks a major step forward through introducing the specification of the new strategies that capable of controlling difficult fistulas. These observations in this study suggest tailored treatment and may lead subsequent planning of therapeutic interventions that should be similar for near future clinical conditionings. Futhermore, they are the main advocates of considering patients' needs and applying a holistic vision in medicine.