Abstract

TRANSRECTAL ULTRASONOGRAPHIC STUDIES FOR EVALUATION OF ANAL SPHINCTERIC INJURIES FOLLOWING KSHARSUTRA THERAPY: A CLINICAL STUDY

Deep Chand Goan*

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Abstract

Fistula in ano is an age old problem and the operations for this disease were designed from time to time to suit the needs of the day. Many surgical procedures available for the treatment of fistula in ano but the results of these procedures are not very satisfactory especially for the treatment of complex and recurrent fistula in ano. Even so much advancement in surgery there is still a big challenge to surgeons for the management of fistula in ano. As many surgical procedure frequently leads to complication like recurrence, incontinence, delayed healing which creates psychological troublesome along with discomfort. Aim of treatment of fistula in ano is to while preserving anal function and continence to permanently eliminate abscess formation and to promote active healing, because over aggressive fistulotomy can lead to postoperative fecal incontinence.

Keywords: TRUS:Transrectal Ultrasonography, AES: Anal Endosonography, EMG: Electromyography, LIFT: Ligation of Intersphincteric Fistula Tract, DRE: Digital rectal examination, EUS: Endoanal ultrasound, EAS: External Anal Sphincter, IAS: Internal Anal Sphincter.