Sigmoid perforation post laser ablation of fistula in ano

Authors

  • Raj Gautam Department of Surgery, DY Patil School of Medicine, Nerul, Navi Mumbai
  • Harmeet Sahni Department of Surgery, DY Patil School of Medicine, Nerul, Navi Mumbai
  • Vikash Lal Department of Surgery, DY Patil School of Medicine, Nerul, Navi Mumbai
  • Mithilesh Ghosalkar Department of Surgery, DY Patil School of Medicine, Nerul, Navi Mumbai
  • Tanveer Parvez Shaikh Department of Surgery, DY Patil School of Medicine, Nerul, Navi Mumbai
  • Sandesh Deolekar Department of Surgery, DY Patil School of Medicine, Nerul, Navi Mumbai
  • Aditya Oak Department of Surgery, DY Patil School of Medicine, Nerul, Navi Mumbai
  • Abhishek Mahadik Department of Surgery, DY Patil School of Medicine, Nerul, Navi Mumbai

DOI:

https://doi.org/10.18203/2320-6012.ijrms20150189

Keywords:

Laser ablation, Perforation, Sigmoid perforation, Gas under diaphragm

Abstract

Laser ablation of fistula tract is a safe, effective, sphincter-preserving therapy that can be successfully performed by surgeons. Various studies and papers have been published advocating the use of lasers. However clinical experience and technical expertise is necessary for the use of lasers. Here we present a case of a 45 year old male presenting with acute abdomen following laser ablation of fistula in ano. The patients X-Ray abdomen showed free gas under the diaphragm and was explored. The exploration revealed a pyoperitoneum and a sigmoid perforation for which closure of perforation and a diverting colostomy was done. The patient was further operated for fistula excision and Seton suturing and is planned for colostomy closure.

References

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van der Hagen SJ, Baeten CG, Soeters PB, van Gemert WG. Long-term outcome following mucosal advancement flap for high perianal fistulas and fistulotomy for low perianal fistulas: recurrent perianal fistulas: failure of treatment or recurrent patient disease? Int J Colorectal Dis. 2006;21:784–790.

Whiteford MH, Kilkenny J, Hyman N, Buie WD, Cohen J, Orsay C, Dunn G, Perry WB, Ellis CN, Rakinic J, et al. Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised) Dis Colon Rectum. 2005;48:1337–1342.

Parks AG, Stitz RW. The treatment of high fistula-in-ano. Dis Colon Rectum. 1976;19:487–499.

Wilhelm A. A new technique for sphincter-preserving anal fistula repair using a novel radial emitting laser probe. Tech Coloproctol. 2011;15:445-9.

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Published

2017-01-09

How to Cite

Gautam, R., Sahni, H., Lal, V., Ghosalkar, M., Shaikh, T. P., Deolekar, S., Oak, A., & Mahadik, A. (2017). Sigmoid perforation post laser ablation of fistula in ano. International Journal of Research in Medical Sciences, 3(6), 1551–1553. https://doi.org/10.18203/2320-6012.ijrms20150189

Issue

Section

Case Reports