CASE STUDY: MR. NAVDEEP DALIA

Name- Navdeep Dalia

Age– 38 years

Sex-Male

Occupation– immigration

Residence- Gurugram

C/O– Severe pain around the anus with fever, bodyache, difficulty in defecation from last 5 days.

H/O– Past surgery for the same problem

H/O – Surgery 4 times in last 2-3 years

1^st surgery at Gurgaon 2 years back

2^nd surgery at Gurgaon 1 ½ years back

3^rd surgery at Jalandhar 1 year back

4^th surgery at Jalandhar 6 months back

O/E-

Insp- scar mark of previous surgery lt. Anterior perianal region

mild swelling +ve around lt. Anterior perianal region

Palp – tenderness positive around lt. Anterior peri anal region

induration felt in lt. Anterior peri anal region

DRE – TENDERNESS +VE in the anal canal lt. anteriorly

Diagnosis – Recurrent fistula in ano

Procedure – I & D with kshar-sutra application under S.A.

Date of procedure – 23/08/2024

Follow Up – patient is advised for change of ksharsutra after every 7-10 days till patient got recovered