Silver Nitrate Cauterization for Anal Fistulas with High Blind Tract Chemical Therapy in Complicated Anal Fistulas

Abstract

Aim:The efficiency of a chemical cauterization technique in the treatment of high blind tracts, which are important causes of recurrence in anorectal fistula, were investigated. Materials and methods:Fifteen patients underwent surgery for low perianal fistula with high blind tracts. Partial fistulectomy and cutting seton technique was performed on all patients. The high blind tracts were cauterized by silver nitrate particles and the surgical area was left for secondary healing. The follow-up duration was 6 months to 1 year. The anal continence was evaluated according to the Wexner score.Results: Four of the 15 patients were female, whereas 11 were male. Ages ranged between 17 and 67 years. While 11 participants were primary cases, four were recurrent. Nine of the fistula tracts were intersphincteric and five were transsphincteric and one case had horseshoe fistula. The mean wound healing duration was 5.5 weeks. Mild anal incontinence (Wexner score = 3) was recorded in one case and recurrence was observed in another. Conclusion:Cauterization with silver nitrate is a new treatment method for high blind tract in anal fistulas. It is a safe and noninvasive method that reduces recurrences and surgical complications.

Histoacryle Injection VS. Silver Nitrate Injection in Treatment of Low Non Branching Anal Fistula

“…Hazards of fistula are too many ranging from distressing symptoms (pain, swelling, and discharge that can cause skin irritation, excoriation, and pruritus, sepsis and inflammation that affect quality of life significantly). The lack of any standard surgical procedure and heterogeneity of anorectal fistula warrants the surgeon to use his "judgment" more than in most colorectal diseases (4) .…”

Revolutionizing Fistula Treatment: A Case Series on the Application of Kshara Sutra Therapy

“…The use of a medicated thread in this minimally invasive, cost-effective procedure has produced encouraging results in the repair of fistulas while maintaining sphincter function. Through the administration of thread through the fistulous tract, the procedure gradually cuts, curettages, and heals the tract [9]- [12]. This paper shows the potential of this management strategy for anal transphincteric fistulas by presenting a number of difficult anal fistula cases successfully managed using a mix of surgical techniques and Kshara Sutra application.…”