Perianal Fistula
23 years old female pt with h/o mild constipation and straining Had 4-5 recurring episodes of perianal abscess in 3 months So she Was on antibiotics for almost 3 months on /off Dr prescribed antibiotics And MRI MRI -Fistula has no outer opening on skin Fistulectomy was not done at that time After 10 days she came with same complaints and P/A examination shows increased size of abscess Tender on touch mild oedema She wants to do fistulectomy but after 15 days Size seems to get increased after stopping of antibiotics She’s was, and currently on cefixime and ornidazole What should be the management of this patient? And also if there’s no outer opening for fistula how it will be managed surgically? And what can be the complications? Recovery time? Next diet and lifestyle changes?and how much it can cost?
