Back to RegistryChief Complaint Recurrent perianal discharge with external opening Duration of Symptoms 5 months Diagnosis Trans-sphincteric Anal Fistula
Planned Treatment Fistula Laser Closure
AK
Anita Krishnan
Under Follow-upPT-10256MRD/2024/840020 yrs · Female+91 85528 58663Trivandrum
Blood Group
B+
BMI
20.8
Surgeon
Dr. Vivek Bhaskar
Surgery Date
17 Apr 2026
Patient Information
- Full Name
- Anita Krishnan
- Age / Gender
- 20 yrs · Female
- Contact
- +91 85528 58663
- MRD Number
- MRD/2024/8400
- Blood Group
- B+
- City
- Trivandrum
- Admission Date
- 16 Apr 2026
- Anaesthesia
- Regional
- BMI
- 20.8
Clinical Findings
Symptoms
Perianal painPerianal dischargeSkin excoriation
Past Medical History
Chronic constipationSmokerHypothyroidism
Investigations
| Test | Result | Status |
|---|---|---|
| Complete Blood Count | Hb 14.1 g/dL | Normal |
| MRI Pelvis / Fistulogram | Trans-sphincteric tract noted | Abnormal |
| Proctoscopy | Internal opening at 6 o'clock | Abnormal |
| Histopathology | Granulation tissue | Normal |
Surgery Details
- Procedure
- Fistula Laser Closure
- Surgeon
- Dr. Vivek Bhaskar
- Anaesthesia
- Regional
- Duration
- 73 min
- Blood Loss
- 23 ml
- Date
- 17 Apr 2026
Operative Note
Trans-sphincteric tract laid open (fistulotomy) with curettage.Post Operative Notes
Hemostasis achieved. Anal pack in situ, removed after 24 hours. Advised sitz baths.
Follow Up History
- 06 May 2026Pain score: 7/10Recovery: SatisfactoryMedication: Lactulose syrup
Mild residual discomfort
- 07 May 2026Pain score: 4/10Recovery: On trackMedication: Lactulose syrup
Mild residual discomfort
- 29 May 2026Pain score: 2/10Recovery: On trackMedication: Metronidazole 400mg
Wound healthy, no discharge
Diagnosis & Treatment
Primary Diagnosis
Trans-sphincteric Anal Fistula
Anal Fistula
Next visit: 09 Aug 2026
Complications
No complications recorded — uneventful recovery.
Attached Images
Pre-op Photo
MRI Scan
Histopath
Post-op Photo
Sample attachments · demo placeholders