Manoj Menon

Recovered

PT-10259MRD/2026/350838 yrs · Male+91 87278 38574Kozhikode

Blood Group

AB+

BMI

21.1

Surgeon

Dr. Sameer Khanna

Surgery Date

23 Oct 2025

Patient Information

Full Name: Manoj Menon
Age / Gender: 38 yrs · Male
Contact: +91 87278 38574
MRD Number: MRD/2026/3508
Blood Group: AB+
City: Kozhikode
Admission Date: 22 Oct 2025
Anaesthesia: Saddle Block
BMI: 21.1

Clinical Findings

Chief Complaint

Recurrent perianal discharge with external opening

Symptoms

Perianal dischargePerianal painSkin excoriation

Duration of Symptoms

2 months

Diagnosis

Trans-sphincteric Anal Fistula

Past Medical History

Ischemic heart diseaseObesity

Investigations

Test	Result	Status
Complete Blood Count	Hb 13.4 g/dL	Normal
MRI Pelvis / Fistulogram	Trans-sphincteric tract noted	Abnormal
Proctoscopy	Internal opening at 6 o'clock	Abnormal
Histopathology	Benign, no malignancy	Normal

Surgery Details

Procedure: LIFT Procedure
Surgeon: Dr. Sameer Khanna
Anaesthesia: Saddle Block
Duration: 95 min
Blood Loss: 80 ml
Date: 23 Oct 2025

Operative Note

Trans-sphincteric tract laid open (fistulotomy) with curettage.

Post Operative Notes

Uneventful post-operative course. Ambulated same day. Pain controlled with oral analgesics.

Follow Up History

06 Nov 2025Pain score: 8/10
Recovery: GoodMedication: Topical GTN 0.2%
Advised high-fiber diet
26 Nov 2025Pain score: 7/10
Recovery: ExcellentMedication: Diclofenac SR
Fully healed, discharged from care
07 Dec 2025Pain score: 0/10
Recovery: SatisfactoryMedication: Metronidazole 400mg
Advised high-fiber diet
06 Dec 2025Pain score: 0/10
Recovery: GoodMedication: Lactulose syrup
Wound healthy, no discharge

Diagnosis & Treatment

Primary Diagnosis

Trans-sphincteric Anal Fistula

Anal Fistula

Planned Treatment

LIFT Procedure

Next visit: Discharged

Complications

Delayed healingMinor

Managed conservatively with close monitoring. Documented for outcome tracking.

Attached Images

Pre-op Photo

MRI Scan

Histopath

Post-op Photo

Sample attachments · demo placeholders