PMC4458907_01
Horse-shoe fistula tracts
ASL-34-162-g001.jpg
PMC4458907_01_ASL-34-162-g001.jpg
F1
On inspection, on both right and left ischiorectal fossa inflammatory swelling was noticed [Figure 1].
Incision and drainage of both the abscess
ASL-34-162-g002.jpg
PMC4458907_01_ASL-34-162-g002.jpg
F2
The incision was made on the right and left ischiorectal fossa to drain the abscess [Figure 2].
An opening is made at 6 o' clock position joining both the tracts
ASL-34-162-g003.jpg
PMC4458907_01_ASL-34-162-g003.jpg
F3
Another opening was made at perineal region posterior to the anal opening at 6 o'clock position [Figure 3].
Ksarasutra application at 6 o' clock position joining both the tracts
ASL-34-162-g004.jpg
PMC4458907_01_ASL-34-162-g004.jpg
F4
Apamarga Ksarasutra which is made up off Apamarga, Haridra, and Snuhi was ligated through the opening made to the internal opening at 6 o'clock position for draining through both the cavities [Figure 4].
Healing tracts
ASL-34-162-g005.jpg
PMC4458907_01_ASL-34-162-g005.jpg
F5