Amrita Journal of Medicine (Jan 2021)

Autologous Platelet-Rich Fibrin in the Management of Recurrent Complex Fistula in Ano A Novel Safer and Cost-Effective Approach

  • Riju Ramachandran,
  • Anoop Vasudevan Pillai,
  • Vaishnavi Gunasekharan,
  • Suyambu Raja,
  • Veena Shenoy

DOI
https://doi.org/10.4103/amjm.amjm_70_20
Journal volume & issue
Vol. 17, no. 1
pp. 9 – 12

Abstract

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Case Report Autologous Platelet-Rich Fibrin in the Management of Recurrent Complex Fistula in Ano A Novel Safer and Cost-Effective Approach Ramachandran, Riju; Pillai, Anoop Vasudevan; Gunasekharan, Vaishnavi; Raja, Suyambu; Shenoy, Veena1 Author Information Amrita Journal of Medicine 17(1):p 9-12, Jan–Mar 2021. | DOI: 10.4103/amjm.amjm_70_20 Open Metrics Abstract We present the case of a 26-year-old female with Crohn's disease who had undergone multiple procedures for recurrent complex fistula-in-ano now presenting with recurrent discharge for 3 months. She underwent video-assisted anal fistula treatment (VAAFT) in our department 2 years back. The patient had financial issues and was unwilling for another sitting of VAAFT. Hence, we tried autologous platelet-rich fibrin (PRF) as a more economical alternative to fibrin sealant used in VAAFT. The patient had a very comfortable postoperative period and the fistula healed well in 3 weeks. We present this case report to highlight a new indication for autologous PRF which is already in use in healing many other types of wounds.

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