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Year : 2021  |  Volume : 17  |  Issue : 1  |  Page : 9-12

Autologous platelet-rich fibrin in the management of recurrent complex fistula in ano: A novel safer and cost-effective approach

1 Department of General Surgery, AIMS, Kochi, Kerala, India
2 Department of Transfusion Medicine, AIMS, Kochi, Kerala, India

Correspondence Address:
Dr. Riju Ramachandran
AG-1, Sterling Sarovar, Kosseri Lane, Edapally, Kochi, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/amjm.amjm_70_20

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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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