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

• Published in: Amrita Journal of Medicine 2021-01, Vol.17 (1), p.9-12, Article 9
• Main Authors: Ramachandran, Riju, Pillai, Anoop, Gunasekharan, Vaishnavi, Raja, Suyambu, Shenoy, Veena
• Format: Article
• Language: English
• Subjects: Fibrin; Fistula; fistula; platelet-rich fibrin; video-assisted anal fistula treatment
• ISSN: 0975-9662; 2772-2805
• DOI: 10.4103/amjm.amjm_70_20

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.