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	<title>Alexander Narvaez Anal Fistula - Revision history</title>
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	<updated>2026-08-24T02:15:27Z</updated>
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		<title>Andreas: Clinical case: Anal fistula resolved with CDS</title>
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		<summary type="html">&lt;p&gt;Clinical case: Anal fistula resolved with CDS&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;== Anal Fistula — Clinical Case: Resolution with CDS Protocol ==&lt;br /&gt;
&lt;br /&gt;
{{Clinical case|author=Alexander Narváez|date=2024-07-20|source=Kalcker Institute - Campus|permission=Yes|category=Surgical conditions|subcategory=Anorectal disorders}}&lt;br /&gt;
&lt;br /&gt;
=== Case Summary ===&lt;br /&gt;
&lt;br /&gt;
37-year-old male patient developed an anal fistula slightly more than 1 year before treatment. Medical testing and diagnosis took excessive time, delaying appropriate treatment. Patient reports complete resolution of the anal fistula after CDS treatment.&lt;br /&gt;
&lt;br /&gt;
=== Clinical History ===&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Event date:&amp;#039;&amp;#039;&amp;#039; 2023 to 2024&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Geographic context:&amp;#039;&amp;#039;&amp;#039; Spain&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Patient profile:&amp;#039;&amp;#039;&amp;#039; 37-year-old male&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Prior medical situation:&amp;#039;&amp;#039;&amp;#039; Patient developed an anal fistula. Medical staff took excessive time to perform necessary tests, delaying diagnosis and treatment. Anal fistula is an abnormal connection or tunnel between the interior of the anal canal or rectum and the skin around the anus, usually developing as a result of an infected anal gland leading to an anal abscess.&lt;br /&gt;
&lt;br /&gt;
=== Treatment Applied ===&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Protocol C:&amp;#039;&amp;#039;&amp;#039; Protocol C10 to C30 administered consistently.&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Protocol F:&amp;#039;&amp;#039;&amp;#039; Protocol F15 used during periods of acute discomfort.&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Protocol L:&amp;#039;&amp;#039;&amp;#039; Protocol L applied due to location of condition, continuing to prevent infections near the anus.&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Protocol D:&amp;#039;&amp;#039;&amp;#039; Protocol D applied up to once every hour continuously to prevent infections near the anus, facilitating lesion closure as tissue repair mechanisms work properly.&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Protocol R:&amp;#039;&amp;#039;&amp;#039; Protocol R combined after each bowel movement to relieve inflammation of the affected area.&lt;br /&gt;
&lt;br /&gt;
### Clinical Evolution&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;After CDS treatment:&amp;#039;&amp;#039;&amp;#039; Patient reports complete resolution of the anal fistula. Lesion healed properly without surgical intervention.&lt;br /&gt;
&lt;br /&gt;
### Testimony Original&lt;br /&gt;
&lt;br /&gt;
&amp;#039;&amp;#039;&amp;#039;Patient (Alexander Narváez):&amp;#039;&amp;#039;&amp;#039; &amp;quot;My name is Alexander Narváez, I am 37 years old and a little more than 1 year ago I developed an anal fistula, but they took so long to do the necessary tests.&amp;quot;&lt;br /&gt;
&lt;br /&gt;
### Sources&lt;br /&gt;
&lt;br /&gt;
- Direct testimony from the patient&lt;br /&gt;
- Publication authorization by Dr. Kalcker and the patient&lt;br /&gt;
&lt;br /&gt;
### See also&lt;br /&gt;
&lt;br /&gt;
- [[Category:Surgical conditions]]&lt;br /&gt;
- [[Category:Anal fistula]]&lt;br /&gt;
- [[Category:Protocol C]]&lt;br /&gt;
- [[Category:Protocol D]]&lt;br /&gt;
- [[Category:Testimonials]]&lt;br /&gt;
&lt;br /&gt;
### References&lt;br /&gt;
&lt;br /&gt;
{{Reflist}}&lt;/div&gt;</summary>
		<author><name>Andreas</name></author>
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