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CASE REPORT
Year : 2021  |  Volume : 4  |  Issue : 3  |  Page : 95-99

Management of transsphincteric fistula-in-ano by modified conventional Ksharasutra therapy: A case report


1 Department of Shalya Tantra, All India Institute of Ayurveda, New Delhi, India
2 Faculty of Ayurveda, IMS, BHU, Varanasi, Uttar Pradesh, India

Correspondence Address:
Dr. Vyasadeva Mahanta
Department of Shalya Tantra, All India Institute of Ayurveda, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JACR.JACR_39_20

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Acharya Sushruta has mentioned Bhagandara (~fistula-in-ano) under Ashtamahagada (~eight conditions that are difficult to manage) on looking to its poor prognosis. It poses great impact in surgical community because of fear of recurrence and fecal incontinence. Complex anal fistulae are more difficult to manage, in spite of many new sphincter preserving techniques evolved. In Ayurveda, Ksharasutra is being practiced for the management of all types of anal fistulae with high success rate since centuries. Modified Conventional Ksharasutra Therapy (MC-KST) is technically modified to control sepsis, promote early healing by intercepting fistulous tract and preserving sphincteric function in cases of complex fistula-in-ano. A 50-year-old male patient of complex anal fistula for 2.5 years visited the outpatient department. The case was operated under local anesthesia by MC-KST technique. Total three sittings of Ksharasutra were done at an interval of a week. The wound was healed completely in 42 days, and no complaints of recurrence were reported in five months of follow-up. It was observed that MC-KST promotes early healing of fistulous tract by facilitating effective drainage and complete eradication of anal gland sepsis.


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