A unique, minimal application of Ksharasutra(medicated thread) in the management of low anal anterior fistula.

Dr Killedar. Ramesh. S; Dr Shindhe Pradeep S

Volume : V, Issue : I, January - 2015

A unique, minimal application of Ksharasutra(medicated thread) in the management of low anal anterior fistula.

Dr Killedar. Ramesh. S, Dr Shindhe Pradeep S

Abstract :

Fistula in ano is notorious for its frequent exacerbations, recurrences and its chronic condition and a challenge for the surgeon1.The majority of anal fistulae are of crypto–glandular origin, following anorectal abscess in 7–40% of cases. The targets of surgical management are fistula tracts removal, preserving sphincter integrity2. Bhagandara(Fistula in Ano) at modern parlance is a common anorectal condition prevalent in the populations worldwide and its prevalence is second highest after Arsha (hemorrhoids). KsharaSutra (K.S.) is one of the chief modality in the treatment of Bhagandarain Ayurvedic science. K.Spossesses the action like Chedana, bhedana, lekhana which is proved for scraping the fious fistular tract along with healing of wound and preserving the sphincter integrity. In this case the treatment adopted was partial excision (chedana)followed with minimal kshar sutra application to treat anterior low anal fistula which was againstGoodsall’s rule.