Management of Complex Fistula in Ano, by IFTAK technique and Partial Fistulotomy - A Single Case Study

Prajapati Parth Rameshbhai; Prashanth K

doi:10.21760/jaims.9.10.44

Prajapati Parth Rameshbhai Post Graduate Scholar, Dept. of Shalya Tantra, Shri Dharmasthala Manjunatheshwara College of Ayurveda, Hospital and Research Center, Udupi, Karnataka, India.
Prashanth K Associate Professor, Dept. of Shalya Tantra, Shri Dharmasthala Manjunatheshwara College of Ayurveda, Hospital and Research Center, Udupi, Karnataka, India.

DOI: https://doi.org/10.21760/jaims.9.10.44

Keywords: Bhagandara, Fistula in ano, IFTAK technique, Partial Fistulotomy

Abstract

Since ancient time, fistula in ano has been the most prominent condition of all anorectal disorders. Despite two millennia of efforts, fistula in ano still remains a challenging surgical condition. Over the past few decades, various techniques have been evaluated in terms of preventing its recurrence and complications. The sign and symptoms of fistula in ano resembles with Bhagandara described in Ayurveda classics. Many treatment modalities are listed in Ayurveda classics for the management of this painful disease, Ksharasutra therapy is one among them that has been proved to be highly efficacious. Though Ksharsutra therapy is a popular treatment for fistula in ano, it does have few drawbacks. Long duration of treatment, post procedural pain and long scar are some to mention. As a result, in the present era IFTAK is emerging as an innovative technique for the management of fistula in ano, without compromising the outcome compared to traditional method of Ksharasutra treatment. In this case study, the IFTAK (Interception of Fistulous Tract and Application of Ksharasutra) and partial fistulotomy was used in complex low anal fistula in ano which shows great potential in reducing both the treatment duration and post-procedural pain.

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