IFTAK - An advanced technique of Kshara Sutra therapy in management of complex Fistula-InAno - A Case Study

Abstract

Kshara Sutra therapy (para surgical procedure by using alkaline medicated thread) is being practiced in Ayurveda since ancient time for management of Nadi Vrana (sinus) and Bhagandar (fistula). explained by Acharya Sushruta well known “father of surgery”. Kshara Sutra therapy has revolutionized the treatment of fistula in ano which is considered to be difficult in management in terms of re-occurrence and incontinence. Conventional method of Kshara Sutra therapy probably predates all other seton methods in treatment of fistula in ano and emerging specialized modality of treatment in the field of surgery inspite of many benefits, Kshara Sutra causes certain discomforts such as long anxiety period, number of hospital visits, pain, discomfort and longer duration of treatment. The present study IFTAK (Interception of fistulous tract with application of Kshara Sutra) is devised to minimize duration of therapy with minimal post operative scar and problems related to conventional method. The given diagrammatic presentation of plan of surgery will help to understand the procedure (figure 1). The result were documented and analysed. Patient cured completely after 4 weeks of treatment. There was no complaint recorded after regular follow-up to 1 year of period. The treatment was found very effective as it reduced anxiety period and painful sittings of Kshara Sutra placement. This technique was found very beneficial for patient as well as for operating surgeon and may become a boon for patient suffering from complex fistula in ano in future time.