Anal fistula with Prepubic Space extension (Recto Inguinal Fistula) treated by Kshara Sutra and track debridement therapy - A Case Report

Dr. Shivprasad Mhetre; Dr. Pravin Kakade; Dr. Ganesh Mali

doi:10.21760/jaims.v4i06.797

Dr. Shivprasad Mhetre Assistant Professor, Dept of Shalyatantra, Rural Institute of Ayurveda Research Center and Hospital, Mayani Dist-Satara, Maharashtra, INDIA.
Dr. Pravin Kakade Associate Professor, Rural Institute of Ayurveda Research Center and Hospital, Mayani Dist Satara, Maharashtra, INDIA.
Dr. Ganesh Mali Assistant Professor, Rural Institute of Ayurveda Research Center and Hospital, Mayani Dist Satara, Maharashtra, INDIA.

DOI: https://doi.org/10.21760/jaims.v4i06.797

Keywords: Anal fistula, Prepubic Space extension, Kshara Sutra

Abstract

Earliest reference about anal fistula is available in Sushrutha Samhita an ancient Indian surgical text book, written in 500BC. Different varieties of anal fistulae have been mentioned, like complicated tracts, curved tracts and fistula with multiple openings or those which take a round path to anal canal.[1] Such fistulae were common in surgical practice. Sometimes it is difficult to diagnose anal fistula, when patient presents with unusual signs and symptoms of disease. Ksharasutra (medicated seton) therapy is being practiced in India with high success rate (recurrence of 3.33%) in the management of complicated anal fistula.

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