Management of Fistula In Ano with Ksharasutra - A Case Study

Abstract

Fistula in ano is a disease known to the humanity since ancient times. For reasons that are unknown, non specific anal fistula are more common in men than women. The overall incidence is about nine cases per 100000 population per year in western Europe, and those in there third, fourth and fifth decades of life are most commonly affected. It is a chronic illness which is, though not fatal but quite discomfirting and troublesome to the patient and often puts deep impact on the quality of life of a patient. Despite many advances in medical field, it still poses big challenge to the surgeon as there is no suitable curative treatment available so far. For the same reason, Sushruta (500BC) has aptly described this disease as one of the Ashtamahagada. He was first person to describe, etiology, clinical feature and management of Bhagandara. He described Ksharasutra therapy in Bhagandara. A Female patient of age 65 years history of Ischiorectal abscess before 1month, she came on 10-7-2019 with the complaint of itching, pus discharge, mild pain in perianal region. Patient was a diagnosed case of Diabetes mellitus from 8years, Hypertension from 4 years, after investigations and local examination, patient was planned and treated with Ksharasutra.