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Indian Journal of Ancient Medicine and Yoga

Volume  14, Issue 1, jan-march 2021, Pages 29-32
 

Case Report

Management of Recurrent Horseshoe Fistula-in-ano by Ksharasutra

TS Dudhamal, Shailley Maurya

1Associate Professor, and HOD, 2Postgraduate Student, Department of Shalya Tantra Institute of Teaching and Research in Ayurveda(INI), Jamnagar 361008, Gujarat, India.

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DOI: https://dx.doi.org/10.21088/ijamy.0974.6986.14121.4

Abstract

Horseshoe fistula-in-ano is a challenging problem for the proctologist due to the sepsis of the posterior anal
space. There isa high chance of reoccurrencealong with potential incontinencefollowing surgery. To address such
a grievous outcome after surgery,Ksharasutra threading was found to be beneficial in such a case. Ksharasutranot
only helped in draining the fistulous tract but, it also maintainedthe integrity of the sphincter by simultaneously
cutting and promoting fibrosis thereby resulting in maintenance of continence and was effective in draining the
post anal sepsis resulting in no reoccurrence of the disease.


Corresponding Author : TS Dudhamal