Abstract

NON SURGICAL MANAGEMENT OF LOW ANAL FISTULA IN ANO WITH SNUHI KSHARASUTRA- A CASE STUDY

Dr. Nitesh N. Sanap*, Dr. Ujwala M. Sakarkar and Dr. Ashwini Fulzele

Abstract

A fistula is an abnormal tract or cavity with an external opening in the perianal area that is communicating with the rectum or anal canal by identifiable internal opening. Sushruta based upon its incidence and difficulty in treatment has included Bhagandara in Ashtamahagada and described it in much detail. Fistula in Ano at modern parlance is common Anorectal condition prevalent in population worldwide. Treatment for fistula is a big challenge before medical as well as surgical world with possible complications. Present study conducted to provide an effective way of management of low anal fistula in adult aged 46 years old male by Snuhi Ksharasutra. Snuhi ksharasutra used in present study for local application with internal medicines and in total of 10 sittings (weekly once) the ksharasutra changed and by the 10th week the tract was completely cut and healed with formation of healthy tissue. The procedure throughout the course was effective in healing the tract, safe, non-irritant and well tolerated by the patient.

Keywords: Ksharasutra, Snuhi, fistula in ano, non-surgical, low anal.