European Journal of Biomedical and Pharmaceutical Sciences

ETIOPATHOLOGY OF FISTULA, COMPLICATIONS AND THEIR MANAGEMENT THROUGH KSHAR SUTRA

*Dr. Anjali A. Gawarle

ABSTRACT

Fistula-in-ano is an inflammatory channel characterized by an external orifice on the perianal skin and internal orifice in the anal canal or rectum. The canal is usually lined by unhealthy granulation and fibrous tissue. In Ayurveda this condition is equivalent to Bhagandara and the disease is difficult to cure. One of the most suitable treatment options for Fistula is Kshar Sutra ligation. It relieves pain, resists pus discharge and reduces size of the entire fistulous tract. The Kshar Sutra procedure is generally conducted under local anesthesia and consists of placing a medicated thread in an appropriate position in the anus to alleviate anal muscle spasm and allow early healing process. The Ksharasutra functions via mechanical and chemical processes in which alkaline surface allows gradual cutting, cleansing and healing to the fistulous tract, which aids in faster recovery. This article explores etiopathology of fistula, its complications and management through Ayurvedic approaches especially Kshar Sutra.

Keywords: Ayurveda, Shalya Tantra, Fistula, Kshar Sutra, Ligation.