ROLE OF IFTAK PROCEDURE IN COMPLEX FISTULA-IN-ANO-A CASE REPORT
Dr. Bharat K. Oza, Dr. Mohasin M. Mujawar*, Dr. Madhavi S. Banarase, Dr. Ashwini K. Patel
ABSTRACT
Complex fistula-in-ano poses significant therapeutic challenges due to high recurrence rates and potential compromise of anal continence with conventional surgical approaches. IFTAK – Interception of Fistulous Tract with Application of Ksharasutra – is an Ayurvedic parasurgical technique that combines interception of the fistulous tract with Ksharasutra application to achieve complete track eradication while preserving sphincter integrity. This prospective observational study evaluated the clinical efficacy of IFTAK in complex fistula-in-ano. The procedure involved laying open the distal tract, intercepting the proximal tract at the internal opening, and placing Apamarga Ksharasutra through the residual tract with weekly thread changes until cut-through and complete healing. Outcomes assessed were healing rate, healing time, recurrence, post-operative pain, and continence. IFTAK achieved complete healing in over 90% of cases with a mean healing duration of 6–10 weeks, minimal recurrence, and no significant deterioration in continence. Significant reduction in pain and discharge was observed within the first week. The technique proves to be a safe, effective, and sphincter-sparing modality for managing complex fistula-in-ano, integrating Ayurvedic principles with modern surgical anatomy and offering a viable alternative to conventional surgery.
Keywords: IFTAK, Fistula-in-ano, Ksharasutra therapy, Ayurveda, Bhagandara.
[Full Text Article]
[Download Certificate]
Impact Factor : 8.181 
