A RARE CASE OF MULTIPLE ANAL FISTULAE IN A 15 YEARS OLD GIRL TREATED SUCCESSFULLY WITH KSHARASUTRA APPLICATION-A CASE REPORT
Dr. Shailaja S.V.*, Dr. Chandini Chandrasekharan N.P.
ABSTRACT
A fistula in ano is a track, lined by granulation tissue, which connects deeply in the anal canal or rectum and superficially on the skin around the anus. The line of treatment for anal fistula is limited to surgery. In this case study where repeated surgeries failed to treat the disease, kshara sutra ligation was employed and the condition was treated successfully. This fifteen years old female patient had complaints of pain and foul smelling pus discharge from perianal region since 1 year. She was diagnosed with multiple anal fistulae and underwent three surgeries under general anaesthesia from a famous allopathic hospital with in a period of 1 year time and left with Seton thread in situ. But her complaints persisted and hence she was treated with Guggulu based Apamarga ksharasutra ligation. Kshara sutra was changed once in a week until the tract excised and Triphala guggulu was given internally for a period of 21 days. The tracts completely excised and healed with in a period of 90 days and she got complete relief from pain and foul smelling pus discharge with no relapse till date. Thus this patient was successfully treated with Kshara sutra application with no recurrence or any complications.
Keywords: Anal fistula, Guggulu based Apamarga kshara sutra, Bhagandhara.
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