An anal fistula is an inflammatory track, a narrow tunnel, with its internal opening in the anal canal and its external opening in the skin near the anus or rectum, lined by unhealthy granulation tissue and fibrous tissue.
Majority of the cases are associated with anorectal abscess formation. Other risk factors for their formation include: Inflammatory Bowel Disease (IBD) – Crohn’s disease or ulcerative colitis; Tuberculosis, Diabetes, HIV; History of trauma to the anal region; and Side effects of radiation therapy to the anal region. Abscesses can recur if the fistula is not completely sealed and will lead to pus accumulation. According to Ayurveda Fistula is Bhagandara, a condition that occurs due to doshic vitiation.
Kshara Sutra for Fistula-in-Ano
Kshara Sutra, the minimally invasive Ayurvedic Para-surgical procedure is a time-tested Ayurvedic technique in the management of Anorectal disorders. It is a safe, sure and cost effective method for treatment of Fistula-in-ano.
Fistula-in-Ano Causes - Perianal abscess
Fistula-in-Ano Classification: Broadly, Anal Fistula can be divided into two groups (I) Low fistula and (II) High fistula depending on whether the internal opening is below or above the anorectal ring respectively.
Fistula-in-Ano Symptoms: Pus discharge through external opening, pain near anus,
Kshara Sutra for Fistula-in-Ano at Arth Ayurveda
The Standard Kshara Sutra (Seton - a thread or the like inserted beneath the skin to provide drainage) is prepared first by 11 coatings of Snuhi latex (Euphorbia nerifolia), followed by 7 coatings of Snuhi latex and Apamarga Kshara (Achyranthes aspera) and last 3 coatings of Snuhi latex and Haridra Churna (Curcuma longum). The pH of Apamarga Kshara Sutra is 9.72.
Benefits: InKshara Sutra of Fistula-in-Ano no hospital stay is required and the Para-surgical procedure produces effective results in 3 to 6 weeks. Widely accepted and clinical proven, importantly a surgery is avoided and the procedure is suitable for multiple Fistula-in-Ano and is performed under local anesthesia. The patient experiences minimal pain and his/her routine life is not disturbed.
Fistula-in-Ano Management at Arth Ayurveda:
a) Low anal Fistula - Probing followed by Kshara Sutra Ligation
b) High anal Fistula – Partial Fistulectomy followed by Kshara Sutra Ligation
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