Published Paper Details:

Fistula-in-ano is a condition which has been recognised as a difficult surgical disease in all the ancient and modern medical sciences in the world. It is the recurrent nature of this disease which makes it more and more difficult for treatment. This is one condition for which the maximum types of surgical, para-surgical, and medical applications have been described. Sushruta had described a detailed surgical approach involving excision of the fistulous tract but was not quite satisfied with the surgical excision which often resulted into recurrence. Kshara sutra proved that 'chemical fistulectomy' is more complication free rather than 'surgical fistulectomy.' A 65-year-old male patient complaining of pus discharge with mild pain at the right side of perianal region since the last 5 months came to the shalya tantra opd of Karnataka Ayurveda Medical College. After assessing the case it was diagnosed as horseshoe fistula and was advised ksharasutra.