MANAGEMENT OF RECURRENT FISTULA IN ANO IN PEDIATRICS WITH KSHARASUTRA –A CASE REPORT

Abstract

Background: Fistula in ano is a complex disease, even in technically advanced era still difficult to treat because of its complexity, and reoccurrence. As this disease is treated in surgical discipline Choosing the right surgery has been made more difficult. Many surgical techniques have been added in the last decade. Pediatric fistula-in-ano is a rare kind with added difficulty to treat. This article is about a case report on pediatric fistula treated successfully with Kshar Sutra. Objective: Management of recurrent Fistula in ano in Pediatrics with Kshara Sutra. Materials and methods: The subject presented with pain, swelling, and pus discharge per anal region since 2 months. On clinical examination, the case was diagnosed and treated as a fistula in ano. In Ayurveda this condition can be correlated with Bhagandara and treatment principles include kshara sutra ligation. Results: Clinically symptoms like pain, swelling and pus discharge were completely reduced. On examination, the fistula tract is completely healed. Conclusion: Adopted Ayurvedic treatment has shown promising results in the management of recurrent fistula in ano in pediatrics.