KHARSUTRA THERAPY - A MINIMAL INVASIVE PARASURGICAL TECHNIQUE FOR THE TREATMENT OF PATIENT WITH FISTULA IN ANO - A SINGLE CASE STUDY.

Bhagandara (Fistula- in- ano) , one of the Ashta Mahagada stated in Sushrut Samhita is mostly a chronic and complicated disease with higher recurrency rate. Ksharsutra is one of the special form of treatment modality stated in the treatment of Nadi Vrana by Acharya Sushruta. Ksharsutra is a medicated thread coated with herbal drugs and rendered alkaline. Ksharsutra therapy is proved to be a most successful and preferred treatment modality for the patient with Fistula- in- ano with negligent recurrency rate.Patients who are not willing for surgery or who are old age, or having another disease or unfit for surgery can be opted for the Ksharsutra therapy.In the present single case study,a patient with chronic , complicated Fistula-in-ano ,who was operated twice for the same and facing recurrence within a year was treated successfully with Ksharsutra therapy where the complete excision of Fistula track was achieved within 14 weeks with no recurrency till now.