Title: Contraindication of ‘Ksharasootra’ in the Management of Fistula in Ano
Authors: Dr Harshit Shah, Dr Sejal Shah
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.48
Abstract
The condition of complicated, recurrent and high anal fistula, although not a major surgical task; but always remains a nagging issue not only to the patients but to the surgeon as well. The present method of Kshaar Sootra treatment in anal fistula has been found efficacious and have been accepted by many countries in world. All cases which look like fistula in ano may not be fistula in ano. Therefore, it is essential to investigated all cases of recurrent, complicated and difficult fistula by new gazeits (i.e. CT scan, MRI, fistulogram, USG, etc.) There are certain conditions which can be regarded as definite contra indication for KSHAAR SOOTRA therapy. There are conditions where the patient is having a true simple fistula but he/she is also suffering from other systemic diseases, which either interfere in the healing process of the wound or present a potential risk of life for the patient.
Keywords: Kshaar Sootra, fistulectomy, fistula-in-ano.
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