Recurrent Inter-Sphincteric Pediatric Fistula in Ano Cured by Kshar Sutra (a Medicated Seton): A Case Report

Fistula in ano (FIA) in the pediatric population is infrequent and poorly understood.The management of paediatric FIA remains a matter of debate.This case report highlights a 10-year-old boy with an inter-sphincteric fistula successfully treated with Kshar Sutra (a medicated herbal seton), with weekly thread changes.The procedure was conducted under local anaesthesia.Antibiotics were not given to prevent infection.The wound was completely healed in 7 weeks.The child has been fistula-free for 5 years, indicating that the Kshar Sutra method is an effective treatment option for similar pediatric cases.