Thuttakadi Sutra Application In Low Anal Fistula- A Case Report

The greater prevalence of gastrointestinal disorders causes due to unhealthy food habits and sedentary lifestyles. Fistula in ano is a track that is surrounded by unhealthy granulation tissue, connecting the skin near the anus to the anal canal or rectum. According to the Miligan Morgan classification, a low anal fistula is one of the most common types. It is an excruciating condition along with persistent pus discharge which may cause much disturbance to the patient. The most commonly practiced surgical technique to treat fistula in-ano has a high rate of recurrence and anal incontinence. It can correlated as Bhagandara. Ksharasutra is one of the best modalities in the treatment of bhagandara and has minimal complications. Medicated thread prepared out of thuttakadi sutra is used to treat low anal fistula in a 60-year-old male patient in OPD and found to be effective in using the condition, by assessing the unit cutting time. It is also found that, the patient has not faced any side effects or complications during the period of treatment.