Successful treatment of recurrent anal fistula in a patient with hepatitis B using Kshar Sutra: a case report

The ideal treatment for fistula‑in‑ano remains elusive, despite several treatments being described. The treatment of fistula‑in‑ano is a tightrope walk between preserving continence and preventing recurrence. A 49-year-old male patient was suffering from fistula‑in‑ano for 9 years. The patient was positive for HBsAg (Australia antigen). Kshara Sutra thread was used for the treatment. No internal medication was given for wound healing or infection control. There were no complications such as infection, severe pain, severe bleeding, and incontinence after the procedure. The patient was completely cured and is disease-free for 33 months. Kshara Sutra is an effective treatment with no complications and complete healing.