Abstract

A COMPERATIVE STUDY OF LIGATION OF INTERSPHINCTERIC FISTULA TRACT (LIFT) WITH CONVENTIONAL TREATMENT OF KSHARASUTRA THERAPY IN THE MANAGEMENT OF FISTULA IN ANO: A CLINICAL STUDY

Deep Chand Goan*

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Abstract

The anal fistula has been a common surgical ailment reported since ancient era. Ksharsutra therapy is an age old, simple and safe minimum invasive surgical technique for treatment of fistula in ano described in ancient classics of Ayurveda is being practiced as a primary method of treatment in all types of fistula in ano including complex and recurrent fistula. LIFT is a new technique for fistula in ano surgery aimed at total sphincter preservation, better primary healing and intact anal function. Aims and objectives of the study: The present study is focused on comparative evaluation of surgery of fistula in ano by ksharsutra and LIFT technique, regarding post-operative primary healing time, rate of reccurence and normal anal function. Plan of study: The present study will be carried out clinically. Forty patient will be selected with fistula in ano diagnosis after detail clinically history and investigatory finding as per designed proforma. Observations: we can say that even though in linear tract fistula in ano, Ksharsutra is better than new procedure LIFT. Conclusion: Complex and recurrent fistula cases should undergo a LIFT technique to reduce the chances of recurrence.

Keywords: Ligation of Intersphincteric Fistula Tract, Digital rectal examination, Ksharasutra.