What is Anal Fistula ?
An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the opening of the bottom (anus). It’s usually caused by an infection near the anus, which results in a collection of pus (abscess) in the nearby tissue. When the pus drains away, it can leave a small channel behind.
An anal fistula most often happens from an anal gland that has developed a pus-filled infection (abscess). A fistula can also happen with certain conditions, such as Crohn’s disease. Or it may happen after radiation therapy for cancer. Injury to the anal canal and surgery can also cause anal fistulas.
Ayurvedic View of Anal Fistula
Ayurveda suggests that fistula occurs due to the disparity of the 3 doshas. The treatment aims at balancing the doshas and healing the condition from within without any side effects. What is anal fistula? Anal fistula is an opening other than the normal opening of the anus.
Miracle Ayu Management of Anal Fistula
- Inclusion Criteria
Patient complaining perianal discharge (mucoid, stool-like) evaluated at outpatient department. OPD patients admitted after proper work up and subjected to intervention (fistulotomy or medicated Seton).
- Exclusion Criteria
Patients with severely compromised cardiopulmonary status, suffering from or having history of tuberculosis or Crohn’s disease and those who are immunocompromised, having evidence of HIV infection, diabetes, and cancer therapies.
- Surgical techniques and steps
Patients were put in lithotomy position and site of external opening/s located. An endoscope view of proctodeum by proctoscope or anal speculum was performed in all cases to identify the internal opening (using methylene blue dye in some cases) and other associated lesion like hemorrhoids if present. All cases were operated under local/regional anesthesia.
- Application of Ksharasutra
A long metallic malleable probe with an eye was introduced through the external opening and attempted to pass the tip of probe through the internal opening. Care was taken not to create false passage. The eye of the probe was threaded with Ksharasutra and probe was gently withdrawn, so the entire tract was threaded with medicated Ksharasutra. Following which the two ends of the thread were snugly tied using two knots outside the anal canal.