Abstract

Shilpa P. N.and Vanishree Tuppad*

ABSTRACT

Horseshoe fistula-in-ano presents a formidable challenge for proctologists due to the infection of the posterior anal space. This condition often leads to a high probability of recurrence and the potential for incontinence following surgical intervention. However, Ksharasutra has emerged as a promising solution in such cases. Here is a case of a 42 years old male patient diagnosed as a Horseshoe fistula in ano and treated with Apamarga Ksharsutra. This technique not only facilitates the drainage of the fistulous tract but also plays a crucial role in preserving the integrity of the anal sphincter. By simultaneously cutting and promoting fibrosis, Ksharasutra ensures the maintenance of continence while effectively addressing the underlying sepsis. The comprehensive approach of Ksharasutra significantly reduces the likelihood of disease recurrence, offering patients a more favorable postoperative outcome.