Comparing Ksharasutra (Ayurvedic Seton) and Open Fistulotomy in the Management of Fistula-in-Ano

Dr. Rajkamal Kanojiya, Dr. Rishi Deep Jain, Dr. Rekha Chaudhary, Dr. Aman Purohit

Abstract: Introduction: Fistula in ano is treatable benign lesions of the rectum and anal canal. Fistula never heals spontaneously and requires surgery to achieve a cure. More surgeons? the reputation was challenged because of the consequences fistula surgery than from other surgical procedures. Careful discussion with the patient about the options and possible risks must be performed preoperatively. Aim: To study the management follow up and outcome in patients between fistulotomy and Seton in fistula in ano at Mahatma Gandhi Medical College, Jaipur. Material and methods: Study was done among 50 fistula in ano patients who attended the OPD in Mahatma Gandhi Medical College, Jaipur. Results: This study show that the healing rates at 8 weeks is similar with both fistulotomy and seton placement but postoperative complications are significantly high with Fistulotomy. Conclusion: Seton is safe, low-cost, ubiquitous, precise, and a cost-effective option for the treatment of fistulae-in-ano. Therefore, recommend it to treating fistulae-in-ano.

Keywords: Fistula in ano, management, fistulotomy, Seton, surgery