Management of High Anal Complex Fistula by Integrative Management with Partial Fistulectomy and Application of Ksharasutra Therapy (IMPAKT): A Case Report

Abstract

The management of high anal multiple opening fistulas presents significant challenges in colorectal surgery. This paper examines the integration of modern surgical techniques with Ksharasutra, an ancient Ayurvedic method, in treating this complex condition through a combination of partial fistulectomy and Ksharasutra therapy. The study involved a patient diagnosed with high anal multiple opening fistulas, treated with Ksharasutra application across several stages. The primary aim was to assess the efficacy, safety, and outcomes of this combined approach. Methods included detailed patient assessments, precise surgical procedures, and strict follow-up protocols. Results showed promising outcomes in terms of Fistula closure, reduced recurrence, shorter hospital stays, treatment duration, and higher patient satisfaction. The staged use of Ksharasutra not only facilitated effective Fistula management but also minimised complication risks, leading to faster recovery and better quality of life. This paper highlights the potential of Ksharasutra as a viable alternative to traditional surgical techniques in managing high anal multiple opening fistulas, advocating for its adoption in modern colorectal practice. Further research and larger clinical trials are recommended to validate these results and optimise treatment protocols.