Fistula-in-ano is a chronic anorectal condition characterized by an abnormal tract connecting the anal canal or rectum to the perianal skin. The disease is notorious for recurrence and postoperative complications, particularly in complex fistulas. Ksharasutra therapy, a time-tested Ayurvedic para-surgical technique, has demonstrated encouraging outcomes with minimal recurrence rates. This case report documents the successful management of fistula-in-ano using Apamarga Ksharasutra in a 33-year-old female patient. Complete healing was achieved within three weeks without any complications or recurrence during a six-month follow-up period, highlighting the efficacy and safety of this sphincter-preserving approach.
Dr. S. K. Mishra2 Dr. Prabhat Sonker*1 (2026) studied this question.