Synergistic Role of IFTAK Technique and Aragwadhadi Varti in Management of Fistula - in - Ano

Fistula is a condition where two epithelial surfaces connect in an abnormal way. A condition known as fistula-in-ano occurs when there is a communication formed between the anal canal and the perineal region. The path is usually bordered by unattractive granulation tissues. The main reason for this condition is inadequately managed crypto glandular infection. As time has progressed, the Ksharasutra remains the top option among treatment methods for Fistula-in-ano due to reduced complications such as recurrence and incontinence. In spite of all these benefits, there are still some disadvantages including discomfort, prolonged anxiety, more frequent hospital visits, longer treatment times, and considerable post-surgical scarring. IFTAK (Interception of Fistulous tract with application of Ksharasutra) is a new, enhanced Ksharasutra approach, allowing greater convenience for patients while eliminating the limitations of traditional methods. Additionally, the use of Aragwadhadi varti in conjunction with the previously mentioned technique resulted in improved healing of the remaining section of the track. In this instance, IFTAK is performed under Spinal anaesthesia. Ksharasutra was changed weekly for 3 weeks , and Aragwadhadi varti was applied on every third day for 12 times. The fistula fully healed within 45 days. This research demonstrated an initial total remission of the fistulous tracts using the IFTAK method and Aragwadhadi varti, in contrast to the traditional Ksharasutra approach. Based on the duration, the traditional approach requires 15-20 weeks, while this research took significantly less time. And throughout the follow-up, no recurrence was observed. Consequently, the IFTAK method used alongside Aragwadhadi varti was considered very effective because of its ability to save time and minimize scarring and fibrosis.