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

Abstract

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.