Fistula is nothing but a hollow tube or sinus or a track (generally defined as an abnormal passage between two epithelium). Fistula in ano is more common in males to females, the ratio is believed to be 7:2.
Understanding Fistula in Ano
Fistula in Ano is a granulated track communicating between perianal skin superficially to anal canal or rectum.
Fistula in Ano can be Cryptoglandular resulting from inflammation of proctodeal glands or Non-cryptoglandular resulting from Tuberculosis, Crohn’s disease, Ulcerative colitis, Hydradenitis Suppuritiva, Injury, Iatrogenic cause or Carcinoma.
How MAC treats Fistula in Ano
A special formulated thread / seton known as Kshara sutra prepared as mentioned in Sushruth Samhita. It is prepared by coating surgical thread with various medicinal plants such as Snuhi (Euphorbia nerifolia), Apamarga (Achyranthes aspera), Haridra (Curcuma longum) etc.
This alkaline thread is tied around the fistulous track which cuts, curettes, drains and heals the fistulous track.
Advantages of treating at MAC
No fecal incontinence
This is ‘surgery without knife’
Is performed under Local Anaesthesia
Huge wound can be avoided
Short stay at Hospital
Can do everyday activities