• Dr. Sanjay Yadav
• Dr. Pooja Gangwar
• Dr. Mandakini Dwivedi
• Dr. Nagendra Mani Dwivedi

A fistula is a condition where two epithelial surfaces are abnormally connected. When there is a connection between the anal canal and the perineal area, it is referred to as a fistula-in-ano. The tunnel is usually lined with unsightly granulation tissue. The main cause of this condition is a poorly treated cryptoglandular infection. Over time, Ksharasutra has remained the preferred treatment option for fistula-in-ano due to its lower rates of complications, such as recurrence and incontinence. Despite its benefits, there are notable drawbacks, including discomfort, prolonged anxiety, more frequent hospital visits, a longer treatment period, and significant scarring after surgery, among others. IFTAK (Interception of Fistulous Tract with Application of Ksharasutra) is an innovative technique that enhances Ksharasutra, making it more patient-friendly while addressing the disadvantages of the traditional method. In this instance, IFTAK is performed under local anesthesia.

Ksharasutra, cryptoglandular, fistula-in-ano, perineal area etc.

"Post-operative Care in Ksharasutra Therapy – An Ayurvedic Approach", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.13, Issue 2, page no.a191-a195, February-2026, Available :http://www.jetir.org/papers/JETIR2602025.pdf

"Post-operative Care in Ksharasutra Therapy – An Ayurvedic Approach", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.13, Issue 2, page no. ppa191-a195, February-2026, Available at : http://www.jetir.org/papers/JETIR2602025.pdf