Preprint / Version 1

The Easiest Way to Insert Ksharsutra with the Help of an Infant Feeding Tube Instead of a Metallic Probe

Authors

  • Anil Kumar Department of General Surgery, All India Institute of Medical Sciences, Type-5/Block-2/104. AIIMS Residential Complex, Patna, Bihar Pin code 801507 India
  • Manoj Kumar Department of General Surgery, All India Institute of Medical Sciences, Type-5/Block-2/104. AIIMS Residential Complex, Patna, Bihar Pin code 801507 India
  • Abhijeet Jha Department of Dermatology, Skin and Leprosy, All India Institute of Medical Sciences, Patna, India
  • Bindey Kumar Department of Paediatric Surgery, All India Institute of Medical Sciences, Patna, India
  • Rekha Kumari Department of Anaesthesia, HMRI, Paras Hospital, Patna, India

Keywords:

Ksharsutra, Metallic probe, Infant feeding tube, Fistula-in-ano

Abstract

Ksharsutra is a popular treatment modality in India for the management of fistula-in-ano. It works by the action of excision, scraping, draining, penetrating, debridement, and sclerosing as well as healing simultaneously without a surgical excision. The conventional method to insert a ksharsutra by using a metallic probe through an external opening may cause pain and discomfort to the patients. In some cases, this intervention is not possible without general anaesthesia. The ksharsutra may be inserted through an external opening by using an infant feeding tube (no. 5 or 6) without causing pain as a day care procedure. Keywords: Ksharsutra, Metallic probe, Infant feeding tube, Fistula-in-ano

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