pt c/o recurrent anal fistuala. male 46 yrs. have done surgery 4 times in allopathy. planing to do KST by window technique. no H/O HTN & DM. TB ruled out to be negative. pls give ur valuable suggestion.

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- It's multiple Tract fistula. - decision of KST by window technique is a perfect choice . - Let's do latest FISTULOGRAM prior to procedure. - no dm & TB is a positive sign in view of prognosis. - previous Allopathic surgical method might be FISTULOTOMY & might not cover all the tract may be reason of 4 times recurrence. - go ahead by Ksharsutra method with consideration of all track. Will get 100% success without recurrence.

Thankyou sir for you valuable suggestion....
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Dr.jaynath ji as ptn have already suffered TB,in such cases (if treated by allopathy),BMI or body immunity may also look out. In my opinion before KS u may Advised @Dr. P. G. Shah as KS expert & @Dr. Hemant Adhikari sir Fr better consultation.

@Dr. S.k. Mudgal thankyou sirji for your valuable comment.
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Nagdon ke 3-3 patte ka ras Bakayan,nimi ka phal,harad,suddha rashaut ki chhal ka kwath Awala,alovera ka juice

Thankyou for you valuabke suggestion sir. @Dr. Puneet Bajpai
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Caster oil 10 ml mixed Abhayarist30 ml BD, Arshkuthar Ras 2 BD Arogyabardhani bati2 BD Gandharv haritaki2 BD Sutsekhar Ras 2 BD, N Apply kashisadi tail Pichu BD.

Kshara sutra ligation very much useful you can go ahead with your Rx plz advice lifestyle modifications after Rx

KSHAR SUTRA LIGATION @Dr. P. G. Shah sir for more valuable opinion.

Good luck for this wonderful case.... @Dr. Jayanth Malakar sir What is window technique?

@Dr. Hemant Adhikari sir its the technique developed in BHU. Its call LIFT (LIGATION OF interspinctric fistual track. An window is to be made in interspinctric space and ligation is done from that window to internal opening.
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Ksharasutra iselfvis the trustworthy option for this situation

Kshar sutra is ultimate sir

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