BACKGROUND: Most commonly practiced surgical "lay open" technique to treat @entity292 (a common anorectal pathology) has high rate of recurrence and anal @entity322 . Alternatively, a nonsurgical cost efficient treatment with Ksharasutra ( @entity2708 Seton coated with Ayurvedic medicines) has minimal complications. In our study, we have tried to compare these two techniques. MATERIALS AND METHODS: A prospective randomized control study was designed involving @entity1 referred to the Department of General Surgery in RG Kar Medical College, Kolkata, India, from January 2010 to September 2011. RESULTS: Among 50 @entity1 , 26 were in Ksharasutra and 24 were in fistulotomy group. 86% @entity1 were male and 54% of the @entity1 were in the fourth decade. About 74% fistulas are inter-sphincteric and 26% were of trans-sphincteric variety. Severe @entity282 was more (7.7% vs. 25%) in fistulotomy group, while wound discharge was more associated with Ksharasutra group (15.3% vs. 8.3%). @entity2318 , @entity548 , and @entity281 rate were similar in both groups. Ksharasutra group took more time to heal (mean: 53 vs. 35.7 days, P = 0.002) despite reduced disruption to their routine work (2.7 vs. 15.5 days work off, P <0.001). Interestingly, @entity158 experienced was less in Ksharasutra group, there was no open wound in contrast to fistulotomy and it was significantly cost effective (Rupees 166 vs. 464). CONCLUSION: Treatment of @entity292 with Ksharasutra is a simple with low complications and minimal cost.

Comparing Ksharasutra (Ayurvedic Seton) and open fistulotomy in the management of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity2708 :: ('3635', 'Species') :: ['cotton'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity2318 :: ('MESH:D002921', 'Disease') :: ['Wound scarring'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula-in-ano'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity282 :: ('MESH:D010149', 'Disease') :: ['postoperative pain']
@entity292 :: (MESH:D005402,Disease) :: ['fistula-in-ano']
