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Fistula in ano is a notorious disease to treat. Despite having recent technological advances Ksharsutra treatment is still useful. However, a few problems like pain, itching, discomfort at the anal region encountered during Ksharsutra treatment needs to be addressed. IFTAK (Interception of fistulous tract with the application of Kshara Sutra) is Interception of fistulous tract with the application of Ksharsutra. IFTAK technique is introduced by Dr. Manoranjan Sahu from Banaras Hindu University, in which the fistula tract is intercepted just outside sphincter muscles and Ksharsutra is inserted in it. Case: A 45 year male patient of grade III trans sphincteric fistula was treated with IFTAK method. Results and Conclusion: It was found more useful than the conventional Ksharsutra method as it reduced the duration of treatment. Associated complaints like itching, burning at the anal region during Ksharsutra were decreased.

A Modified Approach in Fistula in ano by Interception of Fistula Tract and Ksharsutra (IFTAK) Method: A Case Study