Management of Fistula-in-ano involves three main Karmas –
- Purva karma
- Pradhana karma
- Paschata karma
- Written informed consent of the patient and attendant.
- Antitetanous as prophylaxis.
- Xylocaine sensitivity test.
- Shaving of the operation field and soap water enema should be given 12 hrs prior to operation.
- Another soap water enema is given in the morning of operation day.