Comparitive study of clinical effect of Apamarga Kshara Sutra prepared by 7 and 21 coatings in Bhagandara
Abstract
Background: Bhagandara is a 2nd highest prevalent disease among the anorectal diseases. It can be correlated to Fistula-In-Ano. For the management of fistula in ano various surgical, parasurgical and minimally invasive surgical procedures have been mentioned. But all these procedures carry a disadvantage of high rates of recurrence and also have a great chance of creation of serious complications like anal incontinence and anal stenosis. Hence the search for a newer, safer and scientific treatment for the management of this disease continues. Objectives: A new Kshara Sutra with fewer coatings has been tried to see if results are the same with an advantage of early and easy preparation. Materials and Methods: Total 30 patients were randomly selected in the study and divided into 2 groups fulfilling the inclusion criteria which were designed for the study. Results: Study showed significant results in reducing the discharge, pain, itching and burning sensation and induration within the group and insignificant result obtained between the groups statistically. Conclusion: The study revealed that Kshara Sutra prepared with 7 coating is more economical, easy to prepare and equally efficient in the management of Bhagandara.
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References
Das Somen. A Concise textbook of Surgery. 7th Edition. Kolkata: Dr. S. Das July 2012; p.1071, Pp.1358.
Goligher J. Surgery of Anus Rectum and colon. 5th ed Delhi: A.I.T.B.S. Publishers and distributors; 2002.p.178
Marks CG, Ritchie JK. Anal fistulas at St. Mark’s hospital. Br J Surg 1977; 64:84-91.
Raghavaiah, NV. Anal fistula in India. Int Surg 1976;61:243-5.
Garcia Aguilar J, Belmonte C, Wong WD, Goldberg SM, MadoffRD. Anal Fistula Surgery: factors associated with recurrence andIncontinence. Dis Colon Rectum 1996;39:723-9.
Acharya Sushruta, Sushruta Samhita, Dalhana, Nibandha Sangraha commentary, Edited by Yadavji Trikamji Acharya and Naarayana Ram Acharya; Varanasi: Chaukhambha Sanskrit Sansthan; Reprint 2013; Nidanasthana 4/3, p 280.
Acharya Sushruta, Sushruta Samhita, Dalhana, Nibandha Sangraha commentary, Edited by Yadavji Trikamji Acharya and Naarayana Ram Acharya; Varanasi: Chaukhambha Sanskrit Sansthan; Reprint 2013; chikitsastana 17/29-33,p 468,Pp824.
Acharya Chakradatta, Chikitsa Sangraha, Edited by Madhamshetty Suresh Babu; Varanasi: Chowkambha Krishnadas Academy; Reprint 2012; Arshochikista, p 81, Pp602
Shukla NK, Narang R, Nair NG, Radhakrishna S, Satyavati GV. Multicentric Randomized controlled clinical trial of ksharasutra (Ayurvedic Medicated Thread) in the management of Fistula in ano. Indian J Med Res.1991;94:177-85.
Acharya Priyavrata Sharma. Dravyaguna Vidnyana. volume 2. Varanasi: Chaukhamba publications. October 2013; p 542 – 544.
Murali Krishna C, Gupta V, Bansal P, Kumar S, Sannd R, Narayana A. Review on plants mainly used for the preparation of Kshar Sutra, International Journal Ayurvedic Medicine, 2010,1(1),12-22.
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