A Clinical Study on Chronic Anal Fissure by ligating Ksharasutra (medicated thread) w.s.r. to Sphincterotomy

Dr. Suman Sarkar; Dr. K. B. Sudhikumar; Dr. P. V. Jayasree; Dr. Tuhin Kanti Biswas

doi:10.21760/jaims.v3i06.532

Dr. Suman Sarkar Ayurvedic Medical Officer, Post Graduate Ayurvedic Institute, Syamadas, Kolkata, West Bengal, India.
Dr. K. B. Sudhikumar Ex. Prof. & HOD, Dept of Shalya Tantra, Govt. Ayurveda College, Tripunithura, Kerala, india.
Dr. P. V. Jayasree Ex. Asso. Prof., Dept of Shalya Tantra, Govt. Ayurveda College, Tripunithura, Kerala, india.
Dr. Tuhin Kanti Biswas Associate Professor, Dept. of Kayachikitsa, J. B. Roy State Ayurvedic Medical College and Hospital, Kolkata, INDIA.

DOI: https://doi.org/10.21760/jaims.v3i06.532

Keywords: Ksharasutra, Anal Fissure, Sphincterotomy, Ligation, Pain

Abstract

The Ksharasutra is well known Ayurvedic treatment for fistula-in-ano with less chance of incontinence and recurrence. Thirty patients were selected from the OPD of Government Ayurveda College Hospital, Tripunithura, Kerala, India, satisfying the inclusion and exclusion criteria and follow up done upto 6 months. The ligating Ksharasutra is highly effective in relieving the subjective parameters such as Pain (≤0.001), Bleeding (≤0.001), Sphincter Spasm (≤0.001) and Straining (≤0.001).

Downloads

Download data is not yet available.

References

Sharon L. Benign Anorectal: Anal Fissure In: The ASCRS Text book of Colon and Rectal Surgery.ed- Springer; 2007.

Kuijpers HC. Is there really sphincter spasm in anal fissure? Dis Colon Rectum 1983; 26:493–494

K.C.H.Johannes Colorectal Physiology, Google books, CRC Press.1997;26

Damjanov I. Linder J. Anus pathology In:Andersons Pathology,vol-2 10th Ed. Mosby .1990;

Kumar P, Siroja KK Anal fistula In: Diognosis and Management of Ano-Rectal Diseases, Chaukhamba Sanskrita Prati sthāna, Delhi, 2002.

Sharma S.24 Taranga In:Rasa Taragani. 6th Ed. Motilal Vanarsi Das,Delhi2004;

M. Schenk, E. Hoffmann, H. Urnauer, S.A. Schug, G. Jaehnichen, S.J. Harper General principals of pain management In: Pocket Guide Pain Management Spies C D. Rehberg B. Stephan A. Harper S J. Springer,Berlin,2008:

Shenoy R Nileswar A Manipal manual of Surgery 3rd Ed CBS Puublischers and Distributors Bangalore 2010

Schouten WR, Blankensteijn JD. Ultraslow wave pressure variations in the anal canal before and after lateral internal sphincterotomy. Int J Colorectal Dis 1992; 7:115–118

Schiifer A, Enck P, Ffirst G, Kahn Th, Frieling T, LfibkeHJ. Anatomy of the anal sphincters: comparison of anal endosonography to magnetic resonance imaging. Dis Colon Rectum 1994; 37:777-781.

Richard H.Davis, Jr, Satish S. Rao Managing the Chronically Constipated Adult: Emerging Approaches to Diagnosis and Treatment JAAPA September; 2007

Sharma P.V. Snuhi In: Dravaguna Vijyana Chaukhambha Bharati Academy, Varanasi 2001; p.2.

Sharma P.V. Haridra In: Dravaguna Vijyana Chaukhambha Bharati Academy, Varanasi 2001;p.2

A.M.Rasik, A.Shukla, G.K.Pathanik, B.N.Dhawan, D.K.Kulshrestha, S.Srivastava.Wound Healing activityof latex of Euphorbia Neripholia Linn. Indian Journal of Pharmacology 1996;28(2):p.107-109

Ravindran P.N. Nirmal Babu K. Sivaraman K. Turmeric. The Genus Curcurma CRC press Taylor & Francis group, Newyork 2007;p.266