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| fistula in ano with ksharasutra |
Time Tested Treatment for
Fistula-in-Ano
Fistula-in-Ano
Fistula-in-ano is a condition which has been recognized as a difficult surgical disease in all the ancient and modern medical sciences of the world. It is the recurrent nature of this disease which makes it difficult for treatment.
Fistuta-in-ano.- This is a track lined by granulation tissue which opens deeply in the anal canal or rectum and superficially on the skin around the anus. Sometimes the track does not open into the anal canal or rectum, when it should better be called a 'sinus'. Mostly these fistulae develop from ano-rectal abscess which burst spontaneously or was incised inadequately. An anal fistula may occur with or without symptoms. A history of intermittent swelling with pain, discomfort and discharge in the perianal region can often be obtained. Inspection and palpation usually delineate the course and nature of the fistula.
Ksharasutra treatment
The Ksharsutra is a type of thread / medicated seton prepared by coating the thread with the Kshara (the ash obtained by the burning of various herbs) like Apamarga kshar, Arka kshar etc and Snuhi kshira. Apart from this, natural antibiotic like haridra powder, guggulu, etc are also used to make Ksharasutra. The thread is then sterilized by UV light. The mechanical action of the threads and the chemical action of the drugs coated , collectively do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound. This also acts both as the antiseptic and fibrotic agent to induce the healing. The process of healing starts from deeper tissues & travels towards periphery. This can be applied and changed periodically till the thread cuts the fistulous tract. Since the sphincter heals by fibrosis, there is no incontinence.
The various studies denots that Ksharasutra therapy is time tested treatment for fistula in ano because of its non recurrence. One study denoted that seton therapy is less superior and less effective than the ayurvedic caustic ligature. (Kshara sutra) 1997 Mohite JD Seton therapy is effective than the modern surgical procedures like fistulectomy and fistulotomy 2002 A. Theerapol, BY in Singapore medical journal. So the only treatments that available now for fistula in ano is fistulectomy and fistulotomy, but it is less effective than ayurvedic ksharasutra therapy. The Ayurvedic kshara sutra is more effective than seton, fistulotomy and fistulectomy because the following complications are never seen in any of the ksharsutra therapy given patients.
Dr. Syyed Mohammed Jalaludheen MS(Ay)PhD(Ay)
Associate Professor,
Rajiv Gandhi Ayurveda Medical College,
Mahe
(Govt of Puducherry institution)
Rajiv Gandhi Ayurveda Medical College,
Mahe
(Govt of Puducherry institution)
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| After ksharasutra therapy |
smjppt@gmail.com
please let me know how long , the procedure will take to cure completely
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ReplyDeleteIt depends on the length of the tract...if it 1 cm it may takes around 2 weeks.
ReplyDeletePlease suggest the therapy for the following: Perineal Scan Report:Ultrasonography of perianal region findings: A fistulous track is seen posterior to the anal verge in the mid line, it measures 3.8 cm in length. Skin opening is about 2.5 cm posterior to the anal verge. No evidence of any perianal abscess. No other fistulous track detected in the perianal region on sonographic evaluation
ReplyDeletePlease suggest the therapy for the following: Perineal Scan Report:Ultrasonography of perianal region findings: A fistulous track is seen posterior to the anal verge in the mid line, it measures 3.8 cm in length. Skin opening is about 2.5 cm posterior to the anal verge. No evidence of any perianal abscess. No other fistulous track detected in the perianal region on sonographic evaluation
ReplyDeleteHi my dad has this condition. Is there any place to do this treatment. If there is please provide me the contact details. Thanks
ReplyDelete