CASE STUDY OF KSHARSUTRA LIGATION WITH PARTIAL FISTULECTOMY IN THE MANAGEMENT OF ANTERIOR TRANS-SPHINCTERIC FISTULA IN ANO – BHANAGDARA

Authors

  • Dr. Alpesh Dhandhaliya Assistant Professor, Department of Prasuti Tantra And Stri Roga, Shri O. H. Nazar Ayurved College, Surat
  • Dr. Neha Thumar Assistant Professor, Department of Shalyatantra, Shri O. H. Nazar Ayurved College, Surat
  • Dr. Shailesh Chovatiya Professor & HOD, Department of Rachana Sharir, Shri O. H. Nazar Ayurved College, Surat

Keywords:

Trans Sphincteric Fistula, Bhagandara, Partial Fistulectomy, Kshar-Sutra Ligation, Sphincter Saving Procedure

Abstract

Introduction : Perianal fistulas are prevalent in 0.01- 0.05% of the population and are commonly associated with morbidity to the patient. Surgical treatment of fistulas frequently affects fecal continence so Sphincter saving techniques like Kshar-sutra and partial fistulectomy has been advocated to minimize risk of sphincter injury. Ideal surgical treatment for anal fistula should aim to promote healing of the tract, whilst preserving the sphincters and mechanism of continence. Hence partial fistulectomy with kshar-sutra ligation accepted in patient with anterior trans- sphincteric fistula

Material & Method:  32 Years male patient having anterior trans sphincteric fistula treated with partial fistulectomy with kshar sutra ligation.Total 4 sitting of kshar sutra therapy done.

Result:  After 4 sitting of kshar-sutra therapy fistula track completely cut and patient was completely cured.

Discussion:  Anal fistula plug is safe but modestly effective in long-term follow-up, with  low success rates. Fibrin glue showed poor healing rate. FiLaC and VAAFT procedure are expensive and high recuurence rate. For the complex fistula surgical options such as partial fistulectomy and kshar sutra ligation seem to be relatively safe.

References

I. Hippocrates (400 B.C.E.).Wikipedia.

II. Singhal GD, editor. Susruta Samhita of Susruta, Vol. 2, Chikitsa Sthana, Ch. 8, Ver. 4-11. Delhi: Chaukhamba Sanskrit Pratishthan; 2007. p. 241.

III. Vaidya Jadavji Trikamji Acharya, editor. Caraka Samhita of Agnivesha, Chikitsa Sthana, Ch. 12, Ver. 96-97. Varanasi: Chaukamba Krishnadas Academy; 2009. p. 490.

IV. Hari Shastri Paradakara, editor. Vagbhata’s Astanga Hrdayam, Uttara Sthana, Ch. 28, Ver. 27. Varanasi: ChaukhambhaSurbharatiPrakashan; 2010. p. 879.

V. Singhal GD, editor. Susruta Samhita of Susruta, Vol. 2, Chikitsa Sthana, Ch. 17, Ver. 29-33. Delhi: Chaukhamba Sanskrit Pratishthan; 2007. p. 319.

VI. Sharma PV, editor. Cakradatta, Nadivranaadhikaram, Ch. 42, Ver. 9. Delhi: Chaukhambha Orientalia; 2007. p. 373.

VII. Pandit Kashinatha Shastri, editor. Rasatarangini. Delhi: Motilal Banaridas; 1979. p. 745.

Additional Files

Published

30-06-2023

How to Cite

Dr. Alpesh Dhandhaliya, Dr. Neha Thumar, & Dr. Shailesh Chovatiya. (2023). CASE STUDY OF KSHARSUTRA LIGATION WITH PARTIAL FISTULECTOMY IN THE MANAGEMENT OF ANTERIOR TRANS-SPHINCTERIC FISTULA IN ANO – BHANAGDARA. International Education and Research Journal (IERJ), 9(6). Retrieved from https://ierj.in/journal/index.php/ierj/article/view/2916