A CASE STUDY OF KSHARSUTRA LIGATION WITH PARTIAL FISTULECTOMY IN THE MANAGEMENT OF POSTERIOR HORSESHOE FISTULA IN ANO – BHAGANDARA

Authors

  • Dr. Neha Thumar Assistant Professor , Department of Shalyatantra, Shri O. H. Nazar Ayurved College, Surat
  • Dr. Alpesh Dhandhaliya Assistant Professor, Department of Prasuti Tantra and Stri Roga, Shri O. H. Nazar Ayurved College, Surat
  • Dr. Jagdish Mehta Professor & HOD, 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:

Horseshoe Fistula, Bhagandara, Partial Fistulectomy, Kshar Sutra Ligation

Abstract

Abstract

Introduction: A fistula-in-ano is an epithelial-lined tract connecting the anal canal to the perianal skin. Anal fistulas can have many causes but are most commonly the result of an anorectal abscess. Classification of the fistula is determined in relation to the anal sphincters. Although benign, the condition can cause significant distress and embarrassment to the patient. Treatment focuses on control of the infection and maintaining fecal continence. So  partial fistulectomy with kshar sutra ligation selected in posterior horse shoe abscess with fistula in ano

Material & Method : A 38 Years male Patient treated with Abscess I & D and Partial Fistulectomy with Kshar Sutra Ligation. Kshar sutra changed weekly, Total 5 Sitting of Kshar- sutra therapy done.

Result: After 5 Sitting of Kshar- sutra therapy  remaing fistulotus tract completely cut with complete  wound heal and patient was completely cured.

Discussion : . fistulotomy, fistulectomy, anal fistula plug, FilaC , VAAFT, LIFT. But there is a high recurrence rate and loss of continence.  Kshar sutra act like cutting seton and  cut anal sphincter gradually so  there is a no risk of incontinence and also act like sphincter saving procedure.

References

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Additional Files

Published

30-06-2023

How to Cite

Dr. Neha Thumar, Dr. Alpesh Dhandhaliya, Dr. Jagdish Mehta, & Dr. Shailesh Chovatiya. (2023). A CASE STUDY OF KSHARSUTRA LIGATION WITH PARTIAL FISTULECTOMY IN THE MANAGEMENT OF POSTERIOR HORSESHOE FISTULA IN ANO – BHAGANDARA. International Education and Research Journal (IERJ), 9(6). Retrieved from https://ierj.in/journal/index.php/ierj/article/view/2917