Dr. Rajesh Gupta, Dr. Lalita Meena

Paper Index :03.2015-91967252

Head, Dept. of Shalya Tantra

University College of Ayurveda

Dr. Sarvepalli RadhaKrishnan Rajasthan Ayurved University, Jodhpur

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Scholar MS (Shalyatantra)1^st Year

University College of Ayurved

Dr. Sarvepalli RadhaKrashinan Rajasthan Ayurved University, Jodhpur

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Abstract

    Parikartika resembles fissure‑in‑ano which is very common among all ano‑rectal disorders. In Ayurvedic texts, Parikartika is described as a complication of Atisara and Virechana karma. Ksharasutra was proved successful in the management of fistula‑in‑ano, piles, and there is a need to try its efficacy in fissure‑in‑ano. This Study was conducted to evaluate the role of Apamarga Ksharasutra Stitching (AKSS) in fissure bed in chronic fissure‑in‑ano. 120 patients of chronic fissure‑in‑ano were selected and randomly divided into two groups (60 in each group). In group‑A, patients were treated with AKSS; while the patients of Group‑B  with Anal dilatation followed by AKSS under pudendal block anesthesia. The AKSS was done once and after slough out of Ksharasutra, the wound was treated for 4 weeks and assessment of the result was done on the basis of gradation adopted. The pain relief on 14th day in Group‑A was 86% while in Group‑B 100% was observed. As on 7th day in Group‑A, oozing was stopped in 68% patients, while in Group‑B, oozing was stopped in 82% patients. On 21st day, Group‑B showed more healing (85%) as compared to Group‑A (69%). In this study 68% of patients were cured. In Group‑B (AKSS with anal dilatation) patients were cured early as compared to patients of Group‑A (AKSS alone). 

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