CONCEPT OF FISTULA IN ANO (NASOORE-E-MAQAD) AND ITS MANAGEMENT IN UNANI SYSTEM OF MEDICINE
Journal Title: Journal of Biological and Scientific Opinion - Year 2018, Vol 6, Issue 4
Abstract
The perianal fistula is one of the most frustrating problems and its management is still a challenge for surgeons. It is first described by great Unani Physician Hippocrates around 400 BC. Hippocrates not only described the pathophysiology, clinical presentations and the management of Fistula in Ano but also explain the goal of the treatment which is the obliteration of the fistulous tract without hampering the continence. After Hippocrates, there are many surprising and amazing advancement made by the Arab scholars mainly by the great Unani surgeon Abulqasim Al-Zahrawi. Besides the use of Setons, He explained many other surgical techniques for the management of the perianal fistulas for example Amal-e-Kharam (a modified form of the cutting seton), Fistulotomy or Fistulectomy and Cauterizations etc. Because no single procedure is appropriate for all type of fistulas, so it must be treated according to the clinical presentations, patient’s conditions, degree of the involvement of the anal sphincters and the surgeon’s experiences etc. Centuries passed many new and advanced techniques are developed for the management of perianal fistulas but the basic principle remains constant i.e. Obliteration of the fistulous track without hampering the continence. The aim of this paper is to evaluate and validate the classical techniques for the management of perianal fistulas explained by Unani scholar which are still in practice and considered as newer and advanced procedures crediting or thanking the Unani surgeons.
Authors and Affiliations
F. A. Najar, SS Alam, Khesal Ahmad, T A Tahezeeb, Nazmeen .
Keywords
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- EP ID EP651123
- DOI 10.7897/2321-6328.06487
- Views 112
- Downloads 0
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