EFFICACY OF KSHARSUTRA IN THE MANAGEMENT OF CHRONIC FISSURE IN ANO
Journal Title: International Research Journal of Pharmacy (IRJP) - Year 2016, Vol 7, Issue 7
Abstract
The aim of the present study was to evaluate the role of ksharsutra ligation in the management of chronic fissure in ano. Ksharsutra has been in use in the management of fistula in ano successfully and the same has been accredited by Indian Council of Medical Research. Use of ksharsutra was also extended in some other diseases like pilonidal sinus and hemorrhoids by some scholars. Fissure in ano is a ‘cut’ or ‘crack’ in anoderm and it starts from dentate line to end up to anal verge. Chronic fissure in ano contains triad that is chronic ulcer, sentinel tag and hypertrophied anal papilla. Fissure occurs on account of fragility in anoderm due to anal gland infection; hence, root cause should be removed to check recurrence. Ksharsutra ligation destroys the crypto glandular infection, so also the fissure in ano. A part of the internal sphincter is also cut by this application; hence, partial internal sphincterotomy is also performed. It relieves the increased anal sphincter tone. In this way, the pain is relieved immediately after application. It was observed that the chances of recurrence were not significant by this methodology of ksharsutra application.
Authors and Affiliations
Praveen Choudhary
Keywords
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- EP ID EP159615
- DOI 10.7897/2230-8407.07787
- Views 100
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