Comparative study of standardized apamarga ksharsutra and traditional ksharsutra in the management of bhagandara w. s. r. fistula in ano.

Abstract

Fistula in Ano is condition which has been recognized as difficult surgical diseases in all ancient & modern medical sciences of the world. In Ayurvedic text it is described as Bhagandara. Ksharsutra is a unique and an established procedure for the management of Bhagandara in Ayurveda. It has brought upheaval in the Indian system of Surgery. The aim of the study was to compare standardized or traditional ksharsutra therapy in the management of fistula in Ano.

Materials & methods- The study was randomized clinical trial carried out at anorectal unit of Shalya tantra department of College of Ayurved, Bharati Vidyapeeth Deemed to be University, Pune. The technique involved   passing a medicated seton(Ksharsutra) through fistulous tract. 40 patients with fistula in Ano were selected and divided into two groups of twenty patients each. Group A was treated with standardized ksharsutra and Group B with the traditional ksharsutra.

Result- The healing occurred in all patients treated either with standardized or traditional ksharsutra. The average unit cutting time was 5.8 for standardized ksharsutra and 6.7with traditional ksharsutra. Statistical analysis was done.