Management of recurrent, complex, and high anal horseshoe fistula-in-ano by partial fistulectomy with Ksharsutra: a case report

2018 ◽  
pp. 117-120
Author(s):  
Monica Shrestha ◽  
Tukaram Dudhamal
Keyword(s):  
Case Report ◽  
Fistula In Ano ◽  
Horseshoe Fistula

Managament of Bhagandara (Fistula-in-Ano) by Palasha Ksharasutra prepared with Arkaksheera - A Case Report.

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ganapathi Rao ◽  
Vijay Kumar ◽  
Ashok Naikar ◽  
Chandrakanth Halli
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Success Rate ◽  
Spinal Anesthesia ◽  
Curcuma Longa ◽  
Weekly Interval ◽  
Butea Monosperma ◽  
Fistula In Ano

A standard Ksharasutra is practiced in treatment of Bhagandara (fistula-in-ano) with high success rate and minimum recurrence rate. In previous research it was noted that Pittaja Prakruti patients sometime might cause more perianal irritation due to Apamarga Ksharasutra. So in this study Palasha Ksharasutra prepared in Arkaksheera was prepared by Palasha Kshara (Ash of Butea monosperma), Arka Ksheera (Calotropis gigantic) and turmeric powder (Curcuma longa). This Ksharasutra was prepared as per the API guidelines and preserved in air tight tube. A patient of Pittaja predominant Prakruti with fistula-in ano having two external opening at 6 and 7 O’ clock position of anus was treated with application of Ksharasutra. The Palasha Ksharasutra prepared in Arkaksheera was applied in these two opening under spinal anesthesia. Then Ksharasutra was changed by weekly interval under local xylocaine jelly 2%. The length of thread was measured weekly and noted in the case to assess the unit cutting time (UCT). The unit cutting time (UCT) of first thread was 7.5 days/cm and second one had UCT 6.8 days/cm. During the treatment patient was doing his job regularly without hampering the quality of life. After 2 months patient was free from all symptoms of fistula with normal scar and without any complications. This case study demonstrated the utility of Palasha Ksharasutra prepared in Arkaksheera in multiple fistula-in ano.

Effecacy of Kadali Kshara Sutra in the Management of Bhagandara (Fistula-In-Ano) - A Case Report

2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Shilpa Patil ◽  
Ashok Naikar ◽  
Chandrakanth Halli
Keyword(s):  
Case Report ◽  
Mode Of Action ◽  
World Wide ◽  
Single Plant ◽  
Anal Region ◽  
Fistula In Ano ◽  
Highly Effective

Bhagandara (Fistula in ano) is a common anorectal condition prevalent world wide, and its prevalence is second highest after Arshas (Haemorrhoids). Kshara Karma is a one of the parasurgical procedure in Ayurveda. In this study Palasha Kshara Sutra is used in Bhagandara (Fistula-in-ano). Though, Apamarga Kshara Sutra is highly effective in the management of Fistula-in-ano. But pain, irritation, difficulty in preparation has limited its use. Thus, various type of Kshara Sutra tried with their efficacy in different angle. In this present study effort will be made to define the probable mode of action of Palasha Kshara Sutra prepared in Arka Ksheera in Fistula-in-Ano. This is equally effective with less pain and easy to prepare because a single plant is enough and not a seasonal plant. A 56 yr old male presented with complaints of painful swelling with pus discharge in the anal region since 1 week has been presented here.

scholarly journals MANAGEMENT OF BILATERAL TRANS-SPHINCTERIC FISTULA IN ANO WITH APAMARGA KSHARA SOOTRA - A CASE REPORT

2020 ◽  
Vol p5 (01) ◽  
pp. 2621-2624
Author(s):  
Deepshikha Srivastava
Keyword(s):  
Case Report ◽  
Anal Canal ◽  
Perianal Skin ◽  
Fistula In Ano ◽  
Surgical Methods ◽  
Vast Literature ◽  
Chief Complaints ◽  
History Of ◽  
Advancement Flaps ◽  
Almost All

Fistula in ano is an abnormal communication between anal canal or rectum and the perianal skin which mostly follows previous ano-rectal abscess. Chief complaints include intermittent discharge, history of pre-vious pain, swelling and recurrent abscess that ruptured spontaneously or was drained surgically. Various surgical and para-surgical methods are available now a days to treat this disease. In the vast literature of Ayurveda same symptoms are described as Bhagandara. At first it appears as Pidika around Guda and when it bursts out, it is called as Bhagandara1. Acharya Sushruta has counted this disease in Ashta Ma-hagada suggesting its difficulty to treat2. There are many options available to treat fistula in ano ranging from seton application, fistulotomy, fistulectomy, fibrin glues, LIFT technique, advancement flaps etc. Acharyas has used Agni karma, Kshara karma, Shastra karma and Aushadha karma in Bhagndara. But in this case Kshara Sootra application was done to treat Bhagandara. Application of Kshara Sootra not only lessen rate of recurrence to a significant level but also free from almost all major post-operative complica-tion.

scholarly journals PILONIDAL DISEASE MIMICKING AS FISTULA-IN ANO - A RARE CASE REPORT

2013 ◽  
Vol 2 (12) ◽  
pp. 1939-1943
Author(s):  
Pradeep Kumar S ◽  
Betigeri G. G. ◽  
Safarulla Hasanrabba
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Pilonidal Disease ◽  
Fistula In Ano ◽  
Rare Case Report

scholarly journals Management of of complex fistula-in-ano by a IFTAK technique - case report

The Healer ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 119-122
Author(s):  
Monica Shrestha ◽  
Tukaram S. Dudamal
Keyword(s):  
Case Report ◽  
Minimal Invasive ◽  
University Hospital ◽  
Perianal Region ◽  
Fistula In Ano ◽  
Grade 5 ◽  
Classical Technique ◽  
Complex Fistula ◽  
Perianal Fistulae

Ksharsutra is a Medicated seton which is made by coating the Barbour thread with 21 coatings of Kshara i.e. an herbal alkaline powder, turmeric and latex of Euphorbia nerrifolia. Ksharsutra application is a minimal invasive well established procedure in management of fistula-in-ano. Research on Ksharsutra started since 1968 and it is being used till date with high success rate. In this case report the patient was asymptomatic before 15 years but then a boil developed at perianal region which spontaneously bursted and pus discharge was seen from the boil. Patient was diagnosed with Grade 5 St. James’s university hospital classification of perianal fistulae. This was a case of high anal horse shoe fistula. In this case Fistulectomy or Fistulotomy would cause incontinence. So in this case the Ksharsutra was used but with a modification of classical technique called as IFTAK (Interception of fistulous track with application of Ksharsutra) technique. In which a window was created at 6o’ clock and intersphincteric tract was identified and in that tract Ksharsutra was placed. This technique cures such types of complex Fistula in ano with minimal tissue damage and duration of healing is also reduced.

A case report on the management of fistula-in-ano by modified conventional ksharasutra therapy: A sphincter-saving technique

2021 ◽  
Vol 15 (2) ◽  
pp. 104
Author(s):  
NasreenHanifa Barbhuiya ◽  
K Aishwarya ◽  
Rahul Sherkhane ◽  
Vyasadeva Mahanta ◽  
SanjayKumar Gupta
Keyword(s):  
Case Report ◽  
Fistula In Ano ◽  
Sphincter Saving
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