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

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.

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A CASE REPORT ON GUGGULU BASED KSHARSUTRA ALONG WITH SAPTAVINSHATI GUGGULU IN TREATMENT OF BHAGANDARA (FISTULA-IN-ANO)

AYUSHDHARA ◽

10.47070/ayushdhara.v7i3.568 ◽

2020 ◽

pp. 2711-2714

Author(s):

Suman Yadav ◽

Ashutosh Kumar Yadav ◽

Anand puri

Keyword(s):

Case Report ◽

Fibrous Tissue ◽

Modern Science ◽

Point Of View ◽

Internal Opening ◽

Perianal Region ◽

Fistula In Ano ◽

History Of ◽

Anorectal Region

Bhagandara is one of the commonest diseases which occur in anorectal region. Acharya Sushruta had described this disease in Ashtamahagada that means disease difficult to cure. It starts as deep rooted Pidika around the Guda within two Angula or finger circumference and form into a track with an external opening in the skin of perianal region and an internal opening in the mucosa of anal canal or rectum lined by unhealthy granulation tissue and fibrous tissue which in modern science can be correlated to Fistula-in-ano. As the recurrence rate of fistula in ano is high after modern treatment. To overcome these difficulties, the concept of Ksharsutra mentioned in the classics is very beneficial from the treatment point of view. So, the Guggulu (Commiphora mukul) based Ksharsutra therapy along with oral Ayurvedic formulations is taken to prove its efficacy in treating Bhagandara. Here a case report of a 32 year old, male patient having history of Bhagandara (Fistula-in-ano) since last 2 years is discussed. He had complaints of left gluteal swelling, pain, pus discharge from perianal region and itching around anal region. For which he took allopathic treatment and got no relief, finally patient came to our hospital for better Ayurvedic management. He was treated with Guggulu based Ksharsutra therapy along with oral medication of Saptavinshati Gugglu vati 500 mg with water twice daily. Lastly, he got treated in 60 days and follow up of the patient was maintained up to 6 months where no complication was reported. It was proved that Ksharsutra application in combination with oral Ayurvedic medication worked effectively. This case report will help and enlighten the budding young scholars working in this area.

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A Case Report of Kerion Celsi Caused by Microsporum Canis and Statistical Study of Tinea Capitis at Akita University Hospital.

Nishi Nihon Hifuka ◽

10.2336/nishinihonhifu.55.92 ◽

1993 ◽

Vol 55 (1) ◽

pp. 92-97 ◽

Cited By ~ 3

Author(s):

Noriko SATO ◽

Okitaka MAIE ◽

Shinya TAKAHASHI

Keyword(s):

Case Report ◽

Tinea Capitis ◽

Statistical Study ◽

University Hospital ◽

Microsporum Canis ◽

Kerion Celsi

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STUDY ON CLINICAL CHARACTERISTICS AND RESULT OF TREATMENT BENIGN VOCAL CORD TUMOR WITH RIGID LARYNGEAL ENDOSCOPIC SURGERY

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2012.2.8 ◽

2012 ◽

pp. 58-65

Author(s):

Duy Thai Truong ◽

Van Dung Phan ◽

Tu The Nguyen

Keyword(s):

Vocal Cord ◽

Endoscopic Surgery ◽

Clinical Characteristics ◽

University Hospital ◽

High Rate ◽

Treatment Rate ◽

Reinke’S Edema ◽

Vocal Nodules ◽

A Prospective Study

Objective: Study on clinical characteristics and result of treatment benign vocal cord tumor with suspensive laryngeal endoscopic surgery. Materials and Methods: A prospective study was undertaken in 43 patients who had benign vocal cord tumor and performed a suspensive laryngeal endoscopic surgery at ENT Dept. of Hue University Hospital, from 3/2010 to 5/2011. Results: The most common was group was 31 - 45 (44.2%). There was no difference of gender. Moderate hoarness was 67.4%. Classification of benign laryngeal tumor: vocal nodules (13 cases), vocal cyst (18 cases), vocal polyp (10 cases) and Reinke’s edema (2 cases). The successful treatment rate of vocal benign tumor was 88.4%. Conclusions: Suspensive laryngeal endoscopic surgery was the best method to cure benign vocal cord tumor. The surgeon had a clear operative field, easy manoeuver, high rate of cure and less complication.

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CLINICAL AND PARA-CLINICAL CHARACTERISTICS OF SICK NEWBORN BABIES TREATED AT PEDIATRIC DEPARTMENT OF HUE UNIVERSITY HOSPITAL

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2011.2.15 ◽

2011 ◽

pp. 112-117

Author(s):

Thi Kieu Nhi Nguyen

Keyword(s):

Respiratory Distress ◽

Congenital Malformation ◽

Clinical Characteristics ◽

Descriptive Study ◽

Neonatal Unit ◽

University Hospital ◽

Pediatric Department ◽

Sick Newborn ◽

Observational Descriptive Study

Objectives: 1. Describe neonatal classification of WHO. 2. Identify some principal clinical and paraclinical signs of term, preterm, post term babies. Patients and method: an observational descriptive study of 233 newborns hospitalized in neonatal unit at Hue university‘ s hospital was done during 12 months from 01/01/2009 to 31/12/2009 for describing neonatal classification and identifying principal clinical and paraclinical signs. Results: Premature (16.74%); Term babies (45.5%); Post term (37.76%); Premature: asphyxia (43.59%), hypothermia (25.64%), vomit (30.77%), jaundice (61.54%), congenital malformation (17.95%); CRP > 10mg/l (53.85%); anemia Hb < 15g/dl (12.82%). Term babies: poor feeding (21.7%); fever (24.53%); CRP > 10mg/l (53.77%); Hyperleucocytes/ Leucopenia (35.85%). Post term: respiratory distress (34%); lethargy (29.55%); vomit (26.14%); polycuthemia (1.14%); hypoglycemia (22.73%). Conclusion: each of neonatal type classified by WHO presente different clinical and paraclinical. Signs. The purpose of this research is to help to treat neonatal pathology more effectively.

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EARLY RESULTS OF SINGLE-PORT LAPAROSCOPIC APPENDECTOMY

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2017.1.16 ◽

2017 ◽

pp. 103-106

Author(s):

Minh Duc Pham

Keyword(s):

Laparoscopic Appendectomy ◽

Single Port ◽

Operation Time ◽

Invasive Procedure ◽

Minimal Invasive ◽

University Hospital ◽

Early Results ◽

Sils Port ◽

The Mean ◽

A New Technique

Background: Conventional three–port laparoscopic appendectomy is becoming popular for the treatment of acute appendicitis. In this report, we present the early results of a new technique of laparoscopic appendectomy conducted through a single-port. Patients and Methods: From March 2011 to October 2013, we have performed 86 operations Single Port Laparoscopic Appendectomy at Hue University Hospital and Hue Central Hospital. SILS Port (Covidien) is used, it can be performed with basic laparoscopic instruments. Results: In this study, 86 patients underwent Single-Port laparoscopic appendectomy, among them 52.33% were femele, 47.67% were male, female/male ratio was 1.09. The mean age was 33.09. An orther trocar insertion was required in 2 patients (2.33%). The mean operation time was 42.03 minutes and mean postoperative hospital stay 3.37 days. Postoperative complication occurred in 2 case (2.33%) was of omphalitis. During 2 weeks follow up, 2 case (2.33%) was of omphalitis. Conclusions: Single - port intracorporeal appendectomy is a safe, minimal invasive procedure with excellent cosmetic results. Key words: Single Port Laparoscopic Appendectomy, appendectomy

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STUDY OF HISTOPATHOLOGY IN PATIENTS WITH HODGKIN AND NON - HODGKIN LYMPHOMA

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.3.9 ◽

2016 ◽

pp. 59-65 ◽

Cited By ~ 1

Author(s):

Van Mao Nguyen

Keyword(s):

Lymph Node ◽

Hodgkin Lymphoma ◽

Cross Sectional Study ◽

University Hospital ◽

Cross Sectional ◽

Histopathological Classification ◽

Non Hodgkin Lymphoma ◽

Key Words Lymphoma ◽

Malignant Grade

Background: Lymphoma is one of the most ten common cancers in the world as well as in Vietnam which has been ever increasing. It was divided into 2 main groups Hodgkin and non – Hodgkin lymphoma in which non-Hodgkin lymphoma appeared more frequency, worse prognosis and different therapy. Objectives: - To describe some common characteristics in patients with non – Hodgkin lymphoma; - To determine the proportion between Hodgkin and non- Hodgkin lymphoma, histopathological classification of classical Hodgkin by modified Rye 1966 and non-Hodgkin lymphoma by Working Formulation (WF) of US national oncology institute 1982. Materials and Method: This cross-sectional study was conducted on 65 patients with Hodgkin and non- Hodgkin lymphoma diagnosed definitely by histopathology at Hue Central Hospital and Hue University Hospital. Results:. The ratio of male/female for the non-Hodgkin lymphoma was 1.14/1, the most frequent range of age was 51-60 accounting for 35%, not common under 40 years. Non - Hodgkin lymphoma appeared at lymph node was the most common (51.7%), at the extranodal site was rather high 48.3%. The non - Hodgkin lymphoma proportion was predominant 92.3% comparing to the Hodgkin lymphoma only 7.7%; The most WF type was WF7 (53.3%), following the WF6 18,3% and WF5 11,7%; The intermediate malignancy grade of non- Hodgkin lymphoma was the highest proportion accouting for 85%, then the low and the high one 8.3% and 6.7% respectively. Conclusion: The histopathological classification and the malignant grade of lymphoma for Hodgkin and non - Hodgkin lymphoma played a practical role for the prognosis and the treatment orientation, also a fundamental one for the modern classification of non - Hodgkin lymphoma nowadays. Key words: lymphoma, Hodgkin lymphoma, non-Hodgkin lymphoma, classication, grade, histopathology, lymph node

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

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v2i1.7520 ◽

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.

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

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v2i4.9369 ◽

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.

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