Martha M Bhaskar Rao, PhD1, Chakradar S, MS2, Vasishta Martha, MBBS3. 1TTD,S S,V Ayurvedic Medical College, 2PRAMEELA HOSPITAL, 3PES INSTITUTE OF MEDICAL SCIENCES
This disease, high anal fistula, a common ano-rectal disorder which usually results as a sequel to some varieties of ano-rectal abscesses, is as old as mankind and a challenge to surgeons even today. Fistula-in-ano has been recognised as a distinct entity for thousands of years. In the fifth century B.C., Hippocrates advocated the laying open of fistulas, including complex fistulas. One would think that after 2,500 years the controversies in the management of fistula-in-ano would have been resolved. But this is not the case and much about the management of fistula-in-ano is still being debated. Available surgical procedures may not only result in incontinence but also recurrences. They cause discomfort and absence from work with the consequent economic strain. Keeping these problems in mind, Susturta, ancient Indian surgeon(800 B.C) has described the k?arasutra technique whereby a medicated alkaline thread, impregnated with the paste of Curcuma longa and latex of Euphorbia rerifolia, is employed along the fistula track which cuts itself and heals the wound naturally from inside. Even Ksharasutra application in these case no doubt is a successful contribution of Ayurveda but makes the patient keep off all his business for longer time with mild constant pain and discharge. Hence, there is always a scope for other easy alternative even with Ksharsutra to minimize the period of cutting the track with fast postoperative wound healing without any recurrence and sphincter fiber disturbance. Keeping this in view, a trial in this paper with a new methodology with partial fistulectomy with ksharasutra application and exclusive Ksharasutra application was performed in 20 patients of High anal fistulae in each group and has the benefits of short post-operative stay, fast wound healing and recovery with a statistical validation with the P value of <0-0001.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79508
Program Number: P268
Presentation Session: Poster (Non CME)
Presentation Type: Poster