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Year : 2014  |  Volume : 34  |  Issue : 2  |  Page : 89-95

Management of Ano-Rectal disorders by Kṣārasūtra: A clinical report

1 Department of AYUSH, District Hospital, Rajahmundry, East Godavari District, Andhra Pradesh, India
2 Department of Dravyaguna, Institute of Post Graduate Teaching and Research in Ayurved, Gujarat Ayurved University, Jamnagar, Gujarat, India

Correspondence Address:
Vijaya Kumari Kurapati
Government Ayurvedic Speciality Clinic, District Hospital, Rajahmundry - 533 105, East Godavari District, Andhra Pradesh
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Source of Support: Ano-Rectal Operation Theatre was established by the funds allocated by funds allocated by Sri. Muddada Ravi Chandra IAS, District Collector, East Godavari, Andhra Pradesh., Conflict of Interest: None

DOI: 10.4103/0257-7941.153467

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Background: Ano-rectal complaints are usually benign in origin. Most of the patients suffering with these disorders do not seek medical advice at an early stage due to embarrassment. It results in advancement of the disease and significant disturbance in the quality of life. Among the available treatment modalities of ano-rectal disorders (ARDs), Kṣārasūtra (medicated thread) appears to be the best in terms of relief and nonrecurrence. Aims and Objectives: The aim of this study is to provide evidence-based data about the practical application of Kṣārasūtra (medicated thread) in the management of ARDs. Materials and Methods: An ano-rectal operation theatre was established in September 2012, in association with the Government Ayurvedic Speciality Clinic at District Hospital, Rajahmundry, Andhra Pradesh, to facilitate the AYUSH services in Allopathic Hospitals. Present report includes the details of ARDs treated by Kṣārasūtra (Medicated thread) method during 2012-2013. A total of 127 ano-rectal cases were operated, which included 44 cases of hemorrhoids, 40 cases of fistula-in-ano, 39 cases of fissure-in-ano and three cases of peri-anal abscess. All the cases were analyzed as per the observations, subjective and objective parameters, and follow-up was carried out for a period of 6 months. Results: In the 127 ARDs treated, 45 patients suffering from hemorrhoids, 36 patients got complete relief, marked relief observed in 4 patients, moderate relief observed in 5 patients. In fistula-in-ano, out of 40 patients 29 patients got complete relief, marked relief was seen in 7 patients out of them 4 patients were referred to anti-tubercular treatment center, 4 patients left against medical advice. In fissure-in-ano-out of 39 patients, 32 patients got complete relief, 5 patients got marked relief, moderate relief observed in 2 patients. These results authenticate the effectiveness of Kṣārasūtra, no adverse effects or recurrence observed in any case. Conclusions: ARDs are efficiently treated by Kṣārasūtra technique with prompt symptomatic resolution and prevention of recurrence and complications.

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