Abstract
Abstract:
Background: Kshar sutra therapy in cases of Fistula in ano, despite a long medical history of credentials and conduct, still poses a challenge to medical fraternity in terms of finding satisfactory cure of the disease. Aim: In this study, Standard Kshar Sutra Technique (SKST), a well known ayurvedic modality of treatment, has been compared with Double Kshar Sutra Technique (DKST) and Beaded Kshar Sutra Technique (BKST), for Anal Fistula. Setting and Design: Forty five patients were selected randomly from OPD / IPD of department of ano-rectal surgery, Ch. Brahm Prakash Ayurved Charak Sansthan, Khera Dabar, Najafgarh, New Delhi. All selected patients were uniformly divided into 3 groups: Group (A) (Control group): 15 patients were treated with Standard kshar sutra treatment (SKST); Group (B) (Trial group): 15 patients were treated with DOUBLE Kshar-sutra technique (DKST) and Group (C) (trial group): 15 patients were treated with BEADED Kshar-sutra technique (BKST). Methods and Material: Prepared kshar sutras from Govt. supply, manufactured from Baijnath Pharmaceuticals, Paprola (Kangra) H.P. (Mfg Lic. No.: HP-9 Ay.&unani) were taken for the study. Same type of kshar sutras was used in all patients but the technique used was different according to their groups. Statistical analysis: Student’s t test was used for multiple comparisons. Values were presented as mean ± standard deviation, p value <0.05 was considered statistically significant. Result: Pain and burning sensation was found higher in group B and C, while the other symptoms like itching, duration of pain, discharge of pus were higher in group A. Unit cutting time of fistulous track was faster in group B and C, as compare to A. Conclusion: Double kshar sutra technique and Beaded kshar sutra technique provide better, effective, safe and faster recovery in management of fistula in ano.

Key words: Bhagandar, Fistula in ano, Kshar sutra,