E-ISSN 2455-3166
 

Review Article 


Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano)

Alok Kumar.

Abstract
Background: Anal fistula is an abnormal track with an external opening in the perianal skin region and internal opening in the modified skin or mucosa of anal canal or rectum. The description of Bhagandara described in Ayurveda can be correlated to anal fistula. Managing of high anal fistula is a very tedious job and fecal incontinence may be developed after surgery due to damage of anorectal ring. Kshara (alkali) work effectively on various stages of a wound and is helpful in treating fistula-in ano. Ksharasutra (alkaline seton) is a type of para surgical procedure described in Ayurveda classics. Since long time Ksharasutra has been practiced by various Ayurveda surgeons in a classical way.

Aim: The present review aims at analysing the current trends in the usage of Ksharakarma (alkaline therapy) and Ksharasutra in the management of fistula–in-ano.

Materials & Methods: The present study is a procedural review on techniques of application of Ksharakarma and Ksharasutra employed upon the patients with various types of fistula-in ano.

Observations: Apamarga Theekhsna Pratisarniya Kshara was applied on non-specific low anal subcutaneous fistula-in ano, Ksharasutra Varti (alkaline wick) was applied on non-specific inter-sphincteric grade Grade II fistula-in ano where there was no internal opening, Multistage Ksharasutra technique was employed in inter-sphincteric grade Grade II fistula in ano with gradual extension of track. Technique of Interception of fistula track by application of Ksharasutra (IFTAK) was employed in Grade IV fistula. All the above four techniques employed were effective in managing fistula–in ano.

Conclusion: The techniques described here are the modifications of classical procedures, which acts at different level and produce intended effect of healing the fistulous track without any complication or reoccurrence. However, larger comparative clinical studies may be required to further substantiate the effectiveness of these techniques.

Key words: Bhagandara, Fistula in ano, Ksharkarma, Ksharasutra


 
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Pubmed Style

Alok Kumar. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). doi:10.5455/JRTM.2018/301581


Web Style

Alok Kumar. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). http://www.tmjournal.org/?mno=301581 [Access: October 23, 2018]. doi:10.5455/JRTM.2018/301581


AMA (American Medical Association) Style

Alok Kumar. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). doi:10.5455/JRTM.2018/301581



Vancouver/ICMJE Style

Alok Kumar. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). doi:10.5455/JRTM.2018/301581



Harvard Style

Alok Kumar (0) Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). doi:10.5455/JRTM.2018/301581



Turabian Style

Alok Kumar. 0. Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). doi:10.5455/JRTM.2018/301581



Chicago Style

Alok Kumar. "Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano)." doi:10.5455/JRTM.2018/301581



MLA (The Modern Language Association) Style

Alok Kumar. "Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano)." doi:10.5455/JRTM.2018/301581



APA (American Psychological Association) Style

Alok Kumar (0) Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano). doi:10.5455/JRTM.2018/301581





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