Abstract

A CASE STUDY ON LOW ANAL FISTULA WITH APPLICATION OF PRATISARANIYA KSHARA AFTER FISTULOTOMY

Dr. Kumar Alok*, Dr. Kumar P.Hemantha***, Dr. Singh Narinder **

Abstract

The anal fistula is a track with an external opening in the skin of perianal region and internal opening in the modified skin or mucosa of anal canal or rectum. In today’s practice too, the incidence of this disease is very frequent. Anal fistula resembles with the description of Bhagandar as described in Ayurveda. In the case of low anal fistula, without involvement of any anal sphincters the fistulotomy along with application of Pratisaraniya Kshara having benefits like chedana, bhedana, lekhana, sodhana and ropana properties with early hemostasis, total eradication of infection by chemical debridement of fistulous tract so that reduces the chance of recurrence and enhances the wound healing and also decrease the duration of treatment as well as recurrence. It offers effective, ambulatory and safe alternative procedure. In the present work we have tried to study the Pratisaraniya kshara after fistulotomy with decrease duration of treatment without recurrence.

Keywords: Bhagandar, kharakarma, kharasutra.