A clinical comparative study on the efficacy of Apamarg Kshar Sutra and Seton therapy in the manazement of Bhagander W.S.R. to Fistula in Ano
Abstract
Kshara Sutra is a unique and an established procedure for the management of Bhagandar in ayurveda. It has brought revolution in the Indian system of surgery. The aim of study was to compare Apamarg Kshar sutra therapy with Seton (linen thread) in the management of fistula in ano. Thirty patients with Low anal of fistula in ano were selected and divided into two groups of fifteen patients each. Group A was treated with Apamarg Kshar sutra and the Group B with the Seton (surgical linen thread number 20). All patients were treated on an outpatient’s basis in minor kshasutra OT in govt. ayurved college Raipur. Statistical analysis used Student’s t-test was applied for statistical analysis. Results the healing occurred in all the patients treated either with Apamarg Kshar Sutra or plain thread. The median healing time was 7 weeks for Kshar Sutra and 11 weeks with with Seton therapy. Recurrence rate was only 0.0 percent (0 patient) with the Kshar Sutra and 13.33 percent (4 patients) with Seton therapy. Conclusion The technique of Apamarg Kshar Sutra therapy is appropriate for healing of the fistulous tract with minimal complications. At the end of the study it was found that Apamarg kshar sutra is more competent and effective than Seton therapy in the management of Bhagandara. In kshara-sutra therapy the cutting and healing of fistulous track takes simultaneously.
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References
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