Article: MANAGEMENT OF CHRONIC FISSURE IN ANO BY KSHARASUTRA (MEDICATED THREAD): A CLINICAL PROSPECTIVE STUDY

Article Category: Original Research articles

DOI: 10.7897/2277-4343.110487

Pages: 45-49

Author: Gajiram D. Banothe *, T. S. Dudhamal

Abstract: Parikartika resembles fissure? in? ano as sign and symptoms are same and which is very common among all ano?rectal disorders. Chronic Fissure in ano with sentinel pile and unhealed midline ulcer due to late approach of patients for treatment or failure of conservative treatments of acute condition require surgical intervention. Total 50 patients of chronic fissure? in? ano were selected. Ksharasutra trans-fixation and ligation was done under spinal anaesthesia on sentinel pile with fissure bed after Lord’s anal dilatation. After gradual withdrawal of Ksharasutra, the lesion was treated for 4 weeks and outcome was evaluated on the basis of gradation pattern adopted. 95% relief in pain was observed on 28^th day, whereas 100% improvement in swelling was found on 14^th day and oozing of the wound. 84% healing was found on 4^th week where as 82% of patients were cured completely. Ksharasutra trans-fixation and ligation in chronic fissure in-ano with sentinel pile after Lord’s anal dilatation is a safe with minimum complications and recurrence.

Keyword: Chronic fissure in ano, Ksharasutra, Lord’s anal dilatation, Parikartika