IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House DOI: 10.7897/2277-4343.110487 MANAGEMENT OF CHRONIC FISSURE IN ANO BY KSHARASUTRA (MEDICATED THREAD): A CLINICAL PROSPECTIVE STUDY Gajiram D. Banothe * T. S. Dudhamal 11 -0001 45 49 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__ampersandsignrsquo;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 28th day, whereas 100% improvement in swelling was found on 14th day and oozing of the wound. 84% healing was found on 4th week where as 82% of patients were cured completely. Ksharasutra trans-fixation and ligation in chronic fissure in-ano with sentinel pile after Lord__ampersandsignrsquo;s anal dilatation is a safe with minimum complications and recurrence. Chronic fissure in ano Ksharasutra Lord’s anal dilatation Parikartika