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Can I read Comparative study of Ksharasutra suturing and Lord's anal dilatation in the management of Parikartika (chronic fissure-in-ano) on EtoBox?

Comparative study of Ksharasutra suturing and Lord's anal dilatation in the management of Parikartika (chronic fissure-in-ano) by Dudhamal, TukaramS ;Baghel, MadhavSingh ;Bhuyan, Chaturbhuja ;Gupta, SanjayKumar is a Medicine article available to read on EtoBox.

What is Comparative study of Ksharasutra suturing and Lord's anal dilatation in the management of Parikartika (chronic fissure-in-ano) about?

## Background: __Parikartika__ resembles fissure-in-ano which is very common among all ano-rectal disorders. In Ayurvedic texts, __Parikartika__ is described as a complication of __Vamana__ and __Virechana__ as well as complication of __Atisara__. __Ksharasutra__ was proved successful in the management of fistula-in-ano, piles, and there is a need to try its efficacy in fissure-in-ano. ## Aim: To evaluate the role of __Ksharasutra__ suturing (KSS) in fissure bed in chronic fissure-in-ano. ## Materials and Methods: Total 100 patients of chronic fissure-in-ano were selected and randomly divided into two groups (50 in each group). In group-A, patients were undergone by KSS; while in patients of Group-B Lord's anal dilatation followed by KSS was done under spinal anesthesia. The KSS was done once and after slough out of __Ksharasutra__, the wound was treated for 4 weeks and assessment of the result was done on the basis of gradation adopted. ## Results: The pain relief on 14^th^ day in Group-A was 86% while in Group-B 100% was observed. As on 7^th^ day in Group-A, oozing was stopped in 68% patients, while in Group-B, oozing was stopped in 82% patients. On 21^st^ day, Group-B showed mor

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Author
Dudhamal, TukaramS ;Baghel, MadhavSingh ;Bhuyan, Chaturbhuja ;Gupta, SanjayKumar
Publisher
Medknow
Published
2014
Language
EN
Field
Medicine (Health Sciences)