European Journal of Biomedical and Pharmaceutical Sciences

A CLINICAL TRIAL OF “BEADED” KSHAR-SUTRA & “DOUBLE” KSHAR-SUTRA TECHNIQUE IN THE CASES OF FISTULA IN ANO.

Dr. Danish Javed*

ABSTRACT

Kshar sutra therapy in cases of fistula in ano, despite a long medical history of credentials and conduct, still poses a challenge to medical fraternity in terms of finding satisfactory cure of disease. In this study, standard kshar sutra technique (SKST), a well known ayurvedic modality of treatment, has been compared with double kshar sutra technique (DKST) and beaded kshar sutra technique (BKST) for anal fistula. Forty five patients were selected randomly from OPD and IPD of department of ano-rectal surgery of Institute. All patients were randomly divided into three groups. Group (A) control group: 15 patients were treated with SKST; Group (B) control group: 15 patients were treated with DKST and Group (C) control group: 15 patients were treated with BKST. Same type of kshar sutra was used in all patients but technique used was different according to their group. Student’s t-test was applied for statistical comparisons. Value were interpreted as mean ±SD, p value < 0.05 was considered significant. Pain and burning sensation were found higher in group B and C, while the other symptoms like itching, duration of pain, discharge of pus were higher in group A. Double kshar sutra technique and beaded kshar sutra technique provide better, effective, safe and faster recovery in management of fistula in ano.

Keywords: Fistula in ano, kshar sutra technique, bhagander.