Abstract
Large population around the world is suffering from the anorectal disorders especially by piles, fistula and diverse group of pathologic conditions. There conditions are the cause of significant patient discomfort and disability. These anorectal problems have a major effect on overall quality of life of the patient. Piles is a term that refers to the normal circumferentially located submucosal vascular beds above and below the anal canal with symptoms of hemorrhoidal disease are bleeding, thrombosis, prolapse and possible rectal pain may be present and caused by the increased anal pressure prolonged such as during pregnancy or with severe constipation. Fistula is an abnormal connection or channel like structure, between the surface of the anal canal and the exterior perianal skin. Patients are confused in searching of treatment options while Ayurveda since ancient time emphasizes the preventive and curative aspects of about all the disease with minimum side effects and complications as Sushrut explained piles and fistula treatment by ksharsutra therapy. Ksharsutra is a medicated thread prepared by using plant based ingredients. Here we focused on the Perception of Kshar Sutra Therapy among Medical Interns also known as future doctors in Treatment of Piles and Fistula.
Keywords: Medical Interns, Medical Science, Ayurveda, Surgery, Kshar Sutra, Piles, Fistula.
References
1. Janicke DM, Pundt MR (1996) Anorectal disorders. Emerg Med Clin North Am 14(4):757-88.
2. Bassford T (1992) Treatment of common anorectal disorders. Am Fam Physician 45(4):1787-94.
3. Metcalf A (1995) Anorectal disorders. Five common causes of pain, itching, and bleeding. Postgrad Med 98(5):81-4.
4. Pandeya G. 5th ed. Varanasi: Chowkhambha Sanskrit Sansthan; 1997. Agnivesa. Charaka Samhita. Part-II. Chikitsa Sthana, 1-1/4; p. 2.
5. Acharya JT. Sushruta Samhita, Reprint. Sutra Sthana, 33/4. In: Sushruta, editor. Varanasi: Chowkhambha Surabharati Prakashan; 1994. p. 120.
6. Pandeya G. Charaka Samhita, Part-II, Chikitsa Sthana, 14. In: Agnivesa, editor. 5th ed. Varanasi: Chowkhambha Sanskrit Sansthan; 1997. pp. 342–76.
7. Thomson WH. The nature of haemo-rrhoids. Br J Surg. 1975; 62:542–52.
8. Zuber TJ. Hemorrhoidectomy for thrombosed external hemorrhoids. Am Fam Physician. 2002;65:1629–32.
9. Sharma KR, Sharma SK, Deshpande PJ. Conservative management of Fissure in ano. Nagarjuna.1973;XVI:7.
10. Dwivedy R. Chakradatta, Reprint. Arsha Chikitsa 5/148. In: Chakrapanidatta, editor. Varanasi: Chowkhambha Sanskrit Bhavan; 2011. p. 66.
11. Sharma SK, Sharma KR, Singh K. New Delhi: RAV Publication; 1994. Kshara sutra in fistula-in-ano and other ano-rectal disorders; pp. 43–59.
12. Sahu M. New Delhi: Proceedings of National Workshop on Kshara Sutra, CCRAS; 2007. Treatment of Fistula-in-ano by Kshara Sutra a review of 10,000 cases; pp. 121–8.
13. Sharma SK, Sharma KR, Singh K. New Delhi: RAV Publication; 1994. Kshara sutra in Fistula-in-ano and other Ano-Rectal disorders; p. 164.
14. Faujdar HS, Mehta G, Agarwal RK, Malpani NK. Management of fistula in ano. J Postgrad Med.1981;27:172b–177.
Corresponding Author
Dr Arun Kumar Singh
Assistant Professor, Department of Surgery
Hind Institute of Medical Sciences, Safedabad, Barabanki
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mobile: 9415046400
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.61
