Clinical effect of Lord’s Anal Dilatation and Ksharasutra Suturing in Parikartika w.s.r. to chronic fissure-in-ano
Tukaram Sambhaji Dudhamal, Madhav Singh Baghel, Chaturbhuja Bhuyan, Sanjay Kumar Gupta.
Parikartika described in Ayurvedic literature can be correlated to fissure-in-ano in modern parlance and commonly found among all ano-rectal disorders. This study has been planned to evaluate the role of Ksharasutra suturing along with Lord’s anal dilatation in Parikartika (chronic fissure). Total 50 patients of chronic fissure-in-ano aged between 20-60 years of either sex were selected for the study. Lord’s anal dilatation followed by Ksharasutra suturing was done once under spinal anesthesia and after slough out of Ksharasutra wound dressing was done for four weeks. The results were assessed by weekly interval up to 4 weeks and paired‘t’ test was applied for statistical analysis of observed findings. Finally encouraging results observed by Ksharasutra suturing (KSS) after anal dilatation in Parikartika (chronic fissure-in-ano) without recurrence.
Key words: Fissure-in-ano, Parikartika, Ksharasutra, Lord’s anal dilatation