Clinical Evaluation of Kshara sutra Therapy in the management of Bhagandara( Fistula- in-Ano)- A prospective study

Anc Sci Life. 2009 Jan;28(3):29-35.

Abstract

Study design: A prospective study of 50 patients suffering from Bhagandara(Fistula in Ano) (age ranging from 18-54years) treated by Kshara sutra therapy

Place: Kshara sutra unit, Central research Unit, Punjabi bagh, New Delhi

Duration: January 2007 to July 2008.

Objectives: To determine the incidence of low or high anal fistula, recurrence rate following Kshara sutra therapy and effect of Ksharasutra therapy on the Bhagandara.

Material and methods: The fifty patients (50) were selected randomly in the Out Patient Department.

Study design: Uncontrolled open level Study.

Results: Patients were followed to see the incidence of recurrence, effect of Kshara Sutra Therapy on incontinence. Overall recurrence rate was only 5.88 %. Minor incontinence was observed only following Kshara sutra Therapy for high variety for which no treatment was given. No such complication occurred in low variety.

Conclusion: Bhagandara (Fistula in Ano) can be treated by Kshara Sutra Therapy with minimal loss of sphincter muscle and low reoccurrence rate.

Keywords: Bhagandara; Fistula-in ano; Incontinence; Kshara Sutra Technique; Reoccurrence.