Abstract

PARASURGICAL APPLICATION OF APAMARGA KSHARASUTRA (MODIFIED THIERSCH’S TECHNIQUE) IN THE MANAGEMENT OF GUDABHRANSA (PARTIAL RECTAL PROLAPSE)

L. D. Barik*, S. K. Debnath, D. S. Sahu, D. Das and P. V. V. Prasad

Abstract

In the Brihatrayee of Ayurveda Classics like Acharya Sushruta, Acharya Charak and Acharya Vagbhatt described Gudabhransa under the heading of Kshudra roga, Vaman Virechan vyapat and Atisara chikitsha respectively. Ksharasutra treatment is very much popular in the treatment of Anorectal diseases and seeing the Operative procedure like Thiersch’s operation for Rectal Prolapse, application of ksharasutra is modified encircling the anus and found to be more encouraging. 4 patients were being treated parasurgically by this technique. The Standard Ksharasutra which is made up in a 20 No. surgical linen coated with Guggulu (Commifera guggulu), Apamarga (Achyranthes aspera L.) and powder of turmeric (Curcuma longa.) was encircled beneath deep fascia under the skin of the anus. 50% of the patient got completely relieved easily by this technique and other patient had complication like inflammation, recurrence, burning, pain etc.

Keywords: Kshar sutra, Medicated Seton, Gudabhransa, Bhagandar.