Abstract

A COMPARATIVE STUDY ON EFFECTIVENESS OF PICCHA BASTI AND LATERAL INTERNAL SPHINCTEROTOMY IN MANAGEMENT OF FISSURE IN ANO

Dr. Lovekrishna Pal Singh Rathore* and Dr. Lakshman Singh

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Abstract

Parikartika (Fissure-in-Ano) literally means Kartanavat Vedana (Cutting type of pain) and Guda vidara i.e. Vidarana in guda pradesha (Ulceration in Anal canal). The factors responsible for causation of Parikartika are found in various texts as Vamana-Virechana vyapad, Bastikarma vyapad, Atisara, Grahani, Arsha, and Udavarta etc. The Ayurvedic principle regarding the management of this disease aims at, vata shamana and Vatanulomana. Taking these factors into consideration and to avoid surgical intervention, the present study is planned to evolve an effective treatment by Ayurvedic approach. The present clinical study has been undertaken to assess comparative efficacy of piccha basti and lateral internal sphincterotomy. The present clinical study includes 40 patients who are randomly divided into 2 groups of 20 patients each viz. Group A & Group B. All patients complained moderate to severe pain and maximum relief was observed in group-B. Maximum patients complained of mild to moderate burning sensation per anum and group-A showed maximum improvement as compare to other groups.

Keywords: Parikartika, Fissure-In-Ano, Piccha basti, Lateral internal sphincterotomy.