Abstract

STUDY OF HEALING EFFECT OF PANCHATIKTA GHRITA GUGGULU IN FISTULA IN ANO WITH PARTIAL FISTULOTOMY AND KSHARSUTRA APPLICATION

*Dr. Praveen Kumar and Prof. (Dr.) Yogesh Badwe

Abstract

Fistula in ano has been a notorious disorder on account of difficulties in the management as well as fair chances of recurrence. It is a chronic discharging wound in the vicinity of anus and it has two openings – one inside the anal canal and other in perianal region, the outer opening. Ayurvedic texts refer the disease as Bhagandar and it has been vividly discussed in Sushruta Samhita. Fistulotomy and Fistulectomy are the treatment of choice in the fistula in ano. Ksharsutra is a specialized modality of treatment in the anal fistula and it is duly approved by the Indian Council of Medical Research. In the present study, ksharsutra application with partial fistulotomy has been performed and the evaluation of wound healing effect of Panchatikta ghrita guggulu has also been evaluated. Regarding the surgical intervention, the fistula track was excised up to sphincteric complex and ksharsutra was placed in sphincteric complex. The study was carried out on 40 patients. The dose of the Panchatikta Ghrit guggulu was 500 mg twice a day for a duration of 30 days starting one day prior to surgical intervention. The results were assessed based on parameters such as pain, pus discharge from fistula opening, induration and wound healing criteria of Sushruta. Good results were obtained after treatment with Panchatikta ghrita guggulu in almost all parameters of assessment.

Keywords: Fistula in ano, Ksharsutra, Partial fistulotomy with Ksharsutra, Panchatikta ghrita guggulu.