1 Aliaa A. Abdulqadir , M.B.Ch.B, MS, 2DR MDP RAJU, MD In Ayurveda (Shalya), 3Mukul H Patel ,M.D., FAMS
1Basra health directorate, Basra, Iraq 61014 university of sousse ,faculty of medicine of sousse ,department of general surgery, Tunisia
2chief Proctologist & Ceo, Hitam Ayurvedic Anorectal Institute, Akms Bujjibabu Plaza, Nizampet X Roads, Hyderabad 500085, Telangana
3Department of proctology, Shreyas Anorectal hospital and research centre, Surat Gujarat India 395001 vice- chancellor, Gujarat ayurved university, Jamnagar-361008
ABSTRACT:
Objective: In this case study, an Ayurvedic medical approach called Kshara Sutra treatment is used to treat a chronic transsphincteric fistula in a 45-year-old male patient after three unsuccessful surgical operations.
Methods: The patient has been experiencing peri-anal pain and discharge on and off for six years. An extensive diagnostic examination, which included an MRI fistulogram, revealed a transphincteric fistula with several external openings on the left buttock
and one internal hole at 6 o’clock. Following methylene blue infiltration confirmation of the interior orifice, Kshara Sutra herapy was applied.
Results: The patient responded well to Kshara Sutra therapy, showing significant improvement in pain and discharge as well as no significant side effects. At the conclusion of the therapeutic time, the fistula was seen to have fully resolved, and the patient has since been symptom-free.
Conclusions: This instance highlights the Kshara Sutra therapy’s potential efficacy in treating persistent transphincteric fistulas, especially when other treatments have failed. It is necessary to conduct more study to confirm these conclusions and examine the wider Applications of this therapy for the treatment of fistulas.
KEYWORDS:
Transsphincteric Fistula; Kshara Sutra Therapy; Persistent Fistula;
Alternative Treatment; Case Study.
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