AYURVEDIC MANAGEMENT OF FISTULA-IN-ANO BY KSHARA SUTRA

Not yet recruiting

• Conditions: Anorectal fistula,

• Registration Number: CTRI/2019/09/021318
• Lead Sponsor: Dr Nagashree H Krishna

Brief Summary

Bhagandara is one among common ailments pertaining to guda. In Sushruta Samhita

‘Bhagandara’ is told as Mahagada due to its grave nature 1 .

In contemporary medical science, description of Fistula-in-ano, which can be correlated with

Bhagandara - is an unhealthy track with an external opening in the skin of perianal region and an internal

opening in the modified skin or mucosa of anal canal or rectum. Fistula-in-ano is considered second to

Hemorrhoids among all ano-rectal abnormalities. The disease is prevalent all over the world and its

occurrence in London Hospital (Study by Marks & Richie, 1977) was reported to be 10% of all in patients

and 4% of all new out patients. Study in India (Raghavaiah, 1976) reported anal fistula to constitute 1.6% of

all surgical admissions. Eminent surgeons have reported 67.9% - 85% recurrence.

These statistical data reveal the fact that treatment of anal fistula is still far from the success and

needs a vital reconsideration.

Acharya Sushruta has explained surgical procedure to combat the disease. But there is always a risk

of recurrence. Ksharasutra is first explained by Acharya Chakrapanidatta 2 and is one such reliable

treatment. Acharya Sushruta mentioned the application of ksharasutra in Nadi vrana 3 .

Though Apamarga Kshara sutra is considered standard, problems are faced during collection

(seasonal) and preservation of Snuhiksheera, and also in course of Kshara sutra treatment like local skin

irritations and pain. To overcome these disadvantages ARKAKSHEERA BASED ARKA

KSHARASUTRA is being tried in the present study.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2019-09-14
• Study Start: 2019-09-21

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

Irrespective of religion, occupation and duration of symptoms Patients with clinical features of Fistula-in-ano namely pain, sero-purulent discharge from the tract and pruritis ani, confirmed by clinical examinations and investigations patient with patent fistulous tract confirmed by probing.

Exclusion Criteria

Diagnosed cases of Fistula in ano secondary to Tuberculosis, Osteomyelitis and malignancies Associated with other diagnosed anorectal disorders Pregnancy and lactation mother Patients suffering with other diagnosed systemic disorders Recurrent fistula in ano after previous surgery.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Unit Cutting Time	Outcome is assessed on the 7th day after Probing and Primary threading and on every week while changing kshara sutra till the Fistulus tract is completely cut
Pus Discharge	Outcome is assessed on the 7th day after Probing and Primary threading and on every week while changing kshara sutra till the Fistulus tract is completely cut

Secondary Outcome Measures

Name	Time	Method
Pain	Outcome is assessed on 7th day of kshara sutra insertion

Trial Locations

Locations (1)

Sri Jayachamarajendra Institute of Indian Medicine; 🇮🇳 Bangalore, KARNATAKA, India

Sri Jayachamarajendra Institute of Indian Medicine

🇮🇳Bangalore, KARNATAKA, India

Dr Nagashree H Krishna

Principal investigator

9481865404

nagayurveda@gmail.com