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A case study illustrating the use of an integrated approach to treat secondary Anal Fistula Post I&D of Perianal Abscess

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Clinical Research Communications 2024年第1期7卷 11-17页

作者： Sandeep Kumar Upadhyay Sheetal Asutkar shreya soni Department of Shalya Tantra Mahatma Gandhi Ayurved College Hospital and Research CentreWardha 442001India HOD Shalya Tantra Mahatma Gandhi Ayurved College Hospital and Research CentreWardha 442001India

Background:Anal fistula is a long-term disease characterized by a tubular structure with one end opening in the anorectal canal and the other end opening on the surface of the perineum or perianal skin with chronic pus *** is linked to Bhagandar in Ayurveda,and in Sushruta Samhita,Acharya has mentioned 5 forms of *** boil in the present case was Shukla,sthira *** and firm,with Picchila strava and Kandu resembling the features of Parisraavi *** and objective:The current case was diagnosed as Parisravi bhagandar,which resembles trans-sphincteric or intersphincteric fistula in modern *** Ayurveda,the management of Parisraavi Bhagandar,Shastra,kshara,and Agnikarma is advised and the use of Ksharasutra,which contributes to complete cutting and healing of the track without reoccurrence,similarly Modern surgeon depends on surgery i.e radical excision of the track,ligation with Seton,and use of chemical irritants like urethane,silver nitrates,etc.A cutting seton(tight)gently slices the confined muscle to close the fistula with the least interruption to *** operation is especially advised when a one-stage fistulotomy poses a considerable risk of *** and methods:The method performed here was Core Partial Fistulectomy followed by Ksharasutra application till complete healing of the *** and conclusion:This case study provides the successful management of Parisraavi Bhagandara(high anal,trans-sphincteric fistula in ano)in 61-year-old male patient with an integrated surgical&Ayurvedic management approach.

关键词： Anal fistula Colonoscopy ligation of trans-sphincteric fistula Methylene blue dye perianal abscess Radical excision Sushrut Samhita

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Comparative analysis of Parikartika and Anal Fissure: unraveling diagnostic, therapeutic, and surgical dimensions

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Clinical Research Communications 2023年第4期6卷 1-9页

作者： Sandeep Kumar Upadhyay Sheetal Asutkar shreya soni Mahatma Gandhi Ayurved College Hospital and Research Centre Datta Meghe Institute of Higher Education&Research(DMIHER)Wardha 442001India

Background:Agnimandya,the underlying cause of anorectal disorders,of which Parikartika is the most well-known,is brought on by lifestyles characterized by sedentary behavior,elevated stress,poor nutrition,and sleep *** illness known as Parikartika,with signs and symptoms like fissure-in-ano in modern sources,is characterized by kartanvat Vedana(cutting pain)over the anal *** fissure-in-ano is treated with analgesics,stool softeners,and soothing *** options for hazy chronic fissures include anal dilatation,sphincterotomy,fissurectomy,and anal advancement *** addition to using laxatives and substances that promote wound healing(vranaropaka),the concepts of management of Parikartika in Ayurveda are more heavily weighted towards enhancing the nature,character,and consistency of stool and stabilizing the digestive functions Parikartika is mentioned in Ayurvedic texts as a complication of many Ayurvedic procedures,such as Vamana,Virechana,and Basti,as well as a complication of some disorders,such as Arsh,Atisar,and *** and objective:This article aims to comprehensively review the literature,diagnostic,and therapeutic aspects of Parikartika,with its correlation to Fissure in ano,and compare the clinical outcomes of the treatment modalities with supporting references,consolidating all pertinent information on the ***&method:Collection from Samhita’s,commentaries,exploring medical websites,Ayurvedic journals related to the topic of Parikartika and fissure in ano,systematic record of the collected literature and a summary of each *** the collected materials,reference and citation are the material and method followed ***&conclusion:This is an extensive literature review on Parikartika in Ayurveda,exploring its contemporary association with Fissure in *** research offers insights that can inform the evaluation and treatment of this condition,considering both conservative and surgical approaches,ther

关键词： Anorectal botulinum toxin Anal fissure anal spasm sentinel tag Gudaparikartika sphincterotomy

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