EVALUATION OF EFFICACY OF KADALI, PALASHA,TANKANA KSHARASUTRA IN BHAGANDARA VIZ FISTULA IN ANO- A CLINICAL STUDY

Abstract

Bhagandara is one among mahagada and for which only available promising treatment is KsharaSutra. Regularly Apamarga KsharaSutra is being used for the management of Bhagandara but because of certain drawbacks like non availability and irritation after application of Snuhi based Apamarga Kshara Sutra. The objective of the study was to reduce the complication like discomfort newer KsharaSutra were put to test which are prepared by Guggulu based Kadali Kanda Kshara, Guggulu based Palasha Moola Kshara Sutra and Guggulu based Tankana Kshara Sutra. Plain thread ligation was also done to understand the mechanical effect of Sutra in Cutting process. The comparative efficacy of these KsharaSutra was studied in 4 groups having 25 patients in each group diagnosed for Bhagandara and results were assessed for the post ligation complaints like pain and Discharge and Cutting Rate. The results were put to statistical analysis and results were validated. Overall results showed that the Palasha moola Ksharasutra showed better results in cutting the track and with low pain and Discharge among other Kshara Sutra and plain thread did not show any significant results. Average UCT was good in Guggulu-Palashamoola Kshara Sutra with rate of 10.49 days/cm. The conclusion drawn from the study was among four groups in the study Group A (Guggulu-PalashamoolaKshara) Sutra showed significant results in reducing discharge and controlling pain which was substantiated by statistical analysis. Statistically also it was seen that Guggulu-PalashamoolaKshara was significant with p value ˂ 0.5.