MULTICENTRIC RANDOMIZED CONTROLLED TRIAL OF KSHAAR-SOOTRA (HERBAL MEDICATED THREAD) IN THE MANAGEMENT OF BHAGANDAR (FISTULA-IN-ANO)
*Dr. Harshit Shah and Dr. Sejal Shah
ABSTRACT
Introduction: The condition of complicated, recurrent and high anal fistula, although not a major surgical task; but always remains a nagging issue not only to the patients but to the surgeon as well. The present method of Kshaar Sootra treatment in anal fistula has been found efficacious and have been accepted by many countries in world. Aims and Objectives: To calculate the healing time of the fistulous track, to evaluate the recurrence rate of fistula, to assess side effects and complications and to estimate the time of hospitalization. Materials and Methods: Total 106 no. of patients were taken in two different groups. Group K: 55 patients-Trial group (received Kshaar Sootra treatment) Group S: 51 patients -Control group (received surgical treatment-i.e. fistulectomy). Observations and statistical analysis: all the observations are recorded in tabular form. Paired t-test & unpaired t-test are used to compare both the groups. Results: from both groups show significant results, but long term outcome is better with âKâ group then âSâ group. Poor risk patients for anesthesia and surgery can also be subjected to Kshaar-Sootra treatment safely.
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