Overview of Kshar-sutra in treatment of Ano-rectal diseases- review of cases treated at ACTH in 2011-2012: Retrospective study

Journal of Ayurveda Campus Pub Date : 2021-11-06 DOI:10.51648/jac.62

S. Prasad, B. Patel, R. Sah, Bijendra Shah

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Abstract

Background Anorectal disorders including Fissure in Ano, Fistula in Ano and hemorrhoids are among the most common digestive complications. To our knowledge there is no any retrospective study of previous medical record data of Ayurveda Campus and Teaching Hospital (ACTH), Institute of Medicine, Tribhuvan University, Kirtipur, Kathmandu, Nepal available on the prevalence of major anorectal problems. Therefore, this retrospective was carried out to analyze the medical record of Shalya department OPD in fiscal year 2011-12 A.D. to estimate the prevalence of anorectal problems among the patients of anorectal complaints. Materials and Methods: This was a retrospective study conducted from January 2020 to December 2020 A.D. All the patients visiting the Department with anorectal complaints were screened. Name, sex, age, address and diagnosis was entered into Microsoft excel 2016 from registers of medical record; and analyzed in SPSS Version 2021 after coding the variables in excel. The findings were presented with percentage and frequency in pie and bar diagram. Results: Overall, anorectal cases (n=1067) were enrolled and analyzed in the study. The findings of major anorectal diseases like Fissure in Ano, Fistula in Ano and Hemorrhoids were commonly found in age group of 21-30 year; and followed by 31-40 year and 41-50 year. Fistula in Ano was also significantly found in the old age group of 61-70 year. Furthermore, the prevalence of Fissure in Ano, Fistula in Ano, Internal and External Hemorrhoids were 20%, 32%, 31.2% and 12% among ano-rectal problems in this hospital during this fiscal year respectively. Conclusion: Anorectal diseases are one of the common diseases observed in adolescent and adult patients which is more common in male than female. The prevalence of hemorrhoids is higher among Fissure in Ano and Fistula in Ano. Ksharasutra is the most effective procedure for treatment of these anorectal diseases.

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ksha -经治疗肛肠疾病综述——2011-2012年ACTH治疗病例回顾研究

肛肠疾病包括肛裂、肛瘘和痔疮是最常见的消化道并发症。据我们所知，没有对尼泊尔加德满都基尔蒂普尔特里布万大学医学研究所阿育吠陀校区和教学医院(ACTH)以前的医疗记录数据进行回顾性研究，以了解主要肛肠问题的患病率。因此，本研究回顾性分析2011- 2012会计年度沙利亚科OPD的病历，以估计肛肠疾患患者中肛肠问题的发生率。材料与方法:本研究于2020年1月至2020年12月进行回顾性研究，对所有以肛肠疾患就诊的患者进行筛查。病历登记簿将姓名、性别、年龄、地址、诊断结果录入Microsoft excel 2016;在excel中对变量进行编码后，在SPSS Version 2021中进行分析。结果以饼状图和条形图的百分比和频率表示。结果:总体而言，纳入并分析了1067例肛肠病例。肛肠裂、肛瘘、痔疮等主要肛肠疾病以21 ~ 30岁年龄组最为常见;接着是31-40岁和41-50岁。瘘管在61 ~ 70岁的老年人中也有显著的发现。此外，在本财政年度，该医院肛肠问题中肛裂、肛瘘、内痔和外痔的患病率分别为20%、32%、31.2%和12%。结论:肛肠疾病是青少年和成人患者的常见病之一，男性多于女性。肛裂和肛瘘的痔疮患病率较高。Ksharasutra是治疗这些肛肠疾病最有效的方法。

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Journal of Ayurveda Campus

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