Kshar Sutra and Fistula in Ano
- Varanasi Chaukhambha Orientalia 2022
- 91p.
CONTENTS 1. Anatomy and Physiology of the Rectum and Anus: -The rectum, Blood supply, Venous return. Lymphatics. Nerve supply. The fascia of the rectum. -The Perineum The Anal canal, The linings, of the anal canal. The Anal Columns, The anal pit part. The aretrial supply, Veins, Lymphatics, Nerves. - The Anal sphincters, External sphincter, superficial part, Middle part, Deep part. Internal sphincter, Corrugator cut is Ani muscle, fascia of the anal region, The perineal fascia. The Ischiorectal fossa, Ano-coccygeal body. Perineal space. The perineal body. 2. Investigation of a rectal case: - History taking. The postion for examination of the patient. Equipment, Digital examination, Goodsall's rule, Examination for associated condition,s Visual examination, Proctoscopy, Sigmoidoscopy, Investigations. 3. Bhagandara Pidika (Cryptitis): - Fistula in ano, Cryptitis. 4. Gud-Vidradhi (Ano-rectal abscess): - Peri-anal, Peri-rectal, Ischio-rectal, Submucous, Pelvi-rectal abscess. 5. Bhagandara (Fistula in Ano): - Ayurvedic concept of Bhagandara, Nadi-Vrana, Aetiology, and predisposing factors, Classification, Vagbhatta's view, Diagnosis, Prodromal symptoms, -Modern concept and classification. Special types of Fistula encountered in practice. 6. Treatment: Management of Bhagandara, General principals of treatment, and Preventive measures. 7. Kshar Sutra Treatment: -Preparation of Kshar Sutra, Ingredients. Processing of Kshar Sutra, smearing, drying and sterilization Packning. Storage. - Selection of patients, Limitations of treatment. - Instruments and equipment required, - Method of aplication of Kshar Sutra, change of Kshar Sutra, Feequency of change of Kshar Sutra, Rate of cutting, Unit cutting time. - Probable mechanism of action of Kshar Sutra. - Benefits, 8. Surgery for complex anal Fistula - By Dr. Ashok Kumar