Evaluation of the Effect of Local Application of Kalpit Kasisadi Yogain the Managementof Ksharasutra Induced Hyper Granulation at External Opening Offistula-in-Ano: A Randomized Controlled Trial

Abstract

Background: The Ksharsutra therapy is most fascinated para surgical process for fistula–in–ano. But during
the procedure hyper granulations are typically seen near the external opening of fistula which may bleed or
get infected if remain untreated. Moreover it may obliterate the pus drainage and thus complicate the wound.
This consequence needs to be addressed. In Sushrut Samhita, raised soft tissues of wound is described as
Utsanna Mrudu Vrana Maansa and specified to be treated by “Avasadana Dravya” with honey.
Aim: To evaluate the effect of LA of Kalpit Kasisadi Yoga with Madhuin management of hyper granulation,
found at external opening of fistula-in-ano during its treatment with Ksharsutra.
Material and Method: 60 operated cases of fistula-in-ano with Ksharsutra, presenting with hyper
granulation at the external opening of fistulous tract were randomly selected and divided into two groups.
Observation: The comparison between both the group indicates that effect of the therapy was very significant
on thickness while insignificant result was obtained in area of hyper granulation. However the percentage of
relief in both the criteria’s in experimental group was above 90%.
Result: The LA of Kalpit Kasisadi Yoga in the management of Ksharasutra induced hyper granulation at
external opening of fistula-in-ano is more effective than LA of Madhu alone.