Critical Review on Intra-Operative and Post-Operative Complications in Ayurveda Ano-Rectal Surgeries and Their Management
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Abstract
Ayurveda surgeries are mostly nowadays are concentrated on management of ano-rectal surgical diseases by use of various methods of ancient Ayurveda techniques like Kshara, Ksharasutra, Agnikarma, Jalaukavacharana etc. These methods are safer in comparison to contemporary methods of ano-rectal surgeries. But it can’t be ignored that even these methods are associated to various minor or major intra or post-operative surgical complications. That is why these complications should be known in details and managed accordingly. In this article various clinical based experiences on complications following ano-rectal surgeries related to peri-operative procedures are explained along with their management strategies. Most of those complications are minor and can be managed in simple clinical settings and in the rarest of the case major complications can happen which threatens the life of the patient such cases should be handled with utmost care in major clinical and surgical settings. The long term complications associated to Ayurveda management of such cases are also taken into consideration and their method of prevention and management are also mentioned. The complications associated to local anesthetic agents used in the procedures are also a part of these complications hence such complications and management are needed to be studied by every surgeon doing ano-rectal surgeries using various methods of Ayurveda. Such complications are not mentioned in details anywhere that mandated us to present such associated complications of Ayurveda surgery. Such complications can’t be ignored and should be managed accordingly for the optimal care of the patients.
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References
I. Acharya JT, editor. Sushruta Samhita. Varanasi: Chaukhambha Surbharti Prakashan; 1997. p. 48.
II. Madan Bhandari, Basavaraj Chanda, Prasanna N. Rao, Gopikrishna B.J, Sahanasheela K.R, Management of rectal prolapse (Guda Bhramsa) through Kshara Karma (chemical cauterisation) – a case study, Journal of Coloproctology, Volume 39, Issue 4, 2019, Pages 389-393
III. Srinivasa N, Shilpa P, Partial Fistulotomy followed by Kshara application and Ksharasutra Ligation in Fistula-in-ano - Multiple approaches in a Single Case. J Ayu Int Med Sci. 2024;9(1):270-275.
IV. Patel, P., & Dudhamal, T. (2019, April 3). Pilonidal Sinus Treated With Chedana and Ksharkarma: A Case Study. International Journal of AYUSH Case Reports, 3(1), 42-49.
V. C. Bhuyan et al., Effect of Kshara-Karma in Parikartika (Acute Fissure in Ano) , Indian Journal of Ancient Medicine and Yoga. July-Sept 2009; Vol. 2 No. 3
VI. Sangamesh, Hiremath & Vijaykumar, Biradar. (2020). THE EVALUATION OF BACTERIOLOGY IN PRE - POST KSHARA KARMA OF PERIANAL ABSCESS - A CASE REPORT. International Ayurvedic Medical Journal. 8. 4944-4948. 10.46607/iamj6408102020.
VII. Acharya JT. Charaka Samhita with Ayurveda Dipika commentary of Chakrapani Datta. Reprint ed. Varanasi (India): Chaukambha Orientalia; 2007.p. 496
VIII. Murthy srikantha K.R.Susrut Sushruta Samhita Vol 1, Chikitsa Sthana,Chapter 17,Bhagandarachikitsa,Shloka 29 Chaukambha Orientalia,Varanasi, Reprinted Edition:2016
IX. Acharya JT. Charaka Samhita with Ayurveda Dipika commentary of Chakrapani Datta. Reprint ed. Varanasi (India): Chaukambha Orientalia; 2007 (Arshoadhikare)
X. Dudhamal TS, Baghel MS, Bhuyan C, Gupta SK. Comparative study of Ksharasutra suturing and Lord's anal dilatation in the management of Parikartika (chronic fissure-in-ano) AYU. 2014;35:141–7.
XI. Parmar Gaurav, Parmar Meena. Role of kshar sutra in rectal pol yp: A case study. J Biol Sci Opin 2015;3(1):26-27
XII. Sekhar Namburi UR, Omprakash, Babu G. A review on management of warts in Ayurveda. Ayu. 2011 Jan;32(1):100-2.
XIII. Anant kumar v shekokar et al., a comparative study of ksharsutra ligation and electro-thermal cautery in the management of arsha w. s. r. to sentinel piles, international journal of ayurvedic medicine, 2013, 4(3), 216-226
XIV. Shilpa PN, Shanmugaloga S. Unrevealing the Effects of Agnikarma in Parikartika with special reference to Fissure-in-Ano-A Case Series. Int. J. AYUSH CaRe. 2024; 8(4):5-583.
XV. Ambikadutta shastri. Sushruta Samhita, Volume 2, Chikitsasthan 6/3. Chaukhambha Sanskrit sansthana, Varanasi: 2014 p- 46.
XVI. Merin. C Joseph, P. Benedict, Remya. V. R. Effect of Agnikarma in Perianal Subcutaneous Fistula- A Case Report. International Journal of Ayurveda and Pharma Research. 2022;10(10):34-37.
XVII. Susruta Samhita with English translation of text and Dalhana’s commentary along with critical notes, Sharma P V, Reprint, 2005. Choukhambha Visvabharati, Varanasi: Chikitsa Sthana, Chapter 6, Sloka 3; p.46
XVIII. Bhagat PJ, Raut SY, Lakhapati AM. Clinical efficacy of Jalaukawacharana (leech application) in Thrombosed piles. Ayu. 2012 Apr;33(2):261-3.
XIX. Abdullah S, Dar LM, Rashid A, Tewari A; Hirudotherapy/leech therapy: Applications and indications in surgery; Archives of Clinical and Experimental surgery; 2012;1:172-180
XX. Abdullah S, Dar LM, Rashid A, Tewari A; Hirudotherapy/leech therapy: Applications and indications in surgery; Archives of Clinical and Experimental surgery; 2012;1:172-180
XXI. Shankar KMP, Rao SD, Umar SN, KV. A clinical trial for evaluation of leech application in the management of Vicarcika (Eczema) Ancient Science of Life. 2014;33(4):236–241
XXII. Abdualkader AM, Ghawi AM, Alaama M, Awang M, Merzouk A. Leech Therapeutic Applications Indian Journal of Pharmaceutical Sciences. 2013;75(2):127–137