Sushruta Clinic- Piles / Haemorrhoids

Piles has been defined as vericosities of haemorrhoidal plexuses in the mucocutaneous lining of anal canal. It is
common disease of Anal canal for which the patients complains to his physician.

Causes :-
Chronic constipation, irregular repeated stool, attack of diarrhoea & dysentery, pregnancy, hereditary factors,
chronic straining at stool, abodminal tumour,  cirrosis of liver and low fiberous diete.

Clinical feature :-
Bleeding per anum during defaecation and protrusion of mass at anal orifice replaced digitally or itself after
defaecation. Other symptoms of piles are mucous and blood discharge, itching at perianal region, anaemia due
to chronic blood loss, palpitation, tachycardia and breathlessness.

Treatment :-

1. Medical Treatment.
2. Injection treatment.
3. Band ligation.
4. Lord,s anal dilatation
5. Cryo Surgery
6. Haemorrhoidectomy.

Complications after surgery :-
Post operative severe bleeding, Anal abscess with fistula formation, recurrences and Anal Stricture.

                                                  KSHAR SUTRA TREATMENT OF PILES
After diagnosis and investigations the Kshar Sutra is ligated into the piles mass under local anaesthesia. All the
piles masses are ligated at the same session. Patients is admitted in the hospital for one day and next day he
is discharge. Post operatively 5-7 days Antibiotics and Analgesics are recommended. Hot sitz bath twice daily
and mild aperient like panchsakar chooran is given at night to pass out the soft and eassy stool in the morning.
3 ml. Jatyadi tail enema is given morning and everning daily before defaecation.

Post Operative Care :-
Patient is asked to keep active himself and avoid long sitting, strenous works and two wheeler vehicle for one
month till the wound is soundly healed up.

Recovery time :-
An average cutting time for Piles mass is 7 days and healing 15 days with a total recovery times of 21 days,
when wound is soundly healed up and there is no pain, discharge or bleeding.
Kshar Sutra applied into 5 pile masses.
After ligation, digital reduction of pile masses.
Ligated piles masses reduced completely and compressed gently in anal canal.
Results :-

A Clinical review for 3-5 years of 867 patient treated by Kshar Sutra shawed 98.5% cure rate. During post operative review period 1.5% casses complained for bleeding per anum. Proctoscoy revealed the recurrence of piles at the ligated site. In some cases the bleeding piles were at new site rather than ligated site.

Conclusion :-

Thus Kshar Sutra treatment for piles is safe easy and most successful with excellent result and negligible recurrences as compared to modern surgery where pain bleeding recurrences and anal Stricture are common post operative complications.
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Piles / Haemorrhoids
Fistula in Ano
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