Correspondence Address:
Dr. Dwivedi Amarprakash, Shalya Tantra Department, School of Ayurveda, DY Patil University, Navi Mumbai. E-mail: amar.dwivedi@dypatil.edu
Date of Acceptance: 2021-05-19
Date of Publication:2021-06-04
Article-ID:IJIM_71_06_21 https://ijim.co.in
Source of Support: NIL
Conflict of Interest: NIL
How To Cite This Article: : Dwivedi Amarprakash.Comprehensive Review on Fissure-In-Ano W.S.R. to Parikartika. Int. J Ind. Med. 2021;2(5):1-7
: Background-Anal fissure is defined as longitudinal ulcerative lesion or cut in the lower end of anal canal. Fissures are categorized as primary and secondary fissures. Anal fissure comprises of 10-15% of anorectal disorders and is characterized by excruciating pain during and after defecation, bleeding per anus with spasm of anal sphincter. In Ayurvedic view, based on resembling site of disease, nature of pathology and clinical manifestations, Gudaparikartika can be correlated to fissure-in- ano.
Method- In this review article, information from modern surgery texts in view of definition, aetiology, patho-physiology, sign and symptoms and available treatment options as per stage of disease and a gist of contemporary texts of Ayurveda related to fissure –in ano (Gudaparikartika) have been documented to understand integrated and holistic treatment approach towards fissure –in ano management. Result & Conclusion- The article attempts to simplify fissure –in ano management and touches maximum aspects of this disease with an integrated approach. Hence, this review article will certainly prove useful to proctologist and researchers who wish to know about holistic fissure –in ano management.
Keywords: Fissure –in ano, Sphincterotomy, Parikartika, Yashtimadhu tail, Matrabasti
