Correspondence Address:
Dr. Samata Ramdas Semaskar, PG Scholar, Shalyatantra Department, Shri Ayurveda College, Nagpur, Maharashtra, India. Email:semaskarsamata@gmail.com, Mob.no.:8087623866
Date of Acceptance: 2022-08-25
Date of Publication:2022-09-05
Article-ID:IJIM_183_10_22 https://ijim.co.in
Source of Support: Nil
Conflict of Interest: None declared
How To Cite This Article: Semaskar S.R., Shinde J. ‘Laser Haemorrhoidoplasty versus Ksharsutra Ligation: A Randomized Controlled Trial comparing effect of two surgical procedures in Arsha with special reference to Haemorrhoids.’ Int J Ind Med 2022;3(8):17-24
Background: Arsha i.e. Haemorrhoids are the dilated veins within the anal canal in sub epithelial region formed by radicals of the superior, middle and inferior rectal veins. Charaka has advised ksharkarma for the management of Arsha. Chakradatta, also given indication of ksharsutra ligation in arsha. Keeping these aspects in mind and to provide satisfactory, efficious solution for the management of arsha, present study was conducted. Laser haemorrhoidoplasty (LHP) is a procedure in which haemorroidal arterial flow feeding the hemorroidal plexus is stoped by laser coagulation. LASER, the acronym for Light Amplification by Stimulated Emission of Radiation. Aim: To compare the laser haemorroidoplasty procedure with Ksharsutra ligation for treatment of symptomatic second and third degree haemorroids. A clinical comparison trial between LHP and Ksharsutra ligation on haemorroid was conducted at shri ayurved college and hospital, Nagpur. Patient with grade II and grade III haemorroids were eligible for the study. 31 patients treated with the laser hemorroidoplasty in group A and 31 patients with Ksharsutra ligation in group B. Per rectal bleeding, regression of pile mass and postoperative pain were evaluated. Results: A total number of 62 patients entered the trial. There was significant difference between the two groups regarding the subjective and objective criteria. Conclusion: As per observation, ksharsutra ligation procedure was more effective than laser haemorroidoplasty.
Keywords: Arsha, haemorrhoids, laser haemorroidoplasty, ksharsutra ligation.
