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The Training Program comprises of following lectures:

Lecture no. 1
Introduction of course- Role of Ayurvedic surgery in the present era. Incorporation of contemporary knowledge. Introduction of ayurvedic fundamentals wrt healing , stages of wound healing, medicines & applications used for wound healing wrt fistula in ano & fissure. Drugs used for wound debridement wrt fissure & fistula in ano sp. Irrigations.

Lecture no. 2
Anatomy & physiology of the anal canal, arterial supply, perianal spaces wrt anaesthesia. Examination of the anus, inspection, p/r examination, proctoscopy, sigmoidoscopy.

Lecture no. 3
Introduction to ano rectal disorders wrt *piles etiology, surgical pathology, Classifacation, clinical features viz bleeding prolapse, discharges, pain, anemia. Investigations–inspection, digital examination, proctoscopy. Complications-strangulation thrombosis, ulceration, gangerene fibrosis suppuration, pyelephlebitis.

Treatment of hemorrhoids-nonoperative treatment, active treatment viz injection therapy, elastic band application, ksharsutra treatment. Cryo surgery photocoagulation.

Kshara sutra pre operative operative post operative procedure, complications -intraoperative & post operative.

Lecture no. 4
Anal fistulae-Ano-rectal abscesses-perianal, ischiorectal, submucous & pelvi rectal. Aetio-pathology, presentation, diagnostic means–fistulogram, usg, classification low anal viz subcutaeneous submucous, low anal, high anal (trans sphincteric may be high or low) inter sphincteric pelvirectal Treatment-fistulectomy.

Lecture no. 5
Pilonidal sinuses-surgical pathology, clinical features, diagnosis, treatment.

Lecture no. 6
Anal fissures, surgical pathology, clinical features, principal of treatment.

Lecture no. 7
Anal polyps & anal prolapse—clinical features, methods of treatment Instruments & equipments used in ksharsutra therapy-sterlisation of fumigation Linens & garments.

Kshara sutra applications in SPECIFIC PATIENTS-Hypertensive pt., diabetic patients, skin to skin track, high anal fistula, tubercular fistulae.

POST OPERATIVE Care sec. Threading-position of the patient, instruments required, observation of the wound, method of changing k.s., precautions. Contra-indications of kshar-sutra therapy wrt. Piles fistula etc.

Clinical demonstrations Assessment through oral examination.

Result of assessment
Certificate of participation in the programme

Disclaimer: Individual results may vary. The statements on this website and all affiliates have not been evaluated by the FDA. Advice on treatment or care of an individual patient should be obtained through consultation with a physician.

*Multicentric Randomized controlled clinical trial of Ksharsutra (Ayurvedic medicated thread) in the management of Fistula-in-Ano; Indian J Med Res (B) 94, June 1991, pp 177-185

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