Comparative Clinical Study of Agnikarma and Partial Lateral Sphincterotomy in the Management of Chronic Fissure-in-Ano: A Prospective Analysis of 50 Patients
DOI:
https://doi.org/10.52783/jns.v14.4066Keywords:
Agnikarma, Partial Lateral Sphincterotomy, Chronic Fissure-in-AnoAbstract
Introduction: Chronic fissure-in-ano is a common proctological condition associated with significant pain and discomfort. While Partial Lateral Internal Sphincterotomy (PLIS) is considered the gold standard, Agnikarma, a traditional Ayurvedic cauterization technique, offers a less invasive alternative.
Objectives: To compare the clinical efficacy, safety, and patient satisfaction between Agnikarma and PLIS in managing chronic Fissure-in-Ano.
Methods: A prospective, comparative study was conducted on 50 patients diagnosed with chronic fissure-in-ano. Patients were randomly assigned to two groups: Group A (n=25) underwent Agnikarma; Group B (n=25) underwent PLIS. Outcomes were assessed based on pain relief (VAS score), healing time, recurrence, complications, and patient satisfaction over a 3-month follow-up period.
Results: Agnikarma provided faster pain relief and healing (mean healing time: 12.9 days) compared to PLIS (mean: 18.6 days). Pain scores on Day 7 were significantly lower in the Agnikarma group (2) compared to the PLIS group (3). Recurrence was higher in PLIS (12%) than Agnikarma (4%). Complications were minor and comparable in both groups. Patient satisfaction scores were slightly higher in Agnikarma (8.1 vs. 8.6). Agnikarma was significantly more cost-effective.
Conclusion: While PLIS remains the preferred surgical option due to quicker recovery and disadvantages like higher recurrence, Agnikarma demonstrates promising results as a minimally invasive and cost-effective alternative for selected patients.
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