A COMPREHENSSIVE REVIEW ON MANAGEMENT OF HEMORRHOIDS (GUDARSHA) - AN INTEGRATED APPROACH
DOI:
https://doi.org/10.29121/granthaalayah.v7.i7.2019.769Keywords:
Haemorrhoid, Sclerotherapy, Laser Ablation, Hemorrhoidectomy, Arsha ChikitsaAbstract [English]
Background-Haemorrhoid is a condition characterized by the prolapsed of an anal cushion that may result in bleeding and pain from rectum or anal canal. It is said to be the fourth leading outpatient gastrointestinal diagnosis. Modern medical science has treatment alternatives such as diet- lifestyle modification, sclerotherapy, banding, LASER ablation etc. in early stage and various surgical procedures such as Haemorrhoidectomy, MIPH etc. in advanced stage with varied prognosis. Haemorrhoid can be co-related with Gud-Arsha in Ayurveda. Ayurvedic texts suggest fourfold treatment for Arsha such as Bheshaj (Medicinal treatment), Kshar karma (Herbal caustic paste), Agnikarma (thermal heat burn) and Shastra karma (Surgery).
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 Arsha (Haemorrhoid) have been documented to understand integrated and holistic treatment approach towards haemorrhoid management.
Result & Conclusion- The article attempts to simplify haemorrhoid management and touches maximum aspects of this disease with an integrated approach. Hence, this article will certainly prove useful to proctologist and researchers belonging to field of Modern and Ayurveda, to know about holistic haemorrhoid management.
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References
John Goligher, Author (Fifth edition), Surgery of Anus Rectum & Colon, Vol. 1, Chapter 4, A.I.T.B.S. Publishers, Delhi-India: 2004; P 99-106.
Vaidya Priyavrat Sharma, Editor (Reprint edition), English translation of text and Dalhan commentary (Vol.2) on Sushrut Samhita of Sushruta, Nidan sthan, Chapter 2, verse 4, Varanasi, Chaukhamba vishwabharati : 2010, P 19.
Vaidya Priyavrat Sharma, Editor (Reprint edition), English translation of text and Dalhan commentary (Vol.2) on Sushrut Samhita of Sushruta, Chikitsa sthan,Chapter 6, verse 4, Varanasi, Chaukhamba vishwabharati : 2010, P 225.
https://www.glowm.com/section_view/heading/Common%20Anorectal%20Problems/item/71 (last accessed on 23/4/2019).
MacRae HM, MacLeod RS: Comparison of hemorrhoidal treatment modalities. A meta-analysis. Dis Colon Rectum,1995;38: 687. DOI: https://doi.org/10.1007/BF02048023
Sohn N. Aronoff JS. Cohen FS. Weinstein MA: Transanal hemorrhoidal dearterialization is an alternative to operative hemorrhoidectomy. Am J Surg, 2001; 182(5): 515-19. DOI: https://doi.org/10.1016/S0002-9610(01)00759-0
Endres JC, Steinhagen RM: Lasers in anorectal surgery. Surg Clin North Am, 1994; 74: 1415. DOI: https://doi.org/10.1016/S0039-6109(16)46490-X
Randall GM, et al: Prospective randomized comparative study of bipolar versus direct current electrocoagulation for treatment of bleeding internal hemorrhoids. Gastrointest Endosc, 1994; 40: 403. DOI: https://doi.org/10.1016/S0016-5107(94)70201-2
Mazier WP: Hemorrhoids, fissures and pruritus ani. Surg Clin North Am, 1994; 74: 1277. DOI: https://doi.org/10.1016/S0039-6109(16)46480-7
Hard A. Chan CLH. Cohen CRG: The Surgical Management of Hemorrhoids - A Review. Dig Surg, 2005; 22: 26-33. DOI: https://doi.org/10.1159/000085343
Gravié JF, Lehur PA, Huten N, et al: Stapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up. Ann Surg, 2005; 242: 29–35 DOI: https://doi.org/10.1097/01.sla.0000169570.64579.31
Sutherland LM, Burchard AK, Matsuda J, et al: A systematic review of stapled hemorrhoidectomy. Arch Surg, 2002; 137:1395-1406 DOI: https://doi.org/10.1001/archsurg.137.12.1395
Vaidya Priyavrat Sharma, Editor (Reprint edition), English translation of text and Dalhan commentary (Vol.2) on Sushrut Samhita of Sushruta, Nidan sthan, Chapter 2, verse 4, Varanasi, Chaukhamba vishwabharati : 2010, P 19.
Prof.K.R.Srikantha Murthy, Editor (Fifth Edition), English translation of Astang Sangrah of Vagbhata, Chikitsa sthan, Chapter 10, verse 2-4, Varanasi, Chaukhamba Orientalia: 2005, P 378-379
Vaidya Priyavrat Sharma, Editor (Reprint edition), English translation of text and Dalhan commentary (Vol.2) on Sushrut Samhita of Sushruta, Chikitsa sthan, Chapter 6. Verse 4-6, Varanasi, Chaukhamba vishwabharati : 2010, P 328-329.
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