{"id":"https://openalex.org/W7207635163","doi":"https://doi.org/10.21276/apjhs.2025.12.3.06","title":"Management of Complex Trans sphincteric Fistula in Ano with Distal Fistulectomy with Proximal Staged Fistulotomy using Ksharasutra: A Case Study","display_name":"Management of Complex Trans sphincteric Fistula in Ano with Distal Fistulectomy with Proximal Staged Fistulotomy using Ksharasutra: A Case Study","publication_year":2025,"publication_date":"2025-06-17","ids":{"openalex":"https://openalex.org/W7207635163","doi":"https://doi.org/10.21276/apjhs.2025.12.3.06"},"language":"en","primary_location":{"id":"doi:10.21276/apjhs.2025.12.3.06","doi":"https://doi.org/10.21276/apjhs.2025.12.3.06","is_oa":true,"landing_page_url":"https://doi.org/10.21276/apjhs.2025.12.3.06","pdf_url":"https://apjhs.com/index.php/apjhs/article/download/3310/1685","source":{"id":"https://openalex.org/S4210185209","display_name":"Asian Pacific Journal of Health Sciences","issn_l":"2349-0659","issn":["2349-0659","2350-0964"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["norway-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Pacific Journal of Health Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://apjhs.com/index.php/apjhs/article/download/3310/1685","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5149680859","display_name":"Esha Ebrahim","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Esha Ebrahim","raw_affiliation_strings":["Department of Shalya Tantra, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Shalya Tantra, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115800207","display_name":"Yogesh Meghani","orcid":"https://orcid.org/0000-0002-1034-4232","observed_orcids":["https://orcid.org/0000-0002-1034-4232"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Y R Meghani","raw_affiliation_strings":["Department of Shalya Tantra, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Shalya Tantra, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5000298868","display_name":"Tukaram Sambhaji Dudhamal","orcid":"https://orcid.org/0000-0002-5855-9806","observed_orcids":["https://orcid.org/0000-0002-5855-9806"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tukram Dudhamal","raw_affiliation_strings":["Department of Shalya Tantra, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Shalya Tantra, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"3","first_page":"29","last_page":"33"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11865","display_name":"Anorectal Disease Treatments and Outcomes","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11865","display_name":"Anorectal Disease Treatments and Outcomes","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12647","display_name":"Traditional Chinese Medicine Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2707","display_name":"Complementary and alternative medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13110","display_name":"Colorectal and Anal Carcinomas","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ksharasutra","display_name":"Ksharasutra","score":0.7960000038146973},{"id":"https://openalex.org/keywords/ayurvedic-surgery","display_name":"Ayurvedic surgery","score":0.6420000195503235},{"id":"https://openalex.org/keywords/anal-fistula","display_name":"anal fistula","score":0.6639999747276306},{"id":"https://openalex.org/keywords/transrectal-ultrasound","display_name":"transrectal ultrasound","score":0.8029999732971191}],"concepts":[{"id":"https://openalex.org/C2777887063","wikidata":"https://www.wikidata.org/wiki/Q5455363","display_name":"Fistulotomy","level":4,"score":0.9409000277519226},{"id":"https://openalex.org/C2779294768","wikidata":"https://www.wikidata.org/wiki/Q5455361","display_name":"Fistulectomy","level":3,"score":0.9056000113487244},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8916000127792358},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7838000059127808},{"id":"https://openalex.org/C2776929390","wikidata":"https://www.wikidata.org/wiki/Q484765","display_name":"Anal fistula","level":3,"score":0.5062000155448914},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.4659999907016754},{"id":"https://openalex.org/C529618451","wikidata":"https://www.wikidata.org/wiki/Q234904","display_name":"Ultrasonography","level":2,"score":0.33489999175071716},{"id":"https://openalex.org/C2781167935","wikidata":"https://www.wikidata.org/wiki/Q795090","display_name":"Palpation","level":2,"score":0.2531000077724457},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.22920000553131104},{"id":"https://openalex.org/C2780877482","wikidata":"https://www.wikidata.org/wiki/Q746416","display_name":"Sphincter","level":2,"score":0.22030000388622284}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21276/apjhs.2025.12.3.06","doi":"https://doi.org/10.21276/apjhs.2025.12.3.06","is_oa":true,"landing_page_url":"https://doi.org/10.21276/apjhs.2025.12.3.06","pdf_url":"https://apjhs.com/index.php/apjhs/article/download/3310/1685","source":{"id":"https://openalex.org/S4210185209","display_name":"Asian Pacific Journal of Health Sciences","issn_l":"2349-0659","issn":["2349-0659","2350-0964"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["norway-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Pacific Journal of Health Sciences","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.21276/apjhs.2025.12.3.06","doi":"https://doi.org/10.21276/apjhs.2025.12.3.06","is_oa":true,"landing_page_url":"https://doi.org/10.21276/apjhs.2025.12.3.06","pdf_url":"https://apjhs.com/index.php/apjhs/article/download/3310/1685","source":{"id":"https://openalex.org/S4210185209","display_name":"Asian Pacific Journal of Health Sciences","issn_l":"2349-0659","issn":["2349-0659","2350-0964"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["norway-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asian Pacific Journal of Health Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7207635163.pdf","grobid_xml":"https://content.openalex.org/works/W7207635163.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4414277526","https://openalex.org/W4205990753","https://openalex.org/W4417506332","https://openalex.org/W2944350026","https://openalex.org/W7216001874","https://openalex.org/W2944573232","https://openalex.org/W7171950533","https://openalex.org/W7220224203","https://openalex.org/W4312202668","https://openalex.org/W4385383923"],"abstract_inverted_index":{"According":[0],"to":[1,21,82],"Sushruta":[2],"Samhita,":[3],"Bhagandar":[4],"is":[5,18,62,73],"one":[6,122],"of":[7,12,41],"the":[8,44,49,116,121,125,133,139],"Ashta":[9],"Mahagada.":[10],"Because":[11],"its":[13],"recurrent":[14],"nature,":[15],"this":[16,32],"condition":[17],"more":[19],"challenging":[20],"cure.":[22],"Ksharasutra":[23,107],"has":[24],"already":[25],"demonstrated":[26],"efficacy":[27],"in":[28,109],"treating":[29],"fistula-in-Ano.":[30],"In":[31],"case":[33],"report,":[34],"a":[35],"42-year-old":[36],"male":[37],"patient":[38],"had":[39],"complaints":[40],"pain":[42],"at":[43,48,64,74],"perianal":[45,50],"region,":[46],"boil":[47],"region":[51],"with":[52,97,124],"pus":[53],"discharge":[54],"for":[55],"1":[56],"year.":[57],"On":[58],"examination,":[59],"external":[60,110,126],"opening":[61,72,127],"present":[63],"3":[65,81],"o\u2019":[66,84],"clock":[67,85],"position,":[68],"and":[69,120,144],"an":[70],"internal":[71],"6":[75,83],"o\u2019clock":[76],"position.":[77,86],"Induration":[78],"palpated":[79],"from":[80],"Transrectal":[87],"ultrasonography":[88],"(TRUS)":[89],"revealed":[90],"trans-sphincteric":[91],"fistula-in-ano.":[92],"Patient":[93],"underwent":[94],"partial":[95],"fistulectomy":[96],"ksharasutra":[98],"application":[99],"under":[100],"sadal":[101],"block.":[102],"After":[103],"2":[104],"weeks,":[105,138],"two":[106],"placed":[108],"fistulous":[111],"tracts":[112],"were":[113],"removed":[114],"when":[115],"track":[117],"got":[118],"healthy,":[119],"connected":[123],"was":[128,141],"changed":[129],"weekly":[130],"once":[131],"by":[132],"railroad":[134],"method.":[135],"Within":[136],"7":[137],"wound":[140],"healed":[142],"completely":[143],"without":[145],"any":[146],"recurrence.":[147]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-09-04T00:00:00"}