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mPILES, FISTULA MANAGEMENT

VIA KSHAR SUTRA

METHODDr Hari Sharan Aryal

Senior Physician &

Kshar Sutra Specialist

harisharanaryal@gmail.com

Cell No. +977-9851006496

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m

stomachLiver

Small intestineColon

rectum

Anus

Oesophagus

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mANATOMY OF ANAL CANAL

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m

4 cm Long

Pectinate/Dentate line

Lining

Sphincters

Intersphinctric glands

Spaces around anus

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m PERINEUM– SURFACE

TOPOGRAPHY

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mMUSCLES OF THE ANAL CANAL

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mMUSCLES OF THE ANAL CANAL

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mPUBORECTALIS MUSCLE

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mDENTATE LINE

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mDENTATE LINE

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mARTERIAL SUPPLY

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mUSUAL POSITION OF INTERNAL HEMORRHOIDS

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mHEMORRHOIDS

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CASE

AFTER KS APPLICATION

AFTER ONE MONTH