Abstract

Dr. Shailendra Singh*, Dr. Man Mahendra Singh, Dr. Yogesh Kumar and Dr. Dinesh Kumar Maurya

ABSTRACT

Rectal prolapse is a disorder in which the rectum slips out of place from the muscles and ligaments that hold it in place. It is referred to as rectus intussusceptions because the rectus folds over on itself as it travels through the pelvic diaphragm and eventually exits the anal canal. There are two types of rectal prolapse: mucosal (Partial) and full thickness (Complete). Partial rectal prolapse is characterised as merely the mucosa and submucosa of the rectal wall protruding through the anus and measuring less than 3.75 cm in length. This Study was conducted to develop a economic, conducive para surgical procedure in the management of rectal prolapse (Gudabhramsha). Rectal prolapse is surgically treated today using more intrusive techniques rather than the older encirclement techniques. Study was conducted on a male patient aged 37 yrs, diagnosed as Partial rectal prolapsed using a slit proctoscope and applicator. Teekshna Apamarga Pratisarneeya Kshara was administered circumferentially on the rectal mucosa after the prolapse was reduced. Kshara was left on for two minutes until the colour turned to Pakwa Jambuphala Varna, after which Nimbu Swarasa was used to clean the area. Matravasti with Yashtimadhu Ghrita twice a day for 7 days from first day of post procedure followed by with Changeri Ghrita twice a day for 15 days was given. It can be stated that Kshara karma in rectal prolapse is a comfortable, day-care operation that is also reasonably priced because the patient experienced relief from rectal prolapse symptoms during the follow-up period. Thus, it can be recommended as an emerging alternative to surgery.