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Minimally invasive thermal cauterotherapy (Agnikarma) in grade V rectal prolapse: a unique case report

Sruthi Chenganakattil¹, Soumya Mohan¹, Aparna Thilak¹

¹Department of Shalya Tantra, Amrita School of Ayurveda, Kollam, Kerala, India.

Frontiers in Medicine

|April 27, 2026

Abstract

Introduction:

Rectal prolapse occurs when layers of the rectum protrude through the anus, which is classified as partial or complete based on the extent of the tissue involvement. The condition has a yearly rate of 2.5% per 100,000 individuals, with a higher incidence in those over 50 due to muscle weakness. Surgical intervention is often necessary to repair the prolapse, manage incontinence, and address underlying factors.

Methodology:

In this case report, a para-surgical method known as Agni Karma was used, which applies localized heat to promote healing and reduce tissue prolapse. The condition was assessed using the Oxford Radiological Rectal Prolapse Rating System.

Result And Conclusion:

The patient was initially rated as grade five, indicating an external prolapse. Following the Agni Karma treatment, the follow-up showed significant improvement, reducing the grade to three.

Keywords:

Agnikarma Gudabhramśa case report procidentia rectal prolapse

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