European Journal of Biomedical and Pharmaceutical Sciences

A RARE CASE STUDY OF PERIANAL FISTULA SECONDARY TO BARTHOLIN ABSCESS SUCCESSFULLY TREATED WITH KSHARA SUTRA. (BHAGANDARA)

*Dr. Shailaja S. V. and Dr. Junita K. Swer

ABSTRACT

Bhagandara (Fistula-in-ano) is one among the Astamahagada (eight grave disorders) mentioned in Sushruta samhita.[1] Bhagandara is a troublesome disease which occurs in ano-rectal region and second commonest ano-rectal diseases after haemorrhoids and difficult to manage. Kshara sutra is one of the chief modality in the treatment in Ayurvedic science and had been explained in Nadivrana.[2] In this context, Guggulu based Apamarga kshara sutra was carried out in the management of Bhagandara. It consists of guggulu, haridra and apamarga kshara. In the present study, the patient diagnosed with Perianal fistula which was secondary to Bartholin abscess was advised to surgery. Since the patient had undergone surgery twice for the same, the patient was not willing to undergo surgery and opted for the kshara sutra. The patient received in the OPD of SKAMCH & RC and has been treated with the kshara sutra prepared in the Lab of SKAMCH & RC by following the standard protocol of preparation. The patient is treated on OPD basis with weekly change of thread. The patient recovered well with complete excision of the tract within span of 9 weeks.

Keywords: Perianal fistula, Bhagandara, Kshara sutra.