Abstract
A MANAGEMENT OF FISTULA-IN-ANO (BHAGANDARA) WITH KSHARASUTRA: A CASE STUDY

Ganapthirao I.* and Patil Sachin

ABSTRACT

Fistula in Ano is a chronic inflammatory condition having a tubular structure with opening in the Anorectal canal at one end and surface of perineum or perianal skin on the other end. Any opening in perianal area with chronic pus discharge indicates fistulous tract. Prolong sitting, unhygienic condition, obesity, repeated irritation due to hair may increase the risk of occurrence. In Ayurveda it is correlated with Bhagandara and Acharya Sushruta mentioned five types of Bhagandara. He had explained Shastra karma along with Kshara karma and Bheshaja chikitsa for treatment. Here a case of fistula in Ano in a 30-year male patient was examined in Shalya OPD and treated with Ksharasutra, considering it as an ideal procedure in treatment of Bhagandara as it cuts and curettes the unhealthy tissue present inside the fistulous tract.

Keywords: Bhagandara, kshara sutra, fistula in ano.


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