Abstract :
Bhagandar (Fistula
-
in
-
Ano) is explained as one among
Asht
a Mahagada
(The eight major
diseases) in Sushruta Samhita. This disease is recurrent in nature which makes it more difficult for
treatment. So, it produces inconvenience in routine life. The concept of kshar
sutra
has been
explained in the context of Nadi
vrana (sinus)
by Acharya Sushruta. The application of plane silk
thread has been explained by the Hippocrates for the fistula in Ano. Kshar Sutra
being a medicated
thread prepared as per the standard protocol has been proved as a big revolution in the trea
tment
of fistula
-
in
-
Ano. Kshara sutra plays an important role and the efficacy has been explained in
various studies. In present case study, A 52 year old male patient came to shalya OPD with a chief
complaints of pain and pus discharge from perianal regio
n since last 4 months and advised for
surgery for the kshar
sutra. The patient was treated with the kshar
sutra prepared in the Lab of
Nepal Ayurveda trust & RC by following the standard protocol of preparation. The patient is
treated on OPD basis with wee
kly change of thread. The patient recovered well with complete
excision of the tract within span of 4 weeks. Treatment of fistula
-
in
-
ano with Ksharasutra is a
simple with low complications and minimal cost. Thus, ksharsutra is very effective with minimum
i
nvasive surgical modality for management of Bhagandara (fistula
-
in
-
ano).
Keyword :
Apamarga Kshara sutra, Ayurveda, Bhagandar, Fistula - in - Ano.