Integrative Management of Shataponaka Bhagandar (Complex Fistula)-A Single Case Study
Author : Shubhangi Somnath Birdawade and Jyoti Shinde
Abstract :
Fistula in ano is one of the troublesome diseases of ano rectal region. Presentation of the fistula differs in from patient to patient; hence individualized treatment should be tailored. Complex fistula (Shataponaka Bhagandar) is a challenging task for medical faculty, due to its complex anatomy involving multiple external and internal openings, extensive branching and recurrent infection. Recurrence of the fistula is a most often occurring complication which may be due to leaving the main tract, inability to find an internal opening or failure to resect all ramifications during the surgery. In ayurveda Ksharsutra therapy is supposed to be a gold standard treatment for fistula in ano with negligible rate of incontinence and recurrence. Ksharsutra gradually cuts and heals the track, it promote healing due to the antibacterial, cauterizing and healing properties and reducing chances of recurrence. The recurrence rate with Ksharsutra is lower as compared to conventional and other surgery. In this single case study, we have successfully treated Shataponaka Bhagandar with standard Apamarga Ksharsutra. It required total 3 months to cure the fistula completely. Patient is followed up monthly up to 8 months after complete recovery for recurrence. There was no recurrence till date.
Keywords :
Fistula in ano, Shataponaka Bhagandar, Apamarga ksharsutra, Integrative approach.
