A Case Study of Ksharasutra in the Management of Bhagandara (Fistula-in-Ano)
Author : Dr. Kunal Pravin Patil, Dr. Dinesh Ashok Mali and Dr. Atul Laxman Chaudhari
Abstract :
A Bhagandara (Fistula-in-Ano) refers to an abnormal tract that links the rectum or anal canal to the outer perianal skin, frequently manifesting with one or more external openings. The Ksharasutra is a distinctive Ayurvedic surgical thread renowned for its efficacy in treating anorectal disorders, particularly fistula-in-Ano. A 38-year-old female patient registered at the OPD of Shalya Tantra, KDMGS Ayurvedic medical college & Hospital, with the complaints of swelling in the perianal area, persistent pain, itching, and mild purulent discharge for the last 10 months. The treatment involved an innovative sphincter-sparing approach, utilizing an adapted Ksharasutra therapy to enhance healing process and minimize post-surgical discomfort. Significant result was found in the fistula, with complete healing achieved within three weeks. The patient experienced no complications, and no recurrence was noted during the six-month follow-up period.
Keywords :
Ayurveda, Bhagandara, Fistula-in-Ano, Snuhi Ksharasutra, Surgery.
