MANAGEMENT OF BHAGANDAR [FISTULA IN ANO] BY USING KSHARSUTRA ALONGWITH FISULECTOMY- A CASE REPORT

ANORECTAL

Acharya Sushruta listed Bhagandara as one of the eight major ailments (Asthamahagad) that is hard to treat. Ayurvedic writings have a detailed description of this condition. Specifically, Bhagandara is made up of the terms darana and bhag. Bhagandara is a frequent condition that affects the area around the anus and up to the genitalia in the ano-rectal region. The development of Bhagandara, which is characterized by opening up around Gud and excruciating discharge, is led by the construction of a pidika. Fistula-in-ano is a surgical difficulty because of its high recurrence rate, which makes fistulectomy management necessary. In the Indian medical system, Ksharasutra application has been recommended for the treatment of anorectal problems, specifically for the management of Bhagandara (Fistula-in-ano). Following the normal rules of the Ayurvedic Pharmacopeia of India (API), Ksharasutra, a therapeutic thread, was produced using Apamarga Kshara (Ash of Achyranthus aspera Linn.), latex of Snuhi (Euphorbia nerifolia), and Haridra (Curcuma longa Linn.) powder. In order to treat Bhagandara (Fistula in Ano), a 49-year-old man with a posterior side present at the 8 o'clock position of the anal canal that extends to the anal area, probing and threading were initially performed with the use of a ksharsutra.Weekly intervals were used to replace the outdated Ksharasutra with a new one using the rail-road approach. To calculate the unit cutting time (UCT), the weekly length of Ksharasutra was measured and recorded. Fistulectomy was then performed. Daily application of betadine solution was used to dress the fistulectomy site, and the vranropak tail fistulectomy wound healed fully, leaving a normal scar free from complications. For the treatment of Bhagandara (fistula-in-ano), ksharsutra is therefore a very effective minimally invasive surgical method. This is a straight forward surgery that saves the sphincter.

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