Abstract

A CASE STUDY OF PARTIAL FISTULECTOMY WITH KSHARSUTRA LIGATION IN TRANSSPHINCTERIC FISTULA IN ANO

*Prof. Hari Mohan Meena, Dr. Hari Shankar and Dr. Bhagirath Mal Garhwal

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Abstract

The anal fistula is a track that has an internal opening in the modified skin or mucosa of the rectum or anal canal and an external opening in the skin of the perianal region. The prevalence of this disease is also relatively high in modern practice. It is associated with Bhagandar in Ayurveda, and Acharya Sushruta listed five varieties of Bhagandar. For the radical therapy, he had described Kshara karma, Bheshaja chikitsa, and Shastra karma. Here, a case study of a Transsphincteric fistula in Ano will be provided. This case has a history of recognized modern treatments, recurrences even after many surgical operations, and long- term usage of antibiotics that are either non-specific or particular to the current generation. This 54 year female patient was thoroughly examined and investigated for its classical clinical features of said disease in Shalya Tantra OPD in M.M.M. Govt. Ayurved Hospital, Udaipur. Patient has been treated with Partial fistulectomy followed by Ksharasutra ligation, considering it as an ideal procedure in treatment of Bhagandar. The complete details have been dealt here with all relevant clinical materials.

Keywords: Bhagandar, Partial fistulectomy, kshara sutra, Transsphincteric fistula in Ano.