Abstract

MANAGEMENT OF FISTULA IN ANO WITH UDUMBAR KSHEERASUTRA- A CASE STUDY

Nitesh Narayan Sanap* and Manjusha S. Kalmegh

Abstract

Background: Anorectal diseases cause great discomfort making one’s life miserable. Among them Bhagandara is considered under the Ashtamahagada (eight grave disorders) by acharyas of Ayurveda. Fistula in Ano at modern parlance is common anorectal condition prevalent in populations worldwide. Treatment for fistula is a big challenge in front of the medical as well as surgical world, sometimes with risk of complications and recurrence. Aim: the present endeavor was to provide an effective way of management of fistula in adult age of 35 yrs old male by Udumbar Ksheerasutra. Materials & Methods: Udumbara Ksheerasutra a modified version of well-established Ksharasutra (Ayurvedic Seton) was used in the present case study. Under aseptic precaution the Seton was applied through the fistulous tract after initial probing (Eshana Karma). Results: In a total of 19 sittings (weekly once) the Seton was changed and by the 20 weeks the tract was completely cut and simultaneously healed with formation of healthy tissues. Conclusion: The procedure throughout the course was effective in healing the tract, safe, non- irritant and well tolerated by the patient.

Keywords: Ayurvedic Seton, Fistula-in ano, Udumbara Ksheerasutra