World Journal of
Pharmaceutical and Life Sciences

MANAGEMENT OF BHAGANDARA BY KARANJA KSHARASUTRA – A CASE STUDY

Vidyashree G.*, Sheshashaye B. and S. V. Shailaja

ABSTRACT

„Bhagandara is told as Mahagada due to its grave nature in Sushruta Samhita.[1] Acharya Sushruta says “Bhagagudabasti pradeshadaaranat cha bhagandara iti uchyante, abhinnaaha pidakaha, bhinnastu bhagandaraha”- Pidakas formed at bhaga, guda and basti pradesha undergoes suppuration, bursts open and makes an opening externally known as Bhagandara.[2] It described in classics corelated to Fistula-in-ano based on clinical features. The overall Prevalence of this disease is about 8.6 cases per 1,00,000 population per year and those in their third, fourth and fifth decades of life are most commonly affected.[3] Most fistulae are thought to arise from crypto-glandular infections with resultant perianal abscess. The symptoms generally affect one?s quality of life from discomfort to infection due to drainage. Fistulotomy and Fistulectomy are the procedures often adopted in contemporary science, which may require prolonged hospitalization, repeated infections and incontinence. In order to avoid these problems, there is a need for an alternative technique which can be achieved through Kshara sutra ligation method. There is a reference about Kshara sutra in the management of Nadivrana and the same treatment can be considered in Bhagandara.[4] On the basis of these the case has been taken and followed. In this case report 24 years male patient visited OPD of Shalya Tantra with complaint of pain and discharge in perianal region. Fistulogram suggest that evidence of an intersphincteric fistulous track along the left anterolateral aspect of the anal canal. Its internal opening is around 1?0 clock position at the level of the anal valve. It is at a depth of about 10mm from the intersphincteric groove. The patient was treated with Karanja Ksharasutra till the complete healing of fistulous tract.

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