World Journal of
Pharmaceutical and Life Sciences

MANAGEMENT OF COMPLEX FISTULA-IN-ANO WITH KSHARASUTRA: A CASE STUDY

*Dr. Patel Vishva R. and Duragappa H.

ABSTRACT

Acharya Sushruta provides a detailed description of Bhagandara, categorizing it as one of the Ashtamahagada. Among the five types of Bhagandara, Sambukavarta is considered incurable (Asadhya), while the other four are regarded as difficult to treat (Kruchrasadhya). Ayurveda advocates for a multi-faceted approach in treating this challenging disease. The para-surgical and surgical techniques outlined by Acharya Sushruta have proven to be highly effective in management of Bhagandara. In modern medical science it can be considered as a fistulain ano. Ksharasutra is one of the parasurgical treatments for fistula in ano. In this case report, a patient with a complex fistula-in-ano and a perianal abscess was treated through a combination of surgical and parasurgical procedure. The perianal abscess was managed with incision and drainage, while the fistulous tracts were treated with Ksharasutra ligation. Old ksharasutra was changed with a new one by rail-road method on every week. The length of tract (LOT) was measured and noted at each session. The patient achieved complete recovery within four and half months.

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