Abstract

*Dr. Jigisha Prajapati, Dr. Jigna Patel, Dr. Vipul Sangani, Dr. Harshit Shah

ABSTRACT

In Ayurveda Bhagandara (Fistula-In-ano) is included under the Ashtomahagada (eight major diseases) because it is difficult to manage medicinally as well as surgically. however, Surgical treatment is the only modality of management of fistulas with the drawback of high rate of recurrence. So Ksharsutra is the effective treatment of fistula in ano but time period required to cut the tract is too long that's why now a days this procedure is customized as partial fistulectomy with Ksharsutra ligation. Ksharasutra was prepared as per API guideline. A case of 55 years male was diagnosed as bhagandara (complex fistula in ano) present with severe pain, swelling and boil in ano was treated with partial fistulectomy with ksharsutra application in remaining part of the tract. The fistulectomy wound dressing was done daily with panchavalkal kwath. After one week thread was cut through and after 2 months and 10 days fistulectomy wound was healed completely with normal scar without complication. So partial fistulectomy and Ksharasutra therapy (minimal invasive treatment) useful in fistula in ano, and prevents complications like fecal incontinence and to minimise, the risk of sphincter injury.