Article: A CLASSICAL REVIEW ON BHAGANDARA (FISTULA IN ANO): CURRENT TREATMENT STRATEGIES AND FUTURE PROSPECTS

Article Category: Review articles

DOI: 10.7897/2277-4343.110242

Pages: 113-118

Author: Ajai Kumar *, Ajay Kumar Gupta

Abstract: Bhagandara (Fistula in ano) is one of the most common and notorious disease among all anorectal disorders. Acharya Sushruta has been included it in Ashta Mahagada. It is recurrent in nature which makes it more and more difficult for treatment. It produces pain and inconvenience in routine life. Fistula in ano is a chronic purulent inflammation, usually affects peri-anal region, anal canal and rectum. It is initially manifested by an abscess followed by continuous or intermittent discharge of pus through the tract and leads to an unhealed condition. Improper care and negligence leads to further aggravation of the disease. It is very difficult to manage due to its multi fold variation of presentation. After modern technique of surgery, serious post-operative complications like recurrent sepsis, faecal incontinence and high recurrence rate is a matter of great concern. An appropriate answer in terms of Ayurvedic management is a unique specialized Para surgical procedure viz. ‘Kshar Sutra therapy’ which is well accepted and without any complication. Management of Bhagandara with Kshar Sutra has been proven as a big revolution and has gained popularity due to the minimally invasive approach and complete cure of the disease. Moreover, this therapy is well accepted by all patients and did not cause any hindrance in their daily routine work during period of management.

Keyword: Bhagandara, Fistula in ano, Ashta Mahagada, Kshar Sutra