Abstract

A SINGLE CASE STUDY OF 21 COATED APAMARGA KSHARASUTRA IN THE MANAGEMENT OF BHAGANDARA (FISTULA IN ANO)

Dr. Binod Kumar Yadav*, Dr. Rakesh R. N. and Dr. Sahana Kamath

Abstract

Background: Most commonly practiced surgical “lay open” technique to treat fistula-in-ano (a common anorectal pathology) has high rate of recurrence and anal incontinence. Alternatively, a nonsurgical cost efficient treatment with Ksharasutra (cotton Seton coated with Ayurvedic medicines) has minimal complications. In this study, we have tried to elicit the effect of 21 coated Apamarga Ksharasutra in Bhagandhara. Materials and Methods: A prospective single case clinical study was designed involving patient from the Department of Shalya Tantra in Sri Dharmasthala Manjunatheshwara Ayurveda Hospital Kuthpady Udupi, in the year of 2018-19. Result: Treatment was cost effective, complete healing of tract, less painful, with no recurrence, no much period of hospitalization. Conclusion: The 21 coated Ksharasutra is simple and more effective treatment for complete cure of the tract in Bhagandhara (Fistula-in-ano).

Keywords: Bhangandhara, Fistula-in-ano, Ksharasutra.