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A case study on management of bhagandara (high level fistula-in-ano) with an innovative technique - iftak

Author: 
Dr. Vinod kumar and Prof. Hemantha Kumar, P.
Subject Area: 
Health Sciences
Abstract: 

Fistula in ano is an infective disease of anal canal usually caused by crypto glandular infection of anal crypts. In fistula in ano there is an abnormal communication between two epithelial surfaces and the track is lined by unhealthy granulation tissue. It can be correlated with Bhagandara described in Ayurveda texts. Bhagandara (Fistula-in-ano) considered in Kricchrasadhya Vyadhi (difficult to treat) because of its high recurrence rate thus it is mentioned as Mahagada in Sushruta Samhita The present case study was conducted on a male patient aged 40 yrs. Who was suffering from Fistula in ano for last 2 yr. IFTAK (Interception of fistulous tract with application of Kshara sutra) technique of treatment was adopted. Daily dressings were done with jatyaditaila. Patient cured completely within 8 weeks of treatment. There was no side effect or complication after regular followup of 2 months. The treatment undertaken was very effective as it reduced seton placement in smaller track and also reduced healing time of the wound. The treatment techniques proved to be very effective and convective treatment option.

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