Efficacy of apamarg ksharsutra in the management of bhagandara w.s.r to fistula-in-ano

Fistula in ano, is mostly a chronic and complicated disease. In a field of surgery, patients faced most frequent problem is fistula in ano. It is notorious disease and having more recurrence rate. In Ayurveda, ksharsutra therapy is very effective treatment for fistula in a no. In ayurveda, It was mentioned as mahagad. Fistula originates from anal glands, which are located between the internal and external anal sphincter and drain into anal canal. If the outlet of these glands becomes blocked, abscess can form which can eventually extend to skin surface. The tract formed by this process is fistua. There are many options available for treatment of fistula in a no but due to lack of knowledge patients undergo wrong treatment and worsen disease so focus is drawn on various treatment described in Ayurvedic Samhita as well as modern science to came certain conclusion for making treatment of specific condition of these diseases.