Importance and relevance of incision described by sushrut in the management of bhagandar

The field of education in medical science is traditionally divided in two branches as one medicine and other surgery. The division was done in ancient time, by virtue of that there are two Agnivesh and Dhanwantari sampradaay exist in Ayurveda from very early stage of human civilization. Acharya Sushruta is the major scholar of Dhanwantari sampradaay. Acharya Sushruta laid down the fundamentals of surgery in the very first surgical text in Indian history. Though due to the advancement of medical science, it introduce new technique that completely transformed the practice of surgery over the period of time, many fundamentals of concepts & ethics laid by Sushrut still hold valid today. In the management of Bhagandara Acharya Sushruta mentioned different types of incision like Langlaka, Ardhlanglaka, Sarvatobhadraka, Gotirthaka for vataj and Chandrak, Ardhchandraka and Kharjorpatraka for the Kaphaj Bhagandara for Chedana karma. All these incisions are explained for the proper drainage of the fistulous track. The incision are planned in the manner that explore the maximum cavity of fistula including secondary track also. So these incision are fully valid in the modern day surgery also. In this present study we tried to explain the importance of these different incisions during treatment of Bhagandara.