Management of Parikshepi Bhagandar (Horse Shoe Fistula in Ano) by intercept of track followed by conventional Kshara Sutra

Manmahendra; Bhinya Ram; Ashok Kumar; P. Hemantha Kumar

doi:10.21760/jaims.8.5.44

Manmahendra PhD Scholar, PG Department of Shalya Tantra, National Institute of Ayurveda, Deemed to University, Jaipur, Rajasthan, India.
Bhinya Ram PG Scholar, PG Department of Shalya Tantra, National Institute of Ayurveda, Deemed to University, Jaipur, Rajasthan, India.
Ashok Kumar Professor, PG Department of Shalya Tantra, National Institute of Ayurveda, Deemed to University, Jaipur, Rajasthan, India.
P. Hemantha Kumar Professor, PG Department of Shalya Tantra, National Institute of Ayurveda, Deemed to University, Jaipur, Rajasthan, India.

DOI: https://doi.org/10.21760/jaims.8.5.44

Keywords: Fistula-in-Ano, Kshara Sutra, Parikshepi Bhagandar

Abstract

In Ayurveda surgical sphere Acharya Sushruta and Vabhagta elaborated fistula in Ano properly. In which Parikshepi Bhagandar is the advance stage originated by Vata-Pitta Dosha. In contemporary science it is mentioned under heading of Complex horse show Fistula-In-Ano (FIA). FIA is a common surgical Ano-rectal condition that occurs twofold as often in men as in women, present between the age group of 20 to 50 Years. According to parks classification >65% coming under category of complex fistula in Ano is challenging to managed by Surgeons because of more chances of reoccurrence. In this manuscript successful management of Parikshepi (Horse show FIA) Bhagandara by modified conventional Kshara Sutra Technique with significant post-operative outcome, minimum tissue damage and post-operative scar is described.

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