ROLE OF NISHADI SUTRA IN RECURRENT FISTULA-IN-ANO- CASE REPORT

Bhagandara (Fistula-in-ano) is a baffilating disease which occurs in Anorectal region. It is second commonest disease after hemorrhoids. Standard Apamarga Kshara sutra is in extensive use to treat Fistula-in-ano. Due to the difficulty of availability and preservation of Snuhi ksheera ,an alternative management was needed to encounter the problem. Nishadi sutra was selected keeping in view of the properties of Vranashodana (Wound cleansing), Vranaropana (Woundhealing) and Lekhana (Scraping),In the combination,which were very much beneficial to treat the Fistula-in-ano. Though the study is limited with 2 case reports, the results were encouraging, inviting an option for randomized controlled trials with Standard kshara sutra and Fistulectomy.