22Jun 2019

A REVIEW ON RECENT ADVANCES IN THE MANAGEMENT OF BHAGANDARA (FISTULA-IN-ANO).

  • PG Scholar, Shalyatantra Department, Government Ayurved College and Hospital, Nagpur.
  • Assistant professor, Shalyatantra Department,Government Ayurved College and Hospital, Nagpur.
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Bhagandara is one of Ashtomahagada described by Acharya Sushruta as it is difficult to cure. Bhagandara is a track lined by unhealthy granulation tissue and can be correlated with Fistula in Ano. It is a disease that has plagued humanity since time immemorial. The anal fistula most common illness affecting the male gender globally. For the management of Bhagandara (Fistula in ano) number of surgical treatment modalities are available but their limitations and complications are developed hence it is still big challenge to surgeons to treat especially of complex and recurrent fistula in ano (Bhagandara) hence it is notorious disease. In Ayurveda Sushruta has described various types of treatment modalities like Chedana karma, Ksharsutra therapy, and in modern science Fistulectomy, Fistulotomy is the choice of treatment. Fistula is a chronic state of Anorectal infection, the main concern of fistula in ano is duration of treatment and recurrence. Hence in Ayurveda and modern science many technique develops to reduce these complications, like Interception of Fistulous Tract with Application of Ksharsutra (IFTAK), Ligation of Intersphincteric Fistula Tract (LIFT), Seton placement etc. are the recent advance treatment modalities available for management of Bhagandara.


  1. Sharma A. Sharma P., editors. SushrutaSamhitapart-1, Sushrutavimarshinihindivyakhya. Varanasi: ChaukhambhaSurbhartiPrakashan 2012 P.488.
  2. Sharma A. Sharma P., editors. SushrutaSamhitapart-1, Sushrutavimarshinihindivyakhya. Varanasi: ChaukhambhaSurbhartiPrakashan 2012 P.491.
  3. Jadavji T. Narayan Ram.,editors. Sushrutasamhita with Nibandhsangrah of Dalhanacharya. Varanasi: SurbharatiPrakashan 2018 P.438.
  4. https://emedicine.medscape.com Fistula in ano updated: jun 11, 2018 [Accessed date 29/03/2019].
  5. Sharma A. Sharma P., editors. SushrutaSamhitapart-1, Sushrutavimarshinihindivyakhya. Varanasi: ChaukhambhaSurbhartiPrakashan 2012 P.209.
  6. KavirajKunjalalBhishagratna, The Sushruta Samhita An English Translation Vol-II, Varanasi: Chowkhamba Sanskrit Series office 1991 P.339.
  7. KavirajKunjalalBhishagratna, The Sushruta Samhita An English Translation Vol-II, Varanasi: Chowkhamba Sanskrit Series office 1991 P.341.
  8. Deshpande P.J., Pathak S.N., Sharma B.N., Singh L.M.: Treatment of fistula in ano by Kshar Sutra. J. Res. Ind. Med., 2:131-139, 1968.
  9. Sahu M, ?A manual on Fistula in ano and Kshara Sutra therapy published by NRC Dept. of Shalyatantra, IMS, BHU, First edition 2015.
  10. Baily and love?s short practice of surgery edited by Norman S. Williams, Christopher J.K. Bulstrode, P.Ronan O?Connell, Hodder Arnold Publication 25th Edition, Anus and Anal canal, Fistula in Ano, 1262.
  11. Baily and love?s short practice of surgery edited by Norman S. Williams, Christopher J.K. Bulstrode, P.Ronan O?Connell, Hodder Arnold Publication 27th Edition, Anus and Anal canal, Fistula in Ano, 1365.
  12. Baily and love?s short practice of surgery edited by Norman S. Williams, Christopher J.K. Bulstrode, P.Ronan O?Connell, Hodder Arnold Publication 27th Edition, Anus and Anal canal, Fistula in Ano, 1365.
  13. Pearl RK, et al. Dis Colon Rectum. Role of the seton in the management of anorectal fistulas, 1993 jun;36(6):573-7.
  14. Rojanasakul A. Tech Coloproctol. LIFT procedure: a simplified technique for Fistula in ano, sept 2009, volume 13 Issue 3, pp 237-240.
  15. Meinero, L. Mori, Tech Coloprotocol. Video-assisted anal fistula treatment (VAAFT): a novel sphincter-saving procedure for treating complex anal fistulas, 2011 Dec; 15(4):417-422.
  16. Alexandre lopes de Carvalho, Eduardo Fonseca Alves Filho, JColoproctol. FILAC-Fistula-Tract laser closure: a sphincter-preserving procedure for the treatment of complex anal fistulas, 2017 April; 37(2): 160-162.

[Lawate Uday and Wairagade Sushil. (2019); A REVIEW ON RECENT ADVANCES IN THE MANAGEMENT OF BHAGANDARA (FISTULA-IN-ANO). Int. J. of Adv. Res. 7 (Jun). 847-854] (ISSN 2320-5407). www.journalijar.com


Lawate Uday
PG (Scholar) Shalyatantra Department, Government Ayurved College and Hospital, Nagpur.

DOI:


Article DOI: 10.21474/IJAR01/9286      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9286