Journal of Ayurveda Case Reports

CASE REPORT
Year
: 2021  |  Volume : 4  |  Issue : 1  |  Page : 11--15

A case report on the management of Riju bhagandara (low anal trans-sphincteric fistula) by modified conventional Ksharasutra therapy


Nasreen Hanifa1, Vyasadeva Mahanta1, Rahul Sherkhane2, Snajay Kumar Gupta1 
1 Department of Shalya Tantra, All India Institute of Ayurveda, New Delhi, India
2 Department of Shalya Tantra, Faculty of Ayurveda, IMS, BHU, Varanasi, Uttar Pradesh, India

Correspondence Address:
Dr. Vyasadeva Mahanta
Department of Shalya Tantra, All India Institute of Ayurveda, New Delhi
India

Bhagandara (~anal fistula) is a challenging surgical condition due to its high recurrence rate and anal incontinence. Acharya sushruta has explained surgical and para-surgical techniques for its management. Ksharasutra therapy is a time-tested para-surgical modality for Bhagandara with least recurrence (3.33%). Modified conventional technique of application of Ksharasutra is aimed to eliminate infected source and facilitate healing in short duration. A 30-year-old male patient presented with recurrent painful swelling with intermittent pus discharge from the base of the scrotum for one and half years. He underwent incision and drainage twice in the last six months. Magnetic resonance imaging revealed an anterior fistulous tract representing as St. James Type 1 Fistula, which varied from clinical features. He was treated with Modified Conventional Kshara Sutra Therapy (MC-KST) and whole length of fistulous tract was healed completely within five weeks. Anal fistula with scrotal extension is considered a complex manifestation to manage. In MC-KST method, tract was intercepted nearer to sphincter and infected crypto-glandular lesion was eradicated by Ksharasutra. The study concluded that MC-KST is one option to manage anal fistula with scrotal extension to preserve normal perineal structures.


How to cite this article:
Hanifa N, Mahanta V, Sherkhane R, Gupta SK. A case report on the management of Riju bhagandara (low anal trans-sphincteric fistula) by modified conventional Ksharasutra therapy.J Ayurveda Case Rep 2021;4:11-15


How to cite this URL:
Hanifa N, Mahanta V, Sherkhane R, Gupta SK. A case report on the management of Riju bhagandara (low anal trans-sphincteric fistula) by modified conventional Ksharasutra therapy. J Ayurveda Case Rep [serial online] 2021 [cited 2022 Dec 2 ];4:11-15
Available from: http://www.ayucare.org/article.asp?issn=2667-0593;year=2021;volume=4;issue=1;spage=11;epage=15;aulast=Hanifa;type=0