E-ISSN 2455-3166
 

Case Report 


Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara)

Alok Kumar*, P. Hemantha Kumar, Narinder Singh.

Cited by (1)

Abstract
Background: Incidence of anal fistula is very frequent in today's clinical practice and in spite of advances in surgical techniques, management of the same is a very tedious job. Anal fistula resembles with the description of Bhagandara described in Ayurveda which is said to be difficult to cure.

Aim: Application of only Ksharasutra (alkaline seton) in high anal fistula when the internal opening is above the dentate line and when the external opening is very far away from anal verge is not only difficult but takes longer period for complete cure with varied success rate, hence a multiple stage surgical approach along with Ksharasutra has been employed in the present case.

Materials & Methods: The patient was treated with fistulotomy in three stages along with use of Ksharasutra. In the first stage external opening was widened approximately 5 cm towards anal canal along with curettage and tightly packed to achieve haemostasis. After one month, in the second stage the tract was further widened 2 cm towards the anal canal and was packed. In the third stage Ksharasutra was applied for 8 weeks till the tract was cut and healed completely.

Results: The fistulous tract was completely healed by almost five months, however the hospital stay was only for 4 to 5 days. Follow up was done for 6 months, there was no recurrence of the condition.

Conclusion: The results of the present study was encouraging and patient was treated effectively with minimal hospitalization without disturbing his daily routine life.

Key words: Bhagandara, Fistula in ano, Multi stage surgery, Ksharakarma


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Alok Kumar*
Articles by P. Hemantha Kumar
Articles by Narinder Singh
on Google
on Google Scholar
Article Statistics
 Viewed: 2498
Downloaded: 227
Cited: 1

This Article Cited By the following articles

Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In -Ano)
JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE 2018; 4(2): 70.

1
 
How to Cite this Article
Pubmed Style

Kumar A, Kumar PH, Singh N. Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara). J. res. tradit. med. 2016; 2(2): 51-53.


Web Style

Kumar A, Kumar PH, Singh N. Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara). http://www.tmjournal.org/?mno=277798 [Access: December 06, 2019].


AMA (American Medical Association) Style

Kumar A, Kumar PH, Singh N. Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara). J. res. tradit. med. 2016; 2(2): 51-53.



Vancouver/ICMJE Style

Kumar A, Kumar PH, Singh N. Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara). J. res. tradit. med. (2016), [cited December 06, 2019]; 2(2): 51-53.



Harvard Style

Kumar, A., Kumar, . P. H. & Singh, . N. (2016) Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara). J. res. tradit. med, 2 (2), 51-53.



Turabian Style

Kumar, Alok, P. Hemantha Kumar, and Narinder Singh. 2016. Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara). JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE, 2 (2), 51-53.



Chicago Style

Kumar, Alok, P. Hemantha Kumar, and Narinder Singh. "Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara)." JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE 2 (2016), 51-53.



MLA (The Modern Language Association) Style

Kumar, Alok, P. Hemantha Kumar, and Narinder Singh. "Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara)." JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE 2.2 (2016), 51-53. Print.



APA (American Psychological Association) Style

Kumar, A., Kumar, . P. H. & Singh, . N. (2016) Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara). JOURNAL OF RESEARCH IN TRADITIONAL MEDICINE, 2 (2), 51-53.





Most Viewed Articles
  • Efficacy of Erand Sneha (Castor Oil) in the management of Amavata (Rheumatoid arthritis) with respect to its Sama Stage
    Gauridutt Mishra *, Darshana H Pandya
    J. res. tradit. med. 2017; 3(2): 28-35
    » Abstract

  • URAMARUNNU - A TRADITIONAL AYURVEDIC PAEDIATRIC PRACTICE
    INDU SABU, KRISHNA RAO SATHYA
    J. res. tradit. med. 2017; 3(3): 91-97
    » Abstract

  • Shashti Upakrama (Sixty Procedures) in the management of Vrana (Wound) - A Review
    Rajneesh V Giri
    J. res. tradit. med. 2017; 3(4): 109-116
    » Abstract

  • Concept of Chakshushya in the Materia Medica of Ayurveda
    Tarkeshwar Sukhadev Wankhade* , Pravin Raghunathrao Joshi, Suraj Laxmansingh Thakur, Mante G B
    J. res. tradit. med. 2017; 3(2): 55-63
    » Abstract

  • Pharmaceutico - Analytical Study of Shrugatakadi Taila using the concept of Taila Murchhana (Oil Processing)
    Juhi Ubale* , Anita Wanjari, Bharath Rathi, Dhirajsingh Rajput
    J. res. tradit. med. 2017; 3(2): 36-42
    » Abstract

  • Histological validation of Pleeha (Spleen) as one of the Mulasthana (Origin) of Rakta Vaha Srotas (Circulatory System)
    Gaurav Soni*, Neelam
    J. res. tradit. med. 2017; 3(1): 18-22
    » Abstract

  • Pharmaceutical Standardisation of Kukkutanda Tvak Bhasma (Incinerated Egg Shell)
    Ghanshyam Mahulkar * , Bharat Rathi
    J. res. tradit. med. 2017; 3(2): 43-50
    » Abstract

  • Indigenous knowledge of medicinal plants and perception of managing disease among the Yanadi Tribe of Veyi Lingala Kona
    Chandrika Thalari*, Palapandala Thiripalu
    J. res. tradit. med. 2017; 3(1): 12-17
    » Abstract

  • The ‘four’ stratagem of Traditional Indian Medicine – Ayurveda
    Jyothy Kothanath Bhaskaran
    J. res. tradit. med. 2017; 3(4): 98-100
    » Abstract

  • Review on Various types of Makaradhwaja (Gold containing mercurial preparation)
    Mangala Jadhav *, Swati S Chirane, Anjali Menon
    J. res. tradit. med. 2017; 3(2): 51-54
    » Abstract

  • Most Downloaded
  • URAMARUNNU - A TRADITIONAL AYURVEDIC PAEDIATRIC PRACTICE
    INDU SABU, KRISHNA RAO SATHYA
    J. res. tradit. med. 2017; 3(3): 91-97
    » Abstract

  • A Review on Smriti (Memory) and its Affiliates in Ayurveda
    Pallavi Ashok Ghadage, Niranjan Yethdaka, Narendra Trivedi
    J. res. tradit. med. 2017; 3(5): 143-150
    » Abstract

  • Prevention & Management of Autism – An Ayurvedic Perspective
    Brahm Dutt Sharma*, Khushal Chouhan
    J. res. tradit. med. 2016; 2(4): 117-121
    » Abstract

  • Early Clinical Diagnosis of Fever (Jwara) in Children – A Case Study
    Jyothy Kothanath Bhaskaran*, Srihari Sheshagiri
    J. res. tradit. med. 2016; 2(6): 170-172
    » Abstract

  • Application of Tantrayukti (Means of Interpreting Science) in Research Methodology
    Anil D. Avhad*, Manjiri Walinjkar, Hitesh A. Vyas, R.R. Dwivedi
    J. res. tradit. med. 2016; 2(3): 81-86
    » Abstract

  • Phytoestrogens Medicinal Herbs - Safe and Effective Alternative to Hormone Replacement Therapy in Menopausal Syndrome
    Priyanka Kulkarni*, Pramod Khobragade
    J. res. tradit. med. 2016; 2(5): 147-150
    » Abstract

  • Concept of Chakshushya in the Materia Medica of Ayurveda
    Tarkeshwar Sukhadev Wankhade* , Pravin Raghunathrao Joshi, Suraj Laxmansingh Thakur, Mante G B
    J. res. tradit. med. 2017; 3(2): 55-63
    » Abstract

  • Anti-obesity and Anti-hyperlipidemic activity of Processed Honey - A Randomised, Open labeled, Controlled Clinical Study [English]
    Satish Pai, Chetana Bhadrapura Shivappa, Aparna Surendra
    J. res. tradit. med. 2018; 4(2): 40-48
    » Abstract » doi: 10.5455/JRTM.2018/816

  • Shashti Upakrama (Sixty Procedures) in the management of Vrana (Wound) - A Review
    Rajneesh V Giri
    J. res. tradit. med. 2017; 3(4): 109-116
    » Abstract

  • Current trends in the usage of Ksharakarma (Alkaline therapy) and Ksharasutra (Alkaline Seton) for managing Bhagandhara (Fistula -In –Ano) [English]
    Alok Kumar
    J. res. tradit. med. 2018; 4(2): 70-74
    » Abstract » doi: 10.5455/JRTM.2018/301581

  • Most Cited Articles
  • Literature Review of Suram(Fever) in Siddha Medicine
    Thayalini Thileepan
    J. res. tradit. med. 2018; 4(1): 21-25
    » Abstract » doi: 10.5455/JRTM.2018/298118
    Cited : 1 time [Click to see citing article]

  • Clinical Evaluation of Dashmularishta (Ayurvedic formulation) in Restoring Normal Health of Postpartum Females
    Manjari Dwivedi, J.L.N Sastry*, Rajiv K Rai, Sasibhushan Vedula
    J. res. tradit. med. 2016; 2(3): 56-61
    » Abstract
    Cited : 1 time [Click to see citing article]

  • Fourier Transforms Infrared Spectroscopy Study on Shadguna Makaradhwaja - An Ayurvedic Mercurial Drug Compound
    Vaibhav Charde*, Kishor Patel, Rohit Gokarn, Dhirajsingh Rajput, Biswajyoti Patgiri, Pradeep Kumar Prajapati
    J. res. tradit. med. 2016; 2(4): 94-98
    » Abstract
    Cited : 1 time [Click to see citing article]

  • Role of Samyoga and Samskara on Antihyperlipidaemic / Anti-obesity activity of Honey – An Experimental Study
    Satish Pai*, Ravi Nargis, Manula S N
    J. res. tradit. med. 2015; 1(1): 16-22
    » Abstract
    Cited : 1 time [Click to see citing article]

  • Multiple Stage Surgical Approach along with Ksharasutra Therapy in the Management of High Anal Fistula (Bhagandara) [English]
    Alok Kumar*, P. Hemantha Kumar, Narinder Singh
    J. res. tradit. med. 2016; 2(2): 51-53
    » Abstract
    Cited : 1 time [Click to see citing article]