A Review of Surgical Approach taken by Acharya Sushruta in the Management of Shataponaka Bhagandara w.s.r to Multiple Tract Fistula In Ano.: DOI: 10.47223/IRJAY.2023.6410

Geeta; Anil Kumar; Asit kumar panja; Nisha Gupta

doi:10.47223/IRJAY.2023.6410

Authors

Geeta Assistant Professor, Department of Shalya Tantra, Keshav Ayurvedic Medical College & Hospital Aklera, Jhalawar, Rajasthan, India https://orcid.org/0009-0002-9816-083X
Anil Kumar Ph.D Scholar, Department of Samhita & Maulik Siddhanta, National Institute of Ayurveda- Deemed to be University, Jaipur, Rajasthan, India.
Asit kumar panja Professor, Department of Samhita & Maulik Siddhanta, National Institute of Ayurveda- Deemed to be University, Jaipur, Rajasthan, India
Nisha Gupta Professor, Department of Samhita & Maulik Siddhanta, National Institute of Ayurveda- Deemed to be University, Jaipur, Rajasthan, India.

DOI:

https://doi.org/10.47223/IRJAY.2023.6410

Keywords:

fistula in ano, bhagandara, surgical disease.

Abstract

Fistula in Ano is a track lined by granulation tissue, which connects perianal skin superficially to anal canal, anorectum or rectum deeply. It usually occurs in a pre-existing anorectal abscess which burst spontaneously. Acharaya Sushruta included Bhagandara in Ashtamaharoga and discussed it in detail based on its prevalence and difficulty in treatment. Shatponaka Bhagandara is one of the five varieties of Bhagandara that Acharya Sushruta has mentioned. In an effort to reduce recurrence rates and increase success rate over the past many years, numerous authors have proposed innovative procedures. However, Fistula-in-Ano is still a challenging surgical condition. In order to manage this difficult condition and create new trends in our understanding of Fistula-in-Ano, it is necessary to rediscover the old wisdom of Acharya Sushruta. The objective of this study is to review and interpret the surgical approach taken by Acharya Sushruta in the management of Shatponaka Bhagandara in light of contemporary surgical literatures, which may hold the key for successful management of this disease.