Ayurveda, Bhagandara is considered as one of the Ashta Mahagaroga (8 major disease) by Sushruta due to more recurrence rate. In present era anorectal disorders are increasing, due to sedentary lifestyle and other factors. The word Bhagandara is composed of 2 words Bhaga and Darana, it is a common disease occurring in Anorectal region around the anus which extends up to Genitalia. The formation of Pidika leads to development of Bhagandara it is characterized by opening around the Guda Pradesh with painful Discharge. Bhagandara is treated by different modalities modern science but till day no single modalities have proven to be complete one for Fistula, Kshara Sutra therapy is the unique specialized Para surgical procedure which is used in Fistula in Ano. The present study was undertaken to assess the modified way to treat fistula-in-ano with Sariva Kshara Sutrawith partial fistulectomy. Case was taken from OPD/IPD of Shah Piles Fistula Hospital, Ahmedabad.
CASE 1: -Age 23 yrs. Male Patient presenting with pain, swelling, discharge in scrotal to anterior anal canal (scrotal extension) was examined in Shalya OPD treated with Sariva Kshara Sutra with partial fistulectomy considering it an ideal procedure in the treatment of Bhagandara as it cuts and curettes the unhealthy tissue present inside the fistulous tract preserving the Sphincter.
