Abstract

MANAGEMENT OF FISTULA IN ANO BY IFTAK TECHNIQUE: A CASE STUDY

*Dr. Lokendra Pahadiya

ABSTRACT

Sushruta mentioned the application of Kshara sutra in the management of Bhagandara. Bhagandara is nothing but a tract due to not being treated the Vranashopha as per Ayurveda. The Bhagandara can be correlated with the Fistula in ano. Fistula in ano is one kind of connecting tract between anal canal and perianal skin and that can be correlated with Bhagandara. Bhagandara is said to be Kricchrasadhya (difficult to treat) and in present era the Fistula in ano is also complicated one and difficult to treat due to its recurrence nature. In this case study a 45-year-old male patient come to Shalya opd with the complaints of recurrent pain, swelling and pus discharge from gluteal\ region for 2 years. He was taking medicine on and off for above complaints and got relief but after some time he again have same complaints. In this study patient was treated by IFTAK-BHU technique under local anesthesia. The outcomes were very encouraging in this patient; minimum post-operative pain, minimal loss of tissue, improve wound healing period, minimum hospital stay and minimum chances of recurrence. Hence this study is concluded that the IFTAK-BHU technique is one of the gold standard treatment technique in long fistulous track.

Keywords: Bhagandara, Fistula in ano, Kshar Sutra and IFTAK.