An Integrated Method in the Management of Arsho-BhagandaraA Case Report
Journal Title: International Journal of Ayurveda and Pharmaceutical Chemistry - Year 2019, Vol 0, Issue 0
Abstract
Arshas (Haemorrhoids) and Bhagandara (Fistula in Ano) are the most common diseases occurring in ano-rectal region. Ayurvedic literatures had mentioned about Sastra Karmas (surgical procedures) and Anu Sastra Karma (para surgical procedures) like Kshara Karma, Kshara Sutra & Agni Karma in the management of these diseases. In modern literatures operative techniques like haemorrhoidectomy, fistulectomy and fistulotomy are mentioned. Selection of treatment will always be based on the sites & degrees of Haemorrhoids & extension of fistulous tract. Most of the times surgeons will get cases like Bhagandara or Arshas which will be managed by above said consecutive methods. Arsho-Bhagandara is a rare case in which patient gets suffered with both Arshas and Bhagandara. This case report describe about the successful integrated method for the management of Arsho-Bhagandara. A 53 year old male patient with symptoms of mass per rectum and perianal discharge was diagnosed as Arsho-Bhagandara (prolapsed third degree pile mass and fistula in ano). Patient was treated with integrated surgical methods viz., haemorrhoidectomy for Arshas, partial fistulectomy along with kshara sutra ligation for Bhagandara & Pratisaraneeya Kshara application of post operative wound of partial fistulectomy. Patient got recovery from both diseases within 2 months of follow up.
Authors and Affiliations
Sreerag M V
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