Fistula in Ano Surgery

Bhagandara, also known as fistula in ano, is a condition mentioned in Ayurveda that affects the anal region. It is characterized by the formation of an abnormal tunnel or tract that connects the anal canal or rectum to the external skin around the anus. This condition is often associated with chronic anal abscesses.

In Ayurveda, the treatment of Bhagandara involves a comprehensive approach that includes both medicinal and surgical interventions. Here are some key aspects of Ayurvedic management of Bhagandara:

1. Diagnosis: A proper diagnosis of Bhagandara is essential to determine the severity and extent of the condition. Ayurvedic practitioners typically conduct a thorough examination, which may involve physical examination, history taking, and sometimes diagnostic procedures such as Proctoscopy.
2. Medicinal Treatment: Ayurvedic medications are prescribed to manage symptoms, reduce inflammation, control infection, and promote healing. Herbal formulations, including decoctions, oils, and ointments, are commonly used. The specific medicines and formulations prescribed may vary based on the individual’s dosha imbalance and overall health.
3. Kshara Sutra Therapy: Kshara Sutra is a specialized Ayurvedic treatment method commonly used for the management of Bhagandara. It involves the use of a medicated thread (Kshara Sutra) made from alkaline herbal preparations. The thread is inserted into the fistula tract and gradually changed over a period of time to encourage healing, drainage, and closure of the tract.
4. Agnikarma: Agnikarma, or heat cauterization, is another Ayurvedic technique used in the treatment of Bhagandara. It involves the localized application of heat or thermal energy to destroy or seal the fistula tract.
5. Surgical Intervention (Open Surgery of Fistula): In certain cases, surgical intervention may be necessary to treat complex or recurrent Bhagandara. Ayurvedic surgeons (Shalya Tantra specialists) perform specialized surgical procedures to excise or remove the fistula tract and promote healing. The most common surgical procedure is Chhedankarma (Fistulectomy). Fistulectomy is a surgical procedure performed to remove a fistula, which is an abnormal tract or tunnel that forms between two body surfaces or organs under Anesthesia.
6. Alternative Treatments in Fistula in Ano: In some cases, less invasive procedures such as fistula plugs, fibrin glue injections, or fistula laser treatments may be considered as alternatives to traditional fistulectomy. The choice of treatment depends on factors such as the type and location of the fistula, the surgeon’s expertise, and individual patient considerations.

It’s important to note that the management of Bhagandara should be personalized and based on an individual’s specific condition and overall health. It is advisable to consult with a qualified Ayurvedic surgeon who can assess your situation, recommend appropriate treatment options, and provide guidance throughout the healing process.

If you are interested in trying Fistula surgery, it is recommended to seek out an experienced surgeon who can guide you through the process safely and effectively. We, Sahaj ayurveda, Adalaj have trained staff and a qualified and experienced Ayurved surgeon who can perform such operation in a better way. We have trained operation theatre staff for male and female assistance.