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Journal articles on the topic 'Ksharsutra'

Author: Grafiati

Published: 5 June 2025

Last updated: 16 July 2025

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1

Shrestha, Monica, and Tukaram S. Dudamal. "Management of of complex fistula-in-ano by a IFTAK technique - case report." Healer 2, no. 1 (2021): 119–22. http://dx.doi.org/10.51649/healer.47.

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Ksharsutra is a Medicated seton which is made by coating the Barbour thread with 21 coatings of Kshara i.e. an herbal alkaline powder, turmeric and latex of Euphorbia nerrifolia. Ksharsutra application is a minimal invasive well established procedure in management of fistula-in-ano. Research on Ksharsutra started since 1968 and it is being used till date with high success rate. In this case report the patient was asymptomatic before 15 years but then a boil developed at perianal region which spontaneously bursted and pus discharge was seen from the boil. Patient was diagnosed with Grade 5 St.

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2

Dwivedi, Amarprakash P. "ADR KSHARSUTRA KIT: A BREAKTHROUGH IN THE STANDARDIZATION OF KSHARSUTRA." International Journal of Research in Ayurveda and Pharmacy 4, no. 2 (2013): 304–6. http://dx.doi.org/10.7897/2277-4343.04246.

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3

Nishi, Kumari, Kumarv Anil, and Prince. "Comparative Efficacy of Ksharsutra, Fistulectomy, and LIFT (Ligation of Intersphincteric Fistula Tract) in Treating Fistula in Ano." International Journal of Pharmaceutical and Clinical Research 16, no. 5 (2024): 584–89. https://doi.org/10.5281/zenodo.11407964.

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<strong>Background:</strong> Fistula in ano presents a significant clinical challenge due to its recurrent nature and impact on quality of life. Traditional surgical treatments include fistulectomy and less invasive procedures such as the Ksharsutra technique, but recurrence and postoperative complications remain concerns. <strong>Objective:</strong> This study aims to evaluate and compare the efficacy, safety, and patient satisfaction of three surgical techniques for treating fistula in ano: fistulectomy, Ksharsutra, and LIFT (ligation of intersphincteric fistulous tract).&nbsp

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4

Meghnathlende, Meghnathlende, Dr Prafulla Fadanvis, Dhanashri Makh, and Dr Anil Akulwar. "Fistula in Ano: A Modified Approach - A Case Report." ECS Transactions 107, no. 1 (2022): 15675–80. http://dx.doi.org/10.1149/10701.15675ecst.

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Management of fistula is one the most notorious job for the surgeon because of its ill site, chronicity, and recurrences. Treatment modalities like anal fistula plug, mucosal flap advancement, fibrin glue, and VAAFT (Video Assisted Anal Fistula Treatment) are there but ksharsutra has edge on them for its success rate and non-recurrence. Even after its better results, weekly sitting and pain during changing of ksharsutra and discomfort of ksharsutra being in situ makes it difficult for patient to pursue the treatment. Hence, a new approach was mandatory. Considering fistula to be a dushtavrana,

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5

Khattra, Ravinder Singh. "Effect of Ksharsutra in the management of Arsha - A Case Study." Journal of Ayurveda and Integrated Medical Sciences 8, no. 8 (2023): 216–21. http://dx.doi.org/10.21760/jaims.8.8.33.

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There are several anorectal disorders facing by large number of population with diverse group of pathologic conditions. Among them anorectal disorders like Arsha (haemorrhoids), Parikartika (fissure) and Bhagandar (fistulas) are among the most common anorectal conditions. These conditions are the cause of significant discomfort and disability to the patient and can impair a person’s quality of life. Ayurveda is playing important role and contributing to modern technology with its own originality with authenticity. Advantage of Ksharsutra therapy in the management of Arsha is that it is a minim

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6

MISHRA, Dr NEHA. "Ksharsutra A Miracal In Treatment of Hemorrhoids – (Arsha)." Paripex - Indian Journal Of Research 3, no. 1 (2012): 165–67. http://dx.doi.org/10.15373/22501991/jan2014/51.

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7

Suman, Pallavi, and Kainat Ansari. "EFFICACY OF SAPTAPARNA SNUHI KSHARSUTRA IN THE MANAGEMENT OF BHAGANDARA (FISTULA IN ANO ): A CASE STUDY." International Ayurvedic Medical Journal 11, no. 7 (2023): 1750–52. http://dx.doi.org/10.46607/iamj4611072023.

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Fistula in Ano is a chronic inflammatory condition having a tubular structure with an opening in the Anorectal canal at one end and the surface of the perineum or perianal skin on the other end. Fistula-in ano is one such condition that is prone to recurrence even after repeated surgery and can be effectively treated by Ayurvedic medicines. Ksharasutra is one of the chief modalities in the treatment of Bhagandara in Ayurvedic science. Here is a case report of 31 years male patient with chief complaints of pain and pus discharge from the perianal region presented to Shalya OPD on Oct 14, 2022.

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8

Swami, Sonu, and Vishnu Dutt Sharma. "A Case Report: Ksharsutra Ligation Treatment for Arsha." International Research Journal of Ayurveda & Yoga 06, no. 08 (2023): 23–26. http://dx.doi.org/10.47223/irjay.2023.6804.

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9

Gupta, Rashmi. "MODIFIED KSHARSUTRA TECHNIQUE IN COMPLEX FISTULA IN ANO - A CASE STUDY." International Ayurvedic Medical Journal 8, no. 10 (2020): 4939–43. http://dx.doi.org/10.46607/iamj6308102020.

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Fistula in ano is an anorectal disorder in which two openings are present. One is located near perianal re-gion and another is at anal canol or rectum. Fistula in ano is itself a challenging disease for patients because of mortality is not associated but daily routine life of patients become crushed. Ayurveda also said about Bhagandar (fistula in ano) that it is Kashta Shadhya Vyadhi i.e. difficult to treat because its take time and recurrence rate is also associated. But Ayurveda has described the Kshar sutra therapy for the treatment of fistula in ano which have high success rate, but time t

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10

Masane R, kalmegh M, Joshi K, and Chaudhari K. "EFFICACY OF KSHARSUTRA ON DUSHTAVRANA {NON HEALING ULCER}-A CASE STUDY." International Journal Of Indian Medicine 05, no. 01 (2024): 31–37. http://dx.doi.org/10.55552/ijim.2024.5105.

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Ulcer and wound managements have prime importance in the eld of surgical practice, it continuous as a challenge from ancient to modern era due to its diversity in onset and management hurdles. Healing is a mechanism where the body attempts to regain the integrity of injured part. Many factors like systemic illness, malnutrition, vascular insuffciency may delay the process of healing. In Ayurveda many procedures and different formulations are enumerated for Vrana management by our Acharyas. In Sushruta Samhita Acharya elaborated about Vrana, Dushtavrana and its 60 types of treatment modalities.

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Wahid, Syed Abdul, and Arvind Gajbhiye. "A COMPARATIVE CLINICAL STUDY OF ‘CHEDANA KARMA & KSHARSUTRA (SETON) KARMA’ (GUGGULU BASED) IN THE MANAGEMENT OF SHALYAJ NADI VRANA(SINUS) W.S.R. TO PILONIDAL SINUS (ASSOCIATED WITH ROPAN LEPA)." February 2021 9, no. 2 (2021): 327–34. http://dx.doi.org/10.46607/iamj0109022021.

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A Pilonidal Sinus is a common disease of the natal cleft. Pilonidal Sinus is a track which contains hairs. The incidence of the disease is calculated to be 26 per 100,000 people. Pilonidal disease has a male pre-dominance with a ratio of 3:1. There are several methods to treat pilonidal sinus, but the recurrence rate is more in modern surgical interventions. According to Ayurveda it can be correlated to Salyajanya Nadi Vrana (pilonidal sinus), a type of Nadi Vrana (sinus). Whose etiopathology is described in Nidanasthana and treatment aspect in Chikitsasthana of Susrutha Samhita. Susrutha ment

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12

AP, Thaware. "Clinical Efficacy of Katutrikadya Churna in the Management of PostOperative Care in Bhagandara w.s.r to Fistula in Ano: A Comparative Study." Journal of Natural & Ayurvedic Medicine 7, no. 4 (2023): 1–8. http://dx.doi.org/10.23880/jonam-16000423.

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In Ayurveda, there are eight branches. Ayurveda has eight branches. Because of its rapid action, use of surgical instruments (Yantra & shastra), Kshar & Agni, and inclusion of characteristics common to other branches, Shalyatantra is regarded as a notable branch. anushastra treats a wide range of illnesses (Para-surgical measures). The treatment of Bhagandara serves as the most significant, practical illustration of how anushastra, or ksharsutra, is used (Fistula-in-ano). Ayurveda classifies several disorders as “Mahagada” based on their severity and problematic behaviors. One of these

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Basak, Nabanita, and Vishnu Dutt Sharma. "A CLINICAL STUDY TO EVALUATE THE EFFICACY OF VEDANA STHAPANA MAHAKASHAYA GHANA VATI AND YASHTIMADHU GHRITA VARTI IN POSTOPERATIVE PAIN MANAGEMENT OF ARSHA." January 2024 12, no. 01 (2024): 44–47. http://dx.doi.org/10.46607/iamj0612012024.

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Arsha or Haemorrhoid is nowadays, the most common anorectal disease worldwide. A haemorrhoid condition and Arsha's characteristics can be related. The disease Arsha can be traced back to the Vedic period. It is a disease that tortures people as an enemy. The extensive list of etiological elements, including mechanical lifestyle, nutrition, diet, habits, and indulgences, as well as the comprehensive explanation of its pathophysiology, is evidence of our Acharyas' great vision, profound insight, and scientific understanding. For the treatment of arsha roga, Acharya Sushruta said chaturvidha sand

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14

Patel, Soham, Neha Thumar, Rajesh Sharma, and Harshit Shah. "Kharsutra Ligation with Partial Fistulectomy-As a Treatment for Anterior Trans-Sphincteric Fistula in Ano- A Case Study." Asian Journal of Pharmaceutical Research and Development 7, no. 1 (2019): 46–49. http://dx.doi.org/10.22270/ajprd.v7i1.442.

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Perianal fistulas are prevalent in 0.01- 0.05% of the population and are commonly associated with discomfort and morbidity to the patient. Surgical treatment is the only modality of management of fistulas with the pitfall of high rate of recurrence In Transsphincteric fistulas, the track passes from the inter sphincteric space through the external sphincter into the Perianal region. Surgical treatment of perianal fistulas frequently affects fecal continence. Sphincter saving techniques like Ksharsutra (cutting seton) and fistulectomy has been advocated to minimize the risk of sphincter injury.

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15

Choudhary, Praveen Kumar. "EFFICACY OF KSHARSUTRA IN THE MANAGEMENT OF CHRONIC FISSURE IN ANO." International Research Journal of Pharmacy 7, no. 7 (2016): 61–65. http://dx.doi.org/10.7897/2230-8407.07787.

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16

Rokade, BharatM. "STUDY THE EFFECT OF AUTOMATED APAMARGA KSHARSUTRA IN THE MANAGEMENT OF BHAGANDARA." International Journal of Advanced Research 6, no. 8 (2018): 438–43. http://dx.doi.org/10.21474/ijar01/7539.

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17

Dwivedi, AmarprakashP. "Management of postaxial polydactyly by ′′Ksharsutra′′: A minimally invasive Ayurvedic parasurgical procedure." Journal of Ayurveda and Integrative Medicine 4, no. 2 (2013): 114. http://dx.doi.org/10.4103/0975-9476.113876.

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18

Chaudhari PS, Kalmegh M, Joshi K, and Masane M. "A CASE STUDY OF PILONIDAL SINUS." International Journal Of Indian Medicine 05, no. 01 (2024): 43–47. http://dx.doi.org/10.55552/ijim.2024.5107.

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Ksharsutra is an Ayurvedic parasurgical treatment used to manage Anorectal disorders, including Pilonidal Sinus. Pilonidal Sinus is a condition that mainly occurs in men, young adults, and those who do a sitting job. It involves a small hole or tunnel developing on the skin that gets filled with fluid or pus, forming an abscess or a cyst. In the treatment of Pilonidal Sinus, the Kshara Sutra is passed through the sinus’ external opening to the skin, then its ends are tied together and replaced a week later. This method is considered effective, very safe, and affordable1. It is a minimal invasi

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19

Salunke, Amrut, Amit Nakanekar, Madhukar Lahankar, Hema Kolpe, and Shital Borkundwar. "A CLINICAL STUDY FOR THE MANAGEMENT OF EAR PINNA KELOID BY KSHARSUTRA AND AGNIKARMA." INTERNATIONAL JOURNAL OF RESEARCH IN AYURVEDA & PHARMACY 5, no. 3 (2014): 261–65. http://dx.doi.org/10.7897/2277-4343.05353.

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A, RATHOD, REDDY K, PADAVI D, MAHADIK R, and YADAV M. "INNOVATIVE MANAGEMENT OF ANAL FISTULA: PARTIAL FISTULECTOMY WITH KSHARSUTRA (HIGH ANAL / HORSE SHOE FISTULA)." International Journal of Medical and Clinical Research 4, no. 1 (2013): 252–57. http://dx.doi.org/10.9735/0976-5530.4.1.252-257.

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21

Dwivedi, Amarprakash. "OA01.28. Management of post - axial polydactyly by ksharsutra - A minimally invasive Ayurvedic para surgical procedure." Ancient Science of Life 32, no. 5 (2012): 28. http://dx.doi.org/10.4103/0257-7941.111993.

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22

Jaivardhan Singh, Sona Rani, and Hansraj Choudhary. "Application of Snuhi-apamarga ksharsutra in the management of Nadi vrana (pilonidal sinus): A case study." World Journal of Biology Pharmacy and Health Sciences 19, no. 3 (2024): 045–49. http://dx.doi.org/10.30574/wjbphs.2024.19.3.0571.

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Pilonidal sinus (PNS) is a inflamed fibrous-granulated tract between the buttocks (natal cleft) that can cause pain, embarrassment, and employment disruption. Men are more prone than women (because of the fact that men have more hair). Due to friction between clothes and body, hairs break off and collect in cleft and further it penetrates the soft and moistened skin at that region or enters the opening of mouth of sudoriferous glands. After initial entry dermatitis and inflammation start around the loose hairs and sinus will be formed after. In modern medical science numerous surgical procedur

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23

Jalan, Shaily, Bipan Chander, and Ankita . "CLINICAL EVALUATION AND STANDARDIZATION OF RASANJAN BHAVIT KSHARSUTRA IN ANO-RECTAL DISORDERS WITH SPECIAL REFERENCE TO ARSHA ROGA." International Journal of Research in Ayurveda and Pharmacy 9, no. 5 (2018): 41–44. http://dx.doi.org/10.7897/2277-4343.095152.

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24

Kumar, Anil, Ashish Sharma, S. J. Gupta, and Ashish Verma. "Complex Anal fistula treated with IFTAK (Interception of fistulous track with application of ksharsutra) technique- A case report." Journal of Ayurveda and Integrative Medicine 14, no. 1 (2023): 100686. http://dx.doi.org/10.1016/j.jaim.2023.100686.

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25

Pathak, Dr Chandan Kumar. "Case study of Panchvalkala Kwath for Sitz Bath & Abhayarishta, Kumaryasav & Kshar sutra Application in management of Bhagandar w.s.r to Fistula- in- Ano." Journal of Medical Science and clinical Research 12, no. 05 (2024): 57–60. http://dx.doi.org/10.18535/jmscr/v12i05.08.

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Fistula in Ano is a chronic inflammatory condition having a tubular structure with opening in the Anorectal canal at one end and surface of perineum or perianal skin on the other end. Any opening in perianal area with chronic pus discharge indicates fistulous tract. Prolong sitting, unhygienic condition, obesity, repeated irritation due to hair may increase the risk of occurrence. In Ayurveda it is correlated with Bhagandar and Acharya Sushruta mentioned five types of Bhagandar. He had explained Shastra karma along with Kshar karma and Bheshaja chikitsa for treatment. Here a case of fistula in

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Prajapati Parth Rameshbhai and Prashanth K. "Management of Complex Fistula in Ano, by IFTAK technique and Partial Fistulotomy - A Single Case Study." Journal of Ayurveda and Integrated Medical Sciences 9, no. 10 (2025): 266–70. https://doi.org/10.21760/jaims.9.10.44.

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Since ancient time, fistula in ano has been the most prominent condition of all anorectal disorders. Despite two millennia of efforts, fistula in ano still remains a challenging surgical condition. Over the past few decades, various techniques have been evaluated in terms of preventing its recurrence and complications. The sign and symptoms of fistula in ano resembles with Bhagandara described in Ayurveda classics. Many treatment modalities are listed in Ayurveda classics for the management of this painful disease, Ksharasutra therapy is one among them that has been proved to be highly efficac

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Fadanvis, Prafulla, Amruta Tembhurnikar, Shubhada Guru, Poonam Madan, Anagha Hirapure, and Swarupa Chakole. "A Modified Approach in Fistula in ano by Interception of Fistula Tract and Ksharsutra (IFTAK) Method: A Case Study." International Journal of Current Research and Review 13, no. 06 (2021): 56–59. http://dx.doi.org/10.31782/ijcrr.2021.13626.

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Kumar, Anil, Manoj Kumar, Abhijeet Kumar Jha, Bindey Kumar, and Rekha Kumari. "The Easiest Way to Insert Ksharsutra with the Help of an Infant Feeding Tube Instead of a Metallic Probe." Indian Journal of Surgery 79, no. 4 (2017): 371–73. http://dx.doi.org/10.1007/s12262-017-1668-1.

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29

L. D, Barik, Debnath S. K, Sahu D. S, and Hazra J. "CLINICAL APPRAISAL OF PAPAYA KSHIRASUTRA IN THE MANAGEMENT OF FISTULA IN ANO (BHAGANDAR)." International Ayurvedic Medical Journal 8, no. 7 (2020): 3836–42. http://dx.doi.org/10.46607/iamj0807032020.

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Background: Fistula in Ano(Bhagandar) is most common and notorious disease among all anorectal dis-order and is prevalent in the populations worldwide and is second highest af-ter Arsha (hemorrhoids). Kshara Sutra (K.S.) is one of the chief modalities in the treatment of Bhagandara in Ayurvedic science. It produces inconveniences in routine life. It causes discomfort and pain that creates problem in day to day activities. Ksharsutra has been proved as a big revolution in the treatment of fistula in ano. To find out an effective alternative to Apamarga ksharasutra in view of easy processing tak

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Shrivastav, Pooja, Kiran Khandare, Obaid Noman, and Prasanna Mukund Palsodkar. "Standardization of Udumbar KsheerSutra and its Clinical Efficacy in Comparison with Apamarga KsharSutra in the Management of Bhagandar (Fistula in ano) – Protocol." International Journal of Current Research and Review 12, no. 22 (2020): 97–101. http://dx.doi.org/10.31782/ijcrr.2020.sp89.

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31

Mohite, Monali, Madhulika Tiwari, Kalmegh M S, Rani Mudgal, and Rupali R. Bawa. "A Comparative Evaluation of Antimicrobial Effect of Snuhi-Apamarg-Ksharsutra and Udumbara-Ksheer Sutra in the Management of Bhagandara (Fistula-In-Ano)." International Journal of Ayurvedic Medicine 14, no. 4 (2024): 1015–20. http://dx.doi.org/10.47552/ijam.v14i4.3965.

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Bhagandara one of the eight grave disorders, pertaining the perianal region is arduous to treat, has been described in detail by Acharaya Sushruta. The Ayurvedic description of Bhagandara can be identified as associated with an anal fistula. An anal fistula is defined as an internal opening in the altered skin or mucosa of the anal canal or rectum and an exterior opening in the perianal skin region. Among the various modalities available for the treatment of bhagandara, ksharasutra is described as gold standards for treatment and cure. The ksharasutra possess antimicrobial properties and can b

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Sharma, Mohan Swarup. "A Clinical Study of Interception of Fistulous Tract with Application of Kshar Sutra(IFTAK)Technique Using Madhu Saindhav Aragwadhadi Kshar Sutrain the Management of Bhagandara(Crypto Glandular Fistula)." International Research Journal of Ayurveda & Yoga 05, no. 08 (2022): 43–50. http://dx.doi.org/10.47223/irjay.2022.5806.

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The humanity had been suffered from various diseases and among the many uncomfortable conditionsfrom the onset of civilization. Fistula in ano one of the most important one. Its anatomical situation makes it difficult to treat. It is known as Bhagandarain Ayurvedic classics. The disease was widely prevalent and numerous techniques were tried for its management. However, none of them could provide solace to the suffering mankind. Though there has been a lot of advancement in the modern surgery in recent years and many surgical diseases are treated with less invasive procedure such as laparoscop

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Patel, Kiran. "Polypropylene suture as a seton in recurrent fistula-in-ano in lower socioeconomic class-a good option." International Surgery Journal 8, no. 11 (2021): 3397. http://dx.doi.org/10.18203/2349-2902.isj20214378.

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Background: Recurrent anal fistulas after previous fistula surgery are a unique problem that typically necessitates more anal surgical experience to address the cause of recurrence. The present study was planned with the objective to determine the outcomes of the polypropylene suture as a seton placement for the treatment of recurrent anal fistula.Methods: Patients between the ages of 20-80 years with recurrent fistula-in-ano with single external opening and with history of previous surgery. Patients with preoperative incontinence, patients with difficult follow-up and who were not ready to pa

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Bharat, M. Rokade, and A. Vaidya. Umesh. "STUDY THE EFFECT OF AUTOMATED APAMARGA KSHARSUTRA IN THE MANAGEMENT OF BHAGANDARA." August 6, 2018. https://doi.org/10.5281/zenodo.1411630.

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Bhagandara is a condition described by various acharya in Ayurveda as a difficult disease to treat. It also considered as Ashtaumahagada means eight grave diseases. Ksharsutra is the prime treatment for Bhagandara. Ksharsutra is a unique and an established procedure for the management of Bhagandara in Ayurveda. This method is well accepted by modern surgeons too. Standardization of ksharsutra is the need of the hour. Therefore decided to work on a standardized form of ksharsutra as automated ksharsutra means machine made ksharsutra, to overcome the drawbacks of traditional ksharsutra. Material

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35

Sadafule, Radha. "A clinical trial of feeding tube with metallic guide wire insertion for â€˜Ksharsutraâ€™ technique in a case of fistula in ano." National Journal of Research in Ayurved Science 7, no. 02 (2019). http://dx.doi.org/10.52482/ayurlog.v7i02.325.

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â€˜Kshar-sutraâ€™ therapy in cases of fistula in ano, despite a long medical history of credentials & conduct, still possess a challenge to medical fraternity in terms of finding a satisfactory cure of the disease. â€˜Ksharsutraâ€™ is a popular treatment modality in India for the management of fistula in ano. It works by the action of excision, scraping, draining, penetrating, debridement & sclerosing as well as healing simultaneously without surgical excision. The conventional method to insert a ksharsutra by using a metallic probe through an external opening may cause pai

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Rokade, Bharat Madhukar, and Umesh Vaidya. "Comparative study of standardized apamarga ksharsutra and traditional ksharsutra in the management of bhagandara w. s. r. fistula in ano." National Journal of Research in Ayurved Science 6, no. 5th (2018). http://dx.doi.org/10.52482/ayurlog.v6i5th.161.

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Fistula in Ano is condition which has been recognized as difficult surgical diseases in all ancient & modern medical sciences of the world. In Ayurvedic text it is described as Bhagandara. Ksharsutra is a unique and an established procedure for the management of Bhagandara in Ayurveda. It has brought upheaval in the Indian system of Surgery. The aim of the study was to compare standardized or traditional ksharsutra therapy in the management of fistula in Ano. Materials & methods- The study was randomized clinical trial carried out at anorectal unit of Shalya tantra department of

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Sugate, Shreedhar. "'KSHARSUTRA : A MAGICAL THREAD '." National Journal of Research in Ayurved Science 6, no. 06 (2018). http://dx.doi.org/10.52482/ayurlog.v6i06.229.

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Ksharsutra can be defined as an Ayurvedic medicated thread coated with herbal alkaline drugs. â€˜ Ksharsutra therapy â€˜ has been described as a treatment of choice for the treatment of fistula in ano due to low recurrence rate. Fistula in ano is a condition which has been recognised as a difficult surgical disease in all the ancient & modern medical sciences of the world. Besides Fistulectomy, Sushruta the father of surgery has also described its treatment by Ksharsutra method considering it as Nadi vrana. To overcome the recurrence in Fistula in ano & hospitalization in Fistulectomy

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Mane, Mayuri, Pankaj Dixit, Vinay Sonambekar, and Santosh Pathak. "A Literature review on various methods of Ksharsutra preparation." National Journal of Research in Ayurved Science 8, no. 03 (2020). http://dx.doi.org/10.52482/ayurlog.v8i03.588.

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Fistula-in-ano is a condition which has been recognized as troublesome surgical disease due to its recurrent nature. Almost all the surgeons starting from Acharya Sushruta to the reputed surgeons up to the minute have realized the difficult course of this disorder as far as its surgical as well as medical management is considered. Treatment of fistula-in-ano is always a challenging task for the surgeons and the patients as well. The Ray of hope is provided by Ayurveda in combating this ailment. "Ksharsutra " is an excellent Para surgical procedure for management of Fistula in ano and possible

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T. Patil, Dharmpal, and P. Hematha Kumar. "Role of Aloe Vera Ksharasutra in the Management of Arsha: A Case Study." International Journal of Innovative Science & Technology, December 9, 2018, 64–69. http://dx.doi.org/10.22270/ijist.v3i4.26.

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Arhsa (Haemorrhoids) is one of the serious major anorectal diseases affecting large number of world population. Arhsa can be manage by various para-surgical measures of ayurveda such as; Agnikarma, Ksharakarma & Ksharasutra. Generally Snuhikshira Ksharasutra employed for ligation purpose but it also suffers with some adverse effect such as; pain, irritation and burning sensation. Therefore it was required to evaluate efficacy of some other Ksharasutra in the management of Arhsa. Considering this fact present study was carried out to measure efficacy of Aloe vera Ksharsutra in the managemen

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Patil, Aishwarya Bharat. "Management of Pilonidal sinus by partial sinus excision along with Ksharsutra ligation." National Journal of Research in Ayurved Science 8, no. 04 (2020). http://dx.doi.org/10.52482/ayurlog.v8i04.636.

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Pilonidal sinus is a disease of a midline pit situated in mid gluteal cleft at post anal region associated with hairs. Continued sitting, obesity, hairy part, family history which increases the risk of diseases. The prevalence rate in males is more (Male & Female ration 3:1) and incidence is about 26 per 100,000 population. The treatment of pilonidal sinus includes excision and primary closure, excision with reconstructed flap technique etc. In Ayurveda pilonidal sinus is correlated with Nadivrana and it can be considered under shalyaj Nadivrana and Shushruta has explained Shastrakarma wit

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Hariprasad, Chinniahnapalaya Pandurangaiah, Anil Kumar, Manoj Kumar, et al. "The efficacy of Ksharsutra, Fistulectomy and Ligation of Intersphincteric Fistula Tract (LIFT) procedure in management of Fistula in ano a prospective observational study." BMC Surgery 23, no. 1 (2023). http://dx.doi.org/10.1186/s12893-023-01969-w.

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Abstract Background Fistula in ano is always a troublesome condition for the clinician and the patients owing to its complexity, recurrences, and high morbidity since ancient times. There is no gold standard treatment modality to date documented in the literature for complex fistula in ano. Material and methods We enrolled 60 consecutive adult patients attending the surgical outpatient department of a tertiary care centre in India, diagnosed with complex fistula in ano. Among them, 20 each in the Ligation of intersphincteric fistula tract (LIFT), Fistulectomy andKsharsutra(Special medicated se

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Giri, Vishnu Bhagwan. "To EVALUATE THE EFFICACY OF GOMUTRA GHAN SUTRA IN THE MANAGEMENT OF BHAGANDARA (FISTULA-IN-ANO)." National Journal of Research in Ayurved Science 8, no. 02 (2020). http://dx.doi.org/10.52482/ayurlog.v8i02.575.

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ABSTRACT:  From the onset of civilization, the human being suffered from various diseases and among the many an uncomfortable condition, Bhagandara was the one of the most important one. Acharya Sushruta, paid great attention towards Bhagandara. Sushruta while dealing the management of the disease employed surgical, parasurgical measures. In this study, inspite of Standard Ksharsutra i.e. Apamarga Ksharsutra, Arka kshar is replaced by Gomutra ghan. Where, Gomutra Ghan acts as bio-enhancer, anti-fungal, anti-microbial, anti-bacterial.  KEYWORDS: gomutra ghana sutra, bhagndar,

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Suman Yadav, Ashutosh Kumar Yadav, and Anand puri. "A CASE REPORT ON GUGGULU BASED KSHARSUTRA ALONG WITH SAPTAVINSHATI GUGGULU IN TREATMENT OF BHAGANDARA (FISTULA-IN-ANO)." AYUSHDHARA, August 12, 2020, 2711–14. http://dx.doi.org/10.47070/ayushdhara.v7i3.568.

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Bhagandara is one of the commonest diseases which occur in anorectal region. Acharya Sushruta had described this disease in Ashtamahagada that means disease difficult to cure. It starts as deep rooted Pidika around the Guda within two Angula or finger circumference and form into a track with an external opening in the skin of perianal region and an internal opening in the mucosa of anal canal or rectum lined by unhealthy granulation tissue and fibrous tissue which in modern science can be correlated to Fistula-in-ano. As the recurrence rate of fistula in ano is high after modern treatment. To

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Dwivedi Amarprakash and Archana Kumari. "MANAGEMENT OF SHALYAJ NADIVRAN BY MODIFIED KSHARASUTRA W.S.R. TO PILONIDAL SINUS." AYUSHDHARA, August 12, 2020, 2771–75. http://dx.doi.org/10.47070/ayushdhara.v7i3.558.

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Pilonidal sinus is a disease that most commonly arises in the hair follicles of the natal cleft of the sacrococcygeal. Incidence is more common in men as they are hairier than women. The factor which increases the risk of pilonidal sinus is continuous sitting, obesity, sedentary occupation, family history, local trauma. The surgical management commonly practiced are included incision and drainage, excision and primary closure, excision and healing by secondary intention, excision with reconstructive flap technique (Bascom’s method). However, the risk of recurrence or of developing an infection

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Amol, Bhaskar Shejwal and Smita Vinayak Kaloge. "A SINGLE CASE STUDY ON ROLE OF AGANTUJ SHALYA (FOREIGN BODY) IN RECURRENCE OF BHAGANDARA I.E. FISTULA IN ANO." May 13, 2020. https://doi.org/10.5281/zenodo.3824147.

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Fistula in anorectal region is an abnormal communication between anal canal and rectum. It is occur due to persistent anal gland infection results in anorectal abscesses which rupture inside as well as outside resulting in fistula.Bhagandara described in ayurveda can be correlated with fistula in ano.The chances of recurrence in different types of anal fistulae range between 7% to 50% .Foreign body is one of the main reason for recurrence of fistula. Ayurveda text also described Agantuj shalya as a causative factor of Bhagandara. Sushrutacharya described Ksharsutra as an important surgical pro

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Prakash, Dr Sabade Pradnya. "CASE STUDY OF MANAGEMENT OF HIDRADENITIS SUPPURATIVA BY KSHARSUTRA." World Journal of Pharmaceutical Research, August 1, 2017, 2285–89. http://dx.doi.org/10.20959/wjpr20178-9138.

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Lawate, Uday, and Sushil. Wairagade. "A REVIEW ON RECENT ADVANCES IN THE MANAGEMENT OF BHAGANDARA (FISTULA-IN-ANO)." June 22, 2019. https://doi.org/10.5281/zenodo.3356566.

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Bhagandara is one of Ashtomahagada described by Acharya Sushruta as it is difficult to cure. Bhagandara is a track lined by unhealthy granulation tissue and can be correlated with Fistula in Ano. It is a disease that has plagued humanity since time immemorial. The anal fistula most common illness affecting the male gender globally. For the management of Bhagandara (Fistula in ano) number of surgical treatment modalities are available but their limitations and complications are developed hence it is still big challenge to surgeons to treat especially of complex and recurrent fistula in ano (Bha

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Pundlikrao Mendhekar, Kiran, and Sanjay C. Babar. "Role of Ksharsutra in Management of Shataponak Bhagandar with respect to multiple Fistula in ano." Research Journal of Pharmacy and Technology, May 30, 2022, 2168–71. http://dx.doi.org/10.52711/0974-360x.2022.00360.

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Shalyatantra is one of the utmost branch in Ayurveda having competency to tackle various critical diseases which are difficult to treat with modern surgical methods. Bhagandar i.e fistula in ano is included in Ashtomahagada by Acharya Sushruta as the dreadful disease which is difficult to cure, leaving patient in a vague pain and discomfort during the course of treatment and with possibility of reoccurrence of the disease. The diseases is well known for its complex nature of healing. Clinically, we can observed that most of the patients who were treated with modern surgery will end up with tre

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Sherkhane, Rahul, Priyanka Meena, Nasreen Hanifa, V. D. Mahanta, and S. K. Gupta. "IFTAK technique: An advanced Ksharsutra technique for management of fistula in ano." Journal of Ayurveda and Integrative Medicine, August 2020. http://dx.doi.org/10.1016/j.jaim.2020.06.005.

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Thakre, Rushikesh, Kiran Khandare, and Ketaki Harne. "Role of EhretialaevisRoxb.. (Ajan Vruksha/Khandu Chakka) Medicated Thread in Fistula- In- Ano: - Randomised Clinical Trial." International Journal of Life Science and Pharma Research, August 18, 2023, L84—L89. http://dx.doi.org/10.22376/ijlpr.2023.13.5.l84-l89.

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Ehretialaevisroxb. is a traditional herbal plant used for various purposes, mainly wound healing and pain relief. This plant isalso known as AjanVruksha and commercially known as Khandu Chakk. Wound healing & pain relief activities of Ehretialaevisroxb.(AjanVruksha/Khandu Chakka) are used for making a novel herbal medicated thread in fistula- in- ano to avoid the untoward effects oftraditional Ksharsutra, commonly used in Ayurved practice for Fistula-in ano management. Fistula in ano is the abnormal tract having oneopening inside the anal canal and one opening at the perianal skin. Many mo

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