A REVIEW ARTICLE ON BHAGANDARA-FISTULA IN ANO

Dr. Fareeha Khanum, Dr. Shankar S.

ABSTRACT

Bhagandara is a common Ano-rectal condition, affecting the Bhaga (ano rectal or perianal region). Due to its delayed healing and recurrence nature, Acharya Sushruta has included it under Ashtamahagada. and as Dushchikitsya vyadhi. The word Bhagandara is composed of two words „Bhaga’ and „Darana’, means the one which causes Darana/splitting of Bhaga i.e, around the anus. It first occurs as a Pidika which later bursts open to form Bhagandara. It produces inconvenience by causing discomfort, discharge, and pain during daily activities. It can be correlated to Fistula in ano, an inflammatory response to anal gland infection resulting in the formation of an unhealthy track composed of unhealthy granulation tissue and fibrous tissue, having an external opening in the perianal skin and an internal opening in the anal canal or rectum. This article describes about introduction, etiology, pathophysiology, types, investigations, and treatment modalities for Fistula in Ano in Ayurveda and modern medical science.

Keywords: Ano-rectal Fistula, Bhagandara, Ashtamahagada, Fistula in Ano.