STUDY THE EFFECT OF AUTOMATED APAMARGA KSHARSUTRA IN THE MANAGEMENT OF BHAGANDARA

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. Materials & methods- The study was a single blind clinical trial carried out at BharatiVidyapeeth Deemed to be University, College of Ayurved and hospital Pune. The procedure involved ligation of automated ksharsutra through Bhagandara or a fistulous tract, made over a specially designed machine. 20 patients with Bhagandara (fistula in Ano of crypto glandular origin) were selected and treated with ksharsutra. Every time ksharsutra was changed on every 7th day till cutting of tract. Result- The cutting and healing occurred in all patients treated with automated ksharsutra. Although in this study cutting is faster followed by healing. The average unit cutting time was 5.8 with automated ksharsutra.