Abstract

Dr. Deodatta Bhadlikar* and Dr. Devyani Bhadlikar

ABSTRACT

Bhagandara is a common disease occurring in the ano-rectal region. Acharya Sushruta, the father of surgery has included this disease as one among the Ashtamahagada.[1] At first it present as Pidika around Guda and when it bursts out, it is called as Bhagandara. It can be correlated with Fistula in ano as de-scribed in western medical science. Fistula in ano is a tract lined by granulation tissue which opens deeply in the anal canal or rectum and superficially on the skin around the anus.[2] The true prevalence of Fistula-in-ano is unknown. The incidence of a Fistula-in-ano developing from an anal abscess ranges from 26-38%.[3] Treatment of fistula-in-ano is still a challenging job because of its complexity and recurrences. There are many surgical techniques that described in text from ancient age to till date.