Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Case Report 
AAM. 2018; 7(3-4): 109-113


Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report

Hetal laxmanbhai Nakrani, Monica Shrestha, Tukaram S Dudhamal.

Abstract
Fistula in ano is an abnormal hollow inflammatory tract or cavity that is lined with unhealthy granulation tissue. Sushruta described satponaka bhagandara as paka pidikann (ripened blister), daruna ruja (severe pain), bhinna aruna phena vahini(when the blister open it presents reddish yellow with frothy discharges), aneka vrana(many openings) etc. This study aims at diagnosing a case of satponaka bhagandara and treating it with integrated approach and assessing the result using TRUS (Transrectal ultrasonography). A 47 year old male patient visited in out patient department of Shalya tantra having complaints of 6 to 7 boils at his perianal region, since two year and pus discharge for last 6 months. On examination, the case was diagnosed as satponaka bhagandara (anterior horseshoe fistula with multiple openings). All external fistulous tracks were partially excised and ksharsootra was inserted in rest of the track. Post operative dressing was done using apamarga kshar pichu and humari oil. Post operative wound was assessed weekly. On second week assessment, slough had decreased, serous discharge was present, there was no induration and wound size was approximatly 38.7cm2. Wound healed by 9 week completely, follow-up was taken after one month and then after one year healthy scar was seen, sphincter tone was within normal limit and there was no evidence of fistula. This case study revealed that anterior horse shoe
fistula-in-ano with multiple openings can be managed by partial fistulectomy and Apamarga based ksharsootra along with the adjuvent drugs like humari oil and apmarga kshar.

Key words: Apamarga, Humari, Kshar, Ksharsootra, Transrectal ultrasonography (TRUS)


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Hetal laxmanbhai Nakrani
Articles by Monica Shrestha
Articles by Tukaram S Dudhamal
on Google
on Google Scholar
Article Statistics
 Viewed: 172
Downloaded: 58
Cited: 0


How to Cite this Article
Pubmed Style

Nakrani Hl, Shrestha M, Dudhamal TS. Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report. AAM. 2018; 7(3-4): 109-113.


Web Style

Nakrani Hl, Shrestha M, Dudhamal TS. Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report. http://www.aamjournal.in/?mno=301914 [Access: January 22, 2019].


AMA (American Medical Association) Style

Nakrani Hl, Shrestha M, Dudhamal TS. Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report. AAM. 2018; 7(3-4): 109-113.



Vancouver/ICMJE Style

Nakrani Hl, Shrestha M, Dudhamal TS. Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report. AAM. (2018), [cited January 22, 2019]; 7(3-4): 109-113.



Harvard Style

Nakrani, H. l., Shrestha, . M. & Dudhamal, . T. S. (2018) Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report. AAM, 7 (3-4), 109-113.



Turabian Style

Nakrani, Hetal laxmanbhai, Monica Shrestha, and Tukaram S Dudhamal. 2018. Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report. Annals of Ayurvedic Medicine, 7 (3-4), 109-113.



Chicago Style

Nakrani, Hetal laxmanbhai, Monica Shrestha, and Tukaram S Dudhamal. "Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report." Annals of Ayurvedic Medicine 7 (2018), 109-113.



MLA (The Modern Language Association) Style

Nakrani, Hetal laxmanbhai, Monica Shrestha, and Tukaram S Dudhamal. "Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report." Annals of Ayurvedic Medicine 7.3-4 (2018), 109-113. Print.



APA (American Psychological Association) Style

Nakrani, H. l., Shrestha, . M. & Dudhamal, . T. S. (2018) Integrated Approach for the management of Satponaka Bhagandara (Anterior Horseshoe Fistula with multiple openings) -A Case Report. Annals of Ayurvedic Medicine, 7 (3-4), 109-113.








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


DOAJ

Index Copernicus

Index Scholar

Google Scholar,

DHARA (http://www.dharaonline.org)

Ayush Research Portal (http://ayushportal.nic.in/)

Member of 

ICoAJE - International Committee of Ayurveda Journal Editors

 

Listed In

UGC approved journal's list (2017)

List of Journals stating that they follow the ICMJE Recommendations ( 2017) 

.................................................................

The articles in Annals of Ayurvedic Medicine are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial  Share Alike License (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited and distributed with the same licence as the original .

An Official Journal of 

 

 

IASTAM member logo

 


ABOUT JOURNAL
POLICIES
STATEMENTS