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The Ayurvedic kshara sutra is more effective than the modern surgery. because there are no complications seen in any of the ksharsutra therapy given patients
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Fistula ayurvedic treatment in Hyderabad Ayurveda terms fistula-in-ano as Bhagandara. In Ayurveda fistulas, like other diseases have been classified according to the vitiation of one per more of the three doshas i.e. the vata, the Pitta & the kapha. They have been classified based on the shape & site of the track of the fistula. Special treatment for such different kinds of fistulas is mention in detail. It is worth noting that the complex & most challenging Horse shoe fistula ( complex Ischio-rectal fistula) has been dealt with in detail in Sushruta a classical Ayurveda text) even as early as 300 ad. The Ksharsutra treatment was probably first advised per this type of fistula named Parikshepi Bhagandara by Sushurta Modern surgical management involves surgery and prolonged hospitalisation. The recurrence rate is quite high under this procedure. Introduction of the ancient Kshar sutra therapy has given new impetus to the management of this problem.