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International Journal for Research Trends and Innovation
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ISSN Approved Journal No: 2456-3315 | Impact factor: 8.14 | ESTD Year: 2016
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Issue: April 2026
Volume 11 | Issue 4
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Impact Factor : 8.14
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| Paper Title: | From Recurrence to Complete Healing: Innovative Ksharsutra Therapy as an Emerging Aid for Global Healthcare — a Case Study of Antibiotic-Resistant Scrotoanal Fistula |
| Authors Name: | Dr.Sandipa Gangadhar Channawar , Dr.Jyoti Shinde , Dr. Pranav Naikwade |
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IJRTI_211101
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| Published Paper Id: | IJRTI2604053 |
| Published In: | Volume 11 Issue 4, April-2026 |
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| Abstract: | BACKGROUND: Bhagandara (fistula-in-ano) is described in Ayurveda as one of the Ashtamahagada (eight dreadful diseases) by Acharya Sushruta, owing to its chronicity, recurrence, and associated complications. In modern clinical terms, this corresponds to fistula-in-ano, a disease notorious for recurrence even after surgical intervention. Among its variants, the scrotoanal fistula represents a rare and complex form, characterized by an atypical tract course involving the scrotum, frequent sphincter involvement, and increased risk of recurrence. Innovations in Shalyatantra, particularly Ksharasutra therapy, provide a minimally invasive, effective, and globally recognized alternative for fistula management. Aim: To assess the effectiveness of Shalyatantra innovations in Ayurveda, especially Ksharasutra therapy, in the management of complex scroto-anal fistula. Objective: To evaluate the efficacy of Ksharasutra therapy combined with Jatyadi Taila application and internal Panchatikta Ghrita Guggulu in antibiotic-resistant scrotoanal fistula achieving complete healing. Methodology: A 60-year-old male patient with a history of incision and drainage (I&D) of a left perianal abscess, which subsequently recurred and progressed into a complex scroto-anal fistula, was managed with Ayurvedic surgical innovation. The patient underwent partial fistulectomy followed by application of Apamarga Ksharasutra. Postoperatively, local wound care was carried out with Jatyadi Taila dressings, while Panchatikta Ghrita Guggulu was administered internally. Monitoring: Weekly and biweekly evaluations were performed using standardized wound assessment criteria: Vrana Strava (discharge), Vrana Akruti (wound size/volume), Vrana Varna (granulation), Slough, pain, and odour until complete wound healing was achieved. Healing rate (cm³/week) and Unit Healing Time (days/cm) were calculated. Statistical analysis was performed using the Wilcoxon Signed-Rank Test Results: All three wounds healed completely with 100% reduction in discharge, wound size, and slough and healthy granulation achieved. Healing rates were 4.38–10.5 cm³/week, while Unit Healing Time ranged from 16.8–22.2 days/cm, demonstrating effective controlled cutting and healing with Ksharasutra therapy. Conclusion: Ksharasutra therapy with Ayurvedic wound care achieved complete healing of recurrent, antibiotic-resistant scroto-anal fistula without recurrence. These findings highlight Ayurveda’s innovative role in managing complex surgical conditions and its potential as an emerging aid for global healthcare. |
| Keywords: | Keywords: Ksharasutra; Bhagandara; Scrotoanal fistula; Jatyadi Taila; Unit Healing Time |
| Cite Article: | "From Recurrence to Complete Healing: Innovative Ksharsutra Therapy as an Emerging Aid for Global Healthcare — a Case Study of Antibiotic-Resistant Scrotoanal Fistula", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2456-3315, Vol.11, Issue 4, page no.a381-a396, April-2026, Available :http://www.ijrti.org/papers/IJRTI2604053.pdf |
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2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016 An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator |
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Published Paper ID: IJRTI2604053
Registration ID:211101
Published In: Volume 11 Issue 4, April-2026
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Page No: a381-a396 Country: Nagpur, Maharashtra, India Research Area: Health Science Publisher : IJ Publication Published Paper URL : https://www.ijrti.org/viewpaperforall?paper=IJRTI2604053 Published Paper PDF: https://www.ijrti.org/papers/IJRTI2604053 |
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ISSN: 2456-3315
Impact Factor: 8.14 and ISSN APPROVED,
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