A CLINICAL STUDY OF SUBMUCOSAL LIGATION OF FISTULA TRACT (SLOFT) FOLLOWED BY LEKHAN KARMA AND AGNIKARMA IN THE MANAGEMENT OF BHAGANDAR (FISTULA-in -Ano)

Anorectal disorders are a group of medical disorders that occur at the junction of the anal canal and the rectum. Fistula-in-ano (Bhagandara) is one of the most common ano rectal diseases. Shalya Tantra offers different therapeutic measures for the management of Anorectal disorder ;Bhagandara (Anal Fistula) such as; Ghrita, Pichu, Pratisaraniya Kshara, Tail Daha, Vedana-Sthapana Mahakashaya Ghanavati, Kshar Sutra and Tankan Kshar Sutra. These therapies offer Vata-pitta shaman, jantu-ghna & shotha-nashaka properties thus helps in the management of Anorectal disorders.The formation of a pidika leads development of Bhagandar characterized by opening around gud pradesh along with painful pus discharge. Many samhitas have description of AgniKarma as we know Agnikarma in classical. Ayurveda is a generalized therapeutic procedure, which can be useful in various disorders(Arsh, bhagandar, parikartika etc.) and also at an emergency,which are doing for some particular conditions. Agnikarma is easy and quick procedure to perform and also effective. AgniKarma is one of the fast procedure to reduced vedana (pain).SLOFT (submucosal ligation of fistula tract) is a modification of LIFT. LIFT is associated with high recurrence and is technically difficult. LIFT has higher chances of intersphincteric abscess, has chances of internal sphincter damage and leaves an external scar. SLOFT (Submucosal ligationof fistulous tract ) is easy to learn and teach, has lesser complications, early recovery, minimal incontinence and cost-effective.