Asutkar Sheetal^1*, Yadav Yogesh², Dagar Meenakshi³, Kadav Amar⁴

¹Professor & HOD, Department of Shalya Tantra, Mahatma Gandhi Ayurved College & Hospital And Research Centre, Datta Meghe Institute of Higher Education and Research (Deemed To Be University) Salod (H), Wardha,Maharashtra, India.

^2,3,4PG Scholar, Department of Shalya Tantra, Mahatma Gandhi Ayurved college Hospital and Research Centre, Datta Meghe Institute of Higher Education and Research (Deemed to be University) Salod(H), Wardha, Maharashtra, India

DOI : http://dx.doi.org/10.47191/ijahm/v14i4.02

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ABSTRACT: Background: Anal fistula is a tract between anal canal and perianal skin which often arises from abscesses and can spread in various directions. It becomes complicated if associated with certain comorbidities like Diabetes mellitus. Fourniers gangrene is a complication associated with scrotal fistula. In Ayurveda it is referred to as Bhagandara. The surgical approach aims to be minimally invasive and reduce the chances of recurrence employing techniques such as fistulotomy, Kshar Sutra ligation and laser ablation which has gained popularity for treating fistulas. Case: A 51 year old male patient presented with a swelling in the scrotum along with severe pain at perianal region extending up to base of the scrotum,that was persistent for 5 days, which made sitting and walking difficult for him. Due to recurrent symptoms following surgery for perianal abscess four months prior, he was admitted for treatment.. He was managed and treated of recurrent fistula that originated from scrotal abscess. Discussion: This was Unmargi Bhagandara in which patient faced a challenge as he suffered with diabetes and severe pain. The patient was offered an approach of combining surgical techniques with Ayurvedic principles utilizing specific medications and innovative pain management methods which resulted in significant improvements. Conclusion: The remarkable outcome of this case truly demonstrates the results. It wasn't, about resolving the surgical issue; it also had a positive impact, on the overall wellbeing of the patient. This exemplifies how practicing Ayurveda entails adopting an integrated approach to successfully treat and care for patients.

KEYWORDS: Scrotal fistula, Fournier’s gangrene, Laser Surgery, Panchvalkala ointment, Murivenna Tail, Dhamasa suppository, recurrent fistula,

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