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1Kumari S , 2Himalayan K S , 3Sharma A.
1Lecturer, Dayanand Ayurvedic College, Jalandhar Punjab, India
2Sr. Lecturer, Department of Shalya Tanra, Gandhi Govt. P G Ayurvedic College Paprola , H.P, India
3Reader, Department of Shalya Tanra , Rajiv Gandhi Govt. P G Ayurvedic College Paprola , H.P, India
*Corresponding Author: Kumari Smita
Lecturer, Dayanand Ayurvedic College, Jalandahr,
Punjab. India. 144008.
Bhagandar is a cumbersome disease. The detailed description of the disease in the classical Ayurvedic texts is very much similar to the description of the disease in the modern medicine. The beginning is in the form of a pidika, the abscess, which, if not drained properly, converts into Bhagandar, the Fistula in ano. The treatment of bhagandar is usually prolonged, and recurrence is high. One of the reasons for challenges encountered during treatment and high rate of recurrence is the complexity of the structure of the fistula in ano and the difficulties associated with the accurate diagnosis of the condition. Various methods are in practice for the diagnosis of the condition including the classical methods like DRE, proctoscopy and fistulography; and advanced techniques like eendoanal sonography, CT scan and MRI. Despite various advancements in the diagnostic methods, the accurate diagnosis remains challenge. This study was planned to study the accuracy offered by these various diagnostic tools. From the outcome of the study it was concluded that Fistulogram is more accurate in giving information regarding the number of internal openings and the length of the fistulous tract whereas MR Imaging is more successful in revealing the types and the sub types of fistula, the extensions of fistula and the connections of the tract with the surrounding structures.
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