Surgical Management of Bhagandara by IFTAK Method – A case study

  • Ranjani Bidaralli Assistant Professor, Dept. of Shalya Tantra, Taggina Matha Arts & Education Society’s Ayurvedic Medical College, Shivamogga, Karnataka, India
  • Venkatakrishna KV Prof & HOD, Department of PG Studies in Swastha Vritta, Govt Ayurveda Medical College, Mysuru, Karnataka, India
Keywords: Bhagandara, Fistula-In-Ano, fistulotomy, IFTAK, Kharasutra


Perianal abscesses are the most common type of anorectal abscess. It is confined to the perianal region. Pidaka or abscess in the perianal region is the premonitory condition if left untreated results in formation of Bhagandara or Fistula in Ano. In this case study, IFTAK [Interception of fistulous tract with application of Kshara Sutra] method was used in treating a complex intersphincteric fistula in ano successfully.  Though Ksharsutratherapy is big revolution in the field of fistula in ano and numerous studies have lauded its effectiveness, it has some disadvantages like long anxiety period of treatment, severe post-procedural pain, big scar mark.  The present study IFTAK minimizes duration of therapy with minimal post operative scar. Hence shows betterment in the consequences of conventional method of Ksharsutra therapy. Here in this case, IFTAK method was used under local anaesthesia. Kshara Sutra was changed upto 5 months. The fistula healed in 6 months. As this was a complex multibranched fistula average cutting and healing period is dependent on various general and local factors.   This study revealed an early complete remission of the track by IFTAC method when compared with the Conventional Kshara sutra method. According to the length kshara sutra application takes 40-42 weeks and in this IFTAK technique it was cured in 26 weeks. During follow-up for 120 days no recurrence was noted. Hence IFTAK technique was found very effective due to its comparatively less duration of treatment and minimal scar.

How to Cite
Bidaralli, R., & KV, V. (2022, July 3). Surgical Management of Bhagandara by IFTAK Method – A case study. International Journal of AYUSH Case Reports, 6(2), 207-213. Retrieved from
Case Reports