Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

@article{193183,
        author = {DR.SONALI KALPANA RAJENDRA KENDALE and DR.SUDHIR KANDEKAR},
        title = {“Anatomical Intervention in Bhagandara Chikitsa: Classical Insights And Modern Laser Application”},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {12},
        number = {9},
        pages = {4258-4263},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=193183},
        abstract = {Bhagandara (fistula-in-ano) is a chronic inflammatory tract of the Guda region described in detail in Sushruta Samhita and elaborated by Dalhanain NibandhaSangraha, with parallel conceptual insights in Charaka Samhita through Chakrapani’s commentary. Modern management has evolved toward sphincter-preserving techniques such as laser-assisted fistula closure (FiLaC), which aim to eradicate the fistulous tract while maintaining anatomical and functional integrity of the anal sphincter complex.
This study presents a detailed Rachana Sharira–based anatomical analysis of laser intervention before, during, and after surgery, integrating classical Ayurvedic descriptions.
A comparative anatomical evaluation between Ksharasutra therapy and laser technique is also undertaken to assess tissue involvement, sphincter preservation, and healing patterns.
The integrative analysis reveals that laser therapy functionally corresponds to the Ayurvedic principle of controlled Agnikarma with Marma preservation, while offering superior anatomical conservation of sphincter structures. Thus, a combined classical–modern anatomical framework enhances surgical precision and supports evidence-based integration in the management of Bhagandara.},
        keywords = {Bhagandar, fistula-in-ano, guda, laser treatment},
        month = {February},
        }