E-ISSN 2347-6923 | ISSN 2277-4092
 
2026, Vol: 15, Issue: 3
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Case Report 


Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report

Ramesh Shivappa Killedar, Shubham Gupta, Pradeep Shahjirao Shindhe.


Abstract
Ischiorectal rectal abscess is a common ano rectal disorder with trauma as its rare cause. The most common complication of ischio rectal abscess is fistula in ano because of inadequate drainage of pus or improper dressing in the post-operative phase. The management in the contemporary science is described in two step procedure involving incision and drainage followed with fistula management. We present a case of traumatic bilateral ischio rectal abscess with blind internal opening at posterior midline. The case was managed by incision (Bhedana) and ksharasutra application (medicated seton therapy) bilaterally in a single step. Ksharasutra was changed every week till 3 weeks and then removed after confirming the growth of healthy granulation tissue without waiting for complete cut through of tract in order to minimise the pain and burden of the patient.

Key words: Traumatic Bilateral Ischiorectal abscess, Kshara sutra, Fistula in ano


 
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How to Cite this Article
Pubmed Style

Killedar RS, Gupta S, Shindhe PS. Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report. AAM. 2018; 7(1-2): 41-44.

Web Style

Killedar RS, Gupta S, Shindhe PS. Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report. https://www.aamjournal.in/?mno=278754 [Access: June 30, 2026].

AMA (American Medical Association) Style

Killedar RS, Gupta S, Shindhe PS. Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report. AAM. 2018; 7(1-2): 41-44.


Vancouver/ICMJE Style

Killedar RS, Gupta S, Shindhe PS. Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report. AAM. (2018), [cited June 30, 2026]; 7(1-2): 41-44.


Harvard Style

Killedar, R. S., Gupta, . S. & Shindhe, . P. S. (2018) Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report. AAM, 7 (1-2), 41-44.


Turabian Style

Killedar, Ramesh Shivappa, Shubham Gupta, and Pradeep Shahjirao Shindhe. 2018. Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report. Annals of Ayurvedic Medicine, 7 (1-2), 41-44.


Chicago Style

Killedar, Ramesh Shivappa, Shubham Gupta, and Pradeep Shahjirao Shindhe. "Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report." Annals of Ayurvedic Medicine 7 (2018), 41-44.


MLA (The Modern Language Association) Style

Killedar, Ramesh Shivappa, Shubham Gupta, and Pradeep Shahjirao Shindhe. "Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report." Annals of Ayurvedic Medicine 7.1-2 (2018), 41-44. Print.


APA (American Psychological Association) Style

Killedar, R. S., Gupta, . S. & Shindhe, . P. S. (2018) Management of Traumatic Bilateral Ischio Rectal Abscess (Gudagata Vidradhi) with Incision (Bhedana) and KsharaSutra (Medicated seton) Technique- A Case Report. Annals of Ayurvedic Medicine, 7 (1-2), 41-44.


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