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Acharya Sushrut has included Bhagandar among the Ashtamahagad.1 At first it is present as Pidika (boil/abscess) in Apakwa (unsupported) state, become Bhagandar when it becomes Pakwa (suppurated).2 As defined in modern science, it is correlated with fistula in ano. Ayurvedhas a unique way of treating fistula in ano. All type of fistula in ano responds well to different types of Kshar sutra as well as Ksheer sutra therapy. Kshar/Ksheer sutra is a medicated seton. Udumbar Ksheer sutra is one among them developed in 1984 by Prof P.J Deshpande and M.K Jalan.3 Its use is in vogue from last many years but yet recurrence of fistula in ano managed by itis not assessed yet. To evaluate the efficiency of any treatment it is very important to evaluate the recurrence rate of the disease after the treatment because it . ABSTRACT

Evaluation of Recurrence rate of Bhagandar (Fistula in ano) managed by Udumbar (Ficusglomarata) KsheerSutra - Protocol