Surgical/Para-surgical Protocol
Bhedana (Incision and Drainage)
in Bengaluru
Bhedana is the surgical procedure of incision and drainage. It involves making a calculated cut into a fluctuant swelling, abscess, or pus pocket to drain out accumulated toxic fluids (pus, blood, or localized water).
Clinical Benefits
- Provides instantaneous relief from the throbbing pain of a ripe abscess or boil
- Prevents an abscess from bursting internally and causing systemic sepsis
- Rapidly drains severe, infected cysts (like acute pilonidal cysts)
- Clears the pathway for deep wound healing therapies
Clinical Procedure
1. Preparation (Purvakarma)
- • The swelling is assessed. If it is "ripe" (fluctuant and pointing), it is ready for Bhedana. Local anesthesia is given.
2. Main Action (Pradhana Karma)
A sharp, decisive incision is made using a surgical blade at the most dependent (lowest) point to allow gravity drainage. The pus/fluid is completely evacuated.
3. Post-Therapy (Paschatkarma)
- • The cavity is flushed with cleansing decoctions (Vrana Shodhana) and packed with a medicated wick (Varti) to prevent premature surface closure.
Patient FAQs
Why wait for the abscess to "ripe"?
If you cut into an unripe swelling, there is no localized pus to drain; it causes severe bleeding, massive pain, and spreads the infection. Ayurveda uses poultices (Upanaha) to force an unripe abscess to ripen and localize before making the cut.
Medically Reviewed by Dr Abhiram SSBAMS (Reg No: 36991)
Chief Consultant, Ayurvedic Rheumatology & Dermatology • Updated: 2026-07-24
Protocol Details
Duration
10 to 15 minutes.Frequency
A one-time procedure, followed by days of wound dressing.Primary Indications
condition-fistula-in-anocondition-pilonidal-sinuscondition-acne-vulgaris
Contraindications
- Unripe (Ama) swellings that have not localized their pus
- Bleeding disorders
- Swellings over major arteries or deep vital organs