Intro:
Fistula-in-Ano is an anorectal disease that almost always demands surgical intervention. But even after surgery, the recurrence rates are high. Kshara sutra (medicated thread therapy) is a simple, safe, effective and minimally invasive para surgical day care procedure for diseases like Fistula-in-Ano. Thus Kshara sutra has been a hallmark of Ayurvedic surgery and is made in India. It is mentioned by Sushruta, chakradatta etc.
Mode of action:
- Cutting (of the tract), draining (of the pus), curetting (of unhealthy tissues) and healing (of fistula) occurs simultaneously
- Due to the chemical cauterization, it removes the unhealthy tissue thus promotes healing
- Being caustic it acts as an antimicrobial agent
- Controls secondary infection due to medicinal properties
Why Ksharasutra?
- Minimally invasive para surgical procedure
- Daycare procedure i.e no hospital stay
- Routine works unaffected
- Minimal pain
- No side effects
- Low recurrence rates
- Cost-effective
- Simultaneous cutting and healing of the tract
- Usually performed under local anaesthesia
- Effective results in 3-6 weeks (1 sitting per week)
- No risk of incontinence (due to sphincter damage)
- Suitable for multiple Fistula-in-Ano
- Cures recurrent operated anal fistula
- Avoids surgery
- Widely accepted
- Clinically proven
- Made in India
Other indications of Ksharasutra:
- Pilonidal Sinus
- Haemorrhoids (Piles)
- Sentinel pile
- Anal polyp etc
Diseases treated with Ksharasutra have nil/lowest recurrence rates if performed by a skilled Ayurvedic Surgeon technically.