Dr. G. Rajendra Kumar Fistula Clinic, Malakpet

Kshar sutra is now a popular treatment modality in India for the management of fistula in ano, piles, fissure tag, pilo-nodal sinus. Many clinical trials have done all over in different institutes to evaluate the action. In countries like sri lanka and Japan also many clinical trial has already done and established it. Precisely the action of kshara sutra is thought to be due to its healing and cleansing effect according to Ayurveda. It can be suggested that due to the anti microbial action, and as a seton it allows the proper drainage of pus from the fistula, that leads to a proper healing. On the other hand the cutting effect of thread incises the skin gradually without a surgical incision. Many studies confirms that it is more effective in the way of reducing hospital stay and less infection than the conventional seton therapy.Researches suggests that it is having the action of excision, scrapping, draining, penetrating, debridement, sclerosing and healing. It is bactericidal and bacteriostatic., (concept of ayurveda).