Kshara Sutra therapy is a minimal invasive Ayurvedic Parasurgical procedure and technique in the management of Anorectal disorders.It is used in the treatment of Haemorrhoids and in Pilonidal Sinus. It is a cost effective method of treatment for fistula-in-ano, haemorrhoids and other sinus diseases. This technique is being practiced widely in our country since old ages and in some other countries.It is used for patients suffereing from Fistula-in-ano, haemorrhoids, sentinel piles, pilonidal sinus, rectal or anal polyps, warts etc.
The Standard Kshara Sutra is prepared by 11 coatings of Snuhi latex (Euphorbia nerifolia), 7 coatings of Snuhi latex and Apamarga Kshara (Achyranthes aspera) and last 3 coatings of Snuhi latex and Haridra Churna (Curcuma longum).
The patient is anaesthetized with local or spinal or general anesthesia, then a malleable probe is passed through the external opening of the fistula to the internal opening in the anal canal and probe is gently taken out through anal opening to outside along with a Kshara Sutra in the groove of the probe. Later both ends of the Kshara Sutra is tied together. The Kshara Sutra is replaced by a new one after an interval of one week. The Kshara Sutra gradually cuts and heals the tract. Finally the whole fistulous tract heals after cutting.
After rgw application of local anesthesia. First piles are taken out pile out of the anal orifice with the help of holding forceps.Then incision is given at mucocutaneous junction. Later slight pull exerted over the pile mass and transfixed by Kshara Sutra at the base. Pile mass is Ligated and rectal pack with Yastimadhu taila or ghrita.is used.
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