Ksharasutra Therapy is an Ayurvedic para surgical technique. The great Indian surgeon Sushruta narrated in his teachings the use of Kshara for the cure of fistula in anal and other anorectal diseases. In this technique, a specially prepared thread (Kshar Sutra) is used to cure the diseases. Kshar Sutra acts by "Herbal Chemical Cauterization" and removes the disease from the body. For the preparation of thread, surgical linen thread gauge number 20 will be manually coated eleven times with the latex of Euphorbia neriifolia, followed by seven coatings of the latex and the alkaline powder of Achyranthus aspera alternatively, and dried. In the final phase, three coatings of latex and powder of Curcuma longa will be given alternatively. The presence of Kshar Sutra in the fistulous tract does not allow the cavity to close down from either ends and there is a continuous drainage of pus along the Kshar Sutra itself. The benefits of Ksharsutra Therapy are that it is an Out Patient Treatment and is performed under local anesthesia. Only 30- 45 minutes is required for the procedure. Hospital stay is not required and minimal bed rest is advised after the procedure. The patient can resume his / her daily routine within 3 to 5 days. The recurrence rate is very less after Ksharsutra ligation procedure. The most important benefit of Kshar Sutra over modern surgeries is that the muscles that support the anus and helps in controlling the bowel movements are not dissected and so anal incontinence is not there.
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