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Kshar Sutra Tips

Kshar Sutra & Fistula - How Can Former Handle The Latter?

Dr. Anju Srivastava 92% (10 ratings)
BAMS
Ayurvedic Doctor, Jodhpur
Kshar Sutra & Fistula - How Can Former Handle The Latter?

The modern lifestyle, along with providing comfort, has also made us susceptible to a host of diseases and ailments. The regular and indiscriminate intake of junk foods, high-salt content foods, and sugar-laden fizzy drinks deprives the body of necessary fiber and essential nutrients. These habits can cause the condition known as the fistula. What more, stress and sedentary lifestyles also figure among the primary causes of the disease.

Problem
Fistula can generate extreme pain and bleeding during or after passing stool, blood spots in the stool, and an uncomfortable feeling of something hanging from the anus. The disease can trigger a discharge of pus from the anus or the anal region, along with itching and a burning sensation. Constipation is an associated symptom.

Therapy
Traditional medicines, such as Ayurveda, recommend the Kshara Sutra treatment which is designed to offer both preventive care and relief from fistula. Kshara Sutra is a minimally invasive surgical procedure which helps patients and Ayurvedic practitioners to manage anorectal diseases. It is a safe and cost-effective means to treat fistula, hemorrhoids, and other similar diseases. Indian sages such as Sushruta and Charaka have attested to the efficacy of such Ayurvedic interventions. In modern times, the efficacy of the procedure has been re-evaluated by the Department of Shalya Tantra in the Benaras Hindu University. The technique is widely practised in India and some other countries.

Procedure
Patients undergoing Kshara Sutra are anesthetized with either local or general anesthesia. Then a malleable probe is passed through the external opening of the fistula to the internal aperture in the anal canal. The probe is taken out gently through the anal opening along with the Kshara Sutra. Later, both ends of the sutra are tied together. The process is repeated once every week and gradually helps in healing the infected tract.

Benefits
The treatment helps to cut, drain, and heal the fistulous track which causes the discomfort. It also destroys and helps in the removal of unhealthy tissues, thereby facilitating fast healing of the fistula tract. The Kshara Sutra therapy also controls infection through its microbicidal action. It separates the debris and completely cleans the wound.

Also, this simple and safe para-surgical process is ambulatory, and patient need not stay overnight in the hospital. They may freely pursue their day to day activities immediately after the process is administered. The treatment does not trigger any complications, such as incontinence or stenosis, or strictures. This makes it suitable for patients of all ages.

The procedure being natural, and promises prevention and cure, is recommended to patients that suffer from fistula. However, patients must be advised to seek consultations from trained medical practitioners.

2444 people found this helpful

Can Fistula Be Treated Without Surgery?

Dr. Arun Singh 92% (295 ratings)
BAMS, MD - General Surgery, Phd in Ayurveda
Ayurvedic Doctor, Varanasi
Can Fistula Be Treated Without Surgery?

Anal fistulas or fistula-in-ano generally cause discomfort due pus or watery discharges and sometimes pain. This is a condition where a nodular swelling appears in area surrounding the anal opening. Intermittent pus discharged is noticed from this nodular swelling. Instead of a nodular swelling; there might be simply an opening in this region. An anal abscess is one of the most common causes for this condition. Here are seven things you should know about these anal fistulas:

  1. It is curable through Ayurveda only: Till date many treatment options are tried to cure Anal Fistula which include Anal Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Anal Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Anal Fistula. 
  2. There are symptoms you can look out for: Some of the symptoms that indicate anal fistulas include appearance of a nodular swelling in area surrounding Anal opening. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and patient feels relief. But after certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of anal fistula.
  3. Medication can only provide temporary relief: Anti biotics and painkiller might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding anal opening. 
  4. Anal fistulas can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Anal Fistula. . 
  5. Anal fistulas treated by Graded Ksharsutra do not recur: Ayurvedic treatment for anal fistulas is known as Kshar sutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induces healing of Fistula tract. In few weekly sittings of Ksharsutra change; Fistula gets healed completely and it do not recur. Pt. maintains his normal routine life during treatment period. 
  6. Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection
  7. Oily and spicy foods should be avoided: When dealing with anal fistulas, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided. 

Comparative Study: 

Ksharsutra vs Surgery in Anal Fistula Patients- 

  1. Ksharsutra is done under Local Anesthesia. Hence complications of General Anesthesia are avoided. Surgical procedures are done under GA with all impending complications of General Anesthesia. 
  2. Ksharsutra being a parasurgical procedure hence no bleeding/ cutting of tissue is involved. Surgery involves cutting/ bleeding. 
  3. No hospitalization or bed rest is required in Ksharsutra Treatment. In Surgery hospitalization is must. 
  4. In Ksharsutra; patient can continue his normal daily routine Surgery may require bed rest. 
  5. Complications like incontinence (inability to hold stool) and recurrence are seen after surgery
  6. Ksharsutra is a safe procedure and these complications are not seen. 
  7. Ksharsutra Treatment is more economical as compared to VAAFT surgery. VAAFT Surgery is comparatively too expensive.
2605 people found this helpful

Treatment Of Fistula-In-Ano With Ksharsutra!

Dr. Pawan K. Sharma 88% (128 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurvedic Doctor, Sri Ganganagar
Treatment Of Fistula-In-Ano With Ksharsutra!

Fistula-in-Ano is a type of an abnormal hollow cavity that is lined with granulation tissue. It connects a primary opening inside the anal canal to the second opening in the perianal skin. There are certain conventional surgical methods like Fistulotomy and Fistulectomy, which have been used but they involve certain complications like delayed healing, narrowing down of the blood vessels or other tubular organs. Modern surgical techniques also come up with similar kinds of issues. Thus modern surgery cannot provide satisfactory modes of treatment for this problem.
Kshar Sutra is basically an ayurvedic parasurgical treatment that involves management of Anorectal disorders for treating Fistula-in-Ano. The technique is minimally invasive in nature.

Following are some of the tips related to the Ayurvedic Treatment Of Fistula-in- Ano with Kshar Sutra:

1. Safe and Extremely Cost-Effective:
This type of surgery uses a thread, also known as Kshar Sutra, especially prepared by herbal chemical cauterization. Cauterization is the medical practice of getting part of the body burnt, for either removing or closing off a particular part to cure diseases like Fistula-in-Ano. Hence, people can safely go for this treatment procedure because there is absolutely no risk element involved. Moreover, as the use of thread is involved in treating the problem, so basically, the minimum expense is involved. So patients need not pay much.

2. Customized Treatment:
Usually, three kinds of Kshar Sutra get used, depending upon the number of coatings and the quality of materials implemented. Coatings are created with ayurvedic herbs and treatment for each and every patient
takes place in a customized manner depending upon their individual requirements.

3. No Side-Effects:
As the coatings for the Kshar Sutra involve the use of ayurvedic herbs, so there is absolutely no chance of any side-effect as herbs are completely natural, having antiseptic, debridement and healing properties.

4. Can Get Rid of Other Disorders:
While undergoing the Kshar Sutra treatment for Fistula-in-Ano, patients are even routinely investigated with a special type of reference for any other associated disorder like Hypertension, Tuberculosis, Diabetes Mellitus, etc.
So, Kshar Sutra not only helps people to get relief from the problem of Fistula-in-Ano but also assists in getting rid of other associated problems.

5. Maintenance of Diet as Part of Ayurvedic Management:
Those patients, who suffer from the painful disease of Fistula-in-Ano, Ayurveda instructs them to maintain a healthy diet in the form of fruits and vegetables. On the contrary, they must avoid the excess amount of spicy foods, along with items that cause constipation and even make sure to not have too much garlic, and potato.

6. Keep Yourself Hydrated:
Drinking plenty of water is extremely essential as this helps to clear off the channels and also allow people to flush off stools and toxins from the body.

2196 people found this helpful

Kshara Sutra In Fistula - Why It Is Better Than Modern Surgery?

Dr. Vicky Gupta 89% (10 ratings)
MD- Ayurveda
Ayurvedic Doctor, Mumbai
Kshara Sutra In Fistula - Why It Is Better Than Modern Surgery?

Anal fistula is an anorectal disorder for which different treatment methods have been advocated from time to time. Certain conventional surgical methods like Fistulotomy and Fistulectomy have been used but they are associated with complications like delayed healing, the risk of stenosis (abnormal narrowing of the blood vessels or other tubular organs) etc.

Modern techniques of surgery like the ‘lay-open' method and ‘anorectal pathology' come with a similar number of intricacies like high rates of recurrence and anal incontinence, prolonged hospitalization etc. Therefore, even today this particular disease has no satisfactory method of treatments in modern surgery.

However, in Ayurveda, about 2000 years ago, the great Indian Surgeon Acharya Sushrata first narrated about the ‘Kshara', which was later, compiled into the work ‘Sushrat Samhita'. Kshara Sutra is a minimal invasive ayurvedic parasurgical technique, effective for the treatment of anorectal disorders like hemorrhoids, fistula-in-ano, Anal fissure and pilonidal sinus.

Why is it used to treat Fistula-In-Ano?
In this technique of surgery, a thread also called a Kshar Sutra thread is specially prepared which acts by herbal chemical cauterization (the medical practice of burning a part of the body to remove or close off a part) and cures diseases. Hence, this is the safest and cost-effective method to treat Fistula-In-Ano.

Procedure-
The Kshar Sutra is a surgical linen thread of size 20 is coated with ayurvedic herbs with no side effects. There are three types of Kshar Sutra based on the number of coatings and the quality of materials used. Each patient gets customized treatment as per his or her own requirements.

First, a malleable probe is made to pass through the external opening of the fistula to the internal aperture in the anal canal. It is then taken out gently through the anal opening along with the Kshar. Later both the ends are tied together.

A cumulative effect of the drugs coated on the Kshar exerts a powerful debridement effect on the fistula tract & prompts healing by new & healthy granulation tissues. Thus, this mechanism of drug delivery directly heals the tissues involved in an optimal time period.

The thread is changed once every week that gradually helps heal the infected tract. As a result, the chances of recurrence are minimal.

Benefits of Kshar Sutra over modern surgery techniques-

  1. An out-patient treatment, it is mostly conducted under local anesthesia
  2. The most significant benefit of Kshar Sutra therapy over conventional modern surgeries is that the muscles that support the anus and controls bowel movements are not dissected and hence the chances of anal inconsistency are lowered.
  3. The probability of anal stenosis (narrowing of the anal canal after treatment) are almost nil
  4. There is no damage done to Anal Sphincter
  5. Minimal chances of recurrence and bleeding
  6. Hospital stay is only for 4-5 hours
  7. There is no need for antibiotic coverage.
  8. The patient can get back to routine life after 3-5 days of the surgery
  9. Post-treatment recovery is speedy and without any complications
3196 people found this helpful

Piles - How Can Ayurveda Help?

Dr. Ashutosh Sharma 90% (10 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Piles - How Can Ayurveda Help?

Piles are Haemorrhoids which become inflamed and are accompanied with bleeding. Haemorrhoids can be defined as masses or clumps of tissues developing in the anal canal. Haemorrhoids comprise of blood vessels, support tissues, muscles and elastic fibers.

Bleeding piles can be treated using several methods or forms of surgery. The ayurvedic form of treatment called agni karma is an effective, natural cure for bleeding piles. On the other hand, a medical procedure known as infrared coagulation therapy can also be executed for the efficient treatment of bleeding piles or haemorrhoids.

Agni karma- an Ayurvedic Remedy for Treating Piles
In Sanskrit, the word 'Agni' refers to 'Fire'. Agni karma is an ayurvedic therapy, which involves the use of agni or fire. It is also called cauterization. Agni karma is popularly called Dahan Karma. Agni karma is used in the treatment of many diseases of different type. It is a good method for the treatment of bleeding piles.

In this process, any ailing surface of the body or a tissue, such as haemorrhoids, is destroyed and burnt by using a heated instrument using electric current and by freezing. An acidic agent for cutting like kshar karma is also used in the process of agni karma for the treatment of bleeding piles.

The different types of agni karma include:

  1. uchchh dagdha /scarce agni karma
  2. Durdaghda/ inappropriate burning surgery
  3. Aati dagdha /powerful or excess cauterization
  4. Samyak dagdha / appropriate agni karma

Infrared Coagulation Therapy-

Infrared coagulation therapy or infrared photocoagulation is a medical process which is used to treat bleeding piles or haemorrhoids, and can only cure internal haemorrhoids.

During the process, a device is utilized, which produces a beam of intense, powerful infrared light. The heat released by the infrared light causes scar tissue and blood supply to the haemorrhoids to be cut off. This results in the death of haemorrhoid or piles, and a scar forms on the anal canal wall. The surrounding veins are held together by the scar tissue which avoids them bulging into the anal canal.

Agni karma, the ayurvedic treatment, is considered to an effective medical treatment procedure of infrared coagulation therapy. This is because:

  • Agni karma is a much more natural method of treatment for bleeding piles, and no unnatural substance like infrared light beam is used.
  • Agni karma provides treatment without failure, and success is guaranteed. 

Besides, guggulu kshar sutra therapy is also one of the best therapies - No side effects & no chances of recurrence, no hospital stay, no pain, join duty immediately.

Treatment-

Surgical treatment of piles is not necessary; rather it has been observed that recurrence of the condition is experienced by people who usually undertake surgery. Treatment of piles using Ayurveda usually includes dietary and lifestyle changes; making most of the remedies easily implementable. Listed below are some Ayurvedic remedies:

  1. Herbs: Herbs used for ayurvedic treatment of piles include Haritaki and jimikand.
  2. Diet: Permanent moderation of diet is needed for the treatment of piles. Some dietary changes include:
    • Starchy foods such as yellow pumpkin and potato should be avoided and replaced with fibrous foods.
    • Inclusion of mango and sesame seeds adds bulk to the diet and helps in preventing constipation.
    • Natural food softeners such as ‘jambul’, ‘amalaki’, dried figs and papayaare also recommended.
    • Vegetables having larger amounts of roughage, such as turnip, onions, radishginger and bitter gourd should be added to the diet.

 

3137 people found this helpful

Fistula-In-Ano - 7 Must Know Things To Avoid Surgery!

Dr. T.Pallavi 91% (73 ratings)
Bachelor of Ayurvedic Medicine and Surgery, PG Diploma in Ksharasutra, MUHS
Ayurvedic Doctor, Hyderabad
Fistula-In-Ano - 7 Must Know Things To Avoid Surgery!

Anal fistulas or fistula-in-ano generally cause discomfort due pus or watery discharges and sometimes pain. This is a condition where a nodular swellingappears in area surrounding the anal opening. Intermittent pus discharged is noticed from this nodular swelling. Instead of a nodular swelling; there might be simply an opening in this region. An anal abscess is one of the most common causes for this condition.

Here are ten things you should know about these anal fistulas:

  1. It is curable through Ayurveda only: Till date many treatment options are tried to cure Anal Fistula which include Anal Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Anal Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Anal Fistula. 
  2. There are symptoms you can look out for: Some of the symptoms that indicate anal fistulas include appearance of a nodular swelling in area surrounding Anal opening. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and patient feels relief. But after certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of anal fistula.
  3. Medication can only provide temporary relief: Anti biotics and painkiller might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding anal opening. 
  4. Anal fistulas can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Anal Fistula. . 
  5. Anal fistulas treated by Graded Ksharsutra do not recur: Ayurvedic treatment for anal fistulas is known as Kshar sutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induces healing of Fistula tract. In few weekly sittings of Ksharsutra change; Fistula gets healed completely and it do not recur. Pt. maintains his normal routine life during treatment period. 
  6. Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection
  7. Oily and spicy foods should be avoided: When dealing with anal fistulas, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided. 

Comparative Study: 

Ksharsutra vs Surgery in Anal Fistula Patients-

  1. Ksharsutra is done under Local Anesthesia. Hence complications of General Anesthesia are avoided. Surgical procedures are done under GA with all impending complications of General Anesthesia. 
  2. Ksharsutra being a parasurgical procedure hence no bleeding/ cutting of tissue is involved. Surgery involves cutting/ bleeding. 
  3. No hospitalization or bed rest is required in Ksharsutra Treatment. In Surgery hospitalization is must. 
  4. In Ksharsutra; patient can continue his normal daily routine Surgery may require bed rest. 
  5. Complications like incontinence (inability to hold stool) and recurrence are seen after surgery
  6. Ksharsutra is a safe procedure and these complications are not seen. 
  7. Ksharsutra Treatment is more economical as compared to VAAFT surgery. VAAFT Surgery is comparatively too expensive.
4869 people found this helpful

Why You Should Go For A Kshar Sutra Treatment Over Modern Surgery?

Dr. Vijay Dagar 86% (25 ratings)
BAMS, Ksharsutra
Ayurvedic Doctor, Delhi
Why You Should Go For A Kshar Sutra Treatment Over Modern Surgery?

Kshar Sutra therapy is a minimal invasive Ayurvedic procedure which helps in the treatment of Anorectal disorders. It is a safe and inexpensive procedure for treating fistula-in-ano, haemorrhoids and other sinus diseases.

Procedure
Kshar Sutra is first prepared by coating a surgical linen thread with Snuhi latex for eleven times, Snuhi latex and Apamarga Kshar for seven times and in the last step, three coatings of latex and Haridra powder are given in alternate steps. The prepared thread is then sterilized by ultraviolet radiation and placed in a glass tube or polythene bag.

Then the Kshar Sutra thread is tied in the fistulous tract tightly. This thread prevents the cavity from closing down from both the sides and facilitates drainage of pus. After this, the Kshar Sutra gradually cuts through the fistulous tract from the apex to the periphery. There is simultaneous cutting and healing of the tract, which ensures that not even a little pus is left. Since the thread stays in direct contact with the tract, it chemically scrapes off the impurities from the tract and slowly removes the epithelial lining thereby allowing the tract to repair and heal.

Benefits of Kshar Sutra treatment over modern surgery

  1. This treatment is mostly performed under local anaesthesia and normally takes around 20-50 minutes to perform whereas modern surgery normally uses general anaesthesia and takes around 1-2 hours to complete.
  2. Hospital stay does not extend beyond 5-6 hours and the patient can go back to their normal lives within 3-5 days. In case of modern surgery, the patient needs around 1-2 weeks to fully recover.
  3. Kshar sutra treatment is more cost effective than modern surgery.
  4. Possibility of it coming back after Kshar sutra ligation procedure is quite unlikely.
  5. The biggest benefit of Kshar Sutra treatment over modern surgery is that the muscles which support the anus and works towards regulating the bowel movements are not affected, which ensures that the patient doesn’t have to suffer from anal incontinence.

After the Kshar sutra procedure, it is very important to follow a fibre rich diet and avoid any kind of food that would cause constipation. Patients are also advised to keep the anal region clean and do proper dressing.

 

4874 people found this helpful

Fistula-In-Ano - Ayurvedic Management & Surgery (Ksharsutra) For It!

Dr. Sukrant Sharma 91% (178 ratings)
Ms - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Jammu
Fistula-In-Ano - Ayurvedic Management & Surgery (Ksharsutra) For It!

Fistula-in-Ano is a type of an abnormal hollow cavity that is lined with granulation tissue. It connects a primary opening inside the anal canal to the second opening in the perianal skin. Ayurveda has perfect surgical techniques which can help you root out this problem without leaving any chances of recurrence.

Kshar Sutra is basically an ayurvedic parasurgical treatment that involves management of Anorectal disorders for treating Fistula-in-Ano. The technique is minimally invasive in nature. Following are some of the tips related to the Ayurvedic Management & Kshar Sutra in Fistula-in-Ano:

Safe and Extremely Cost-Effective: This type of surgery uses a thread, also known as Kshar Sutra, especially prepared by herbal chemical cauterization. Cauterization is the medical practice of getting part of the body burnt, for either removing or closing off a particular part to cure diseases like Fistula-in-Ano. Hence, people can safely go for this treatment procedure because there is absolutely no risk element involved. Moreover, as the use of thread is involved in treating the problem, so basically, the minimum expense is involved. So, patients need not pay much.

Customized Treatment: Usually, three kinds of Kshar Sutra get used, depending upon the number of coatings and the quality of materials implemented. Coatings are created with ayurvedic herbs and treatment for each and every patient takes place in a customized manner depending upon their individual requirements.

Can Get Rid of Other Disorders: While undergoing the Kshar Sutra treatment for Fistula-in-Ano, patients are even routinely investigated with a special type of reference for any other associated disorder like Hypertension, Tuberculosis, Diabetes Mellitus etc.

So, Kshar Sutra not only helps people to get relief from the problem of Fistula-in-Ano but also assists in getting rid of other associated problems.

  • Maintenance of Diet as Part of Ayurvedic Management: Those patients, who suffer from the painful disease of Fistula-in- Ano, Ayurveda instructs them to maintain a healthy diet in the form of fruits and vegetables. On the contrary, they must avoid the excess amount of spicy foods, along with items that cause constipation and even make sure to not have too much of garlic, chillies and potato.
  • Keep Yourself Hydrated: Drinking plenty of water is extremely essential as this helps to clear off the channels and also allow people to flush off stools and toxins from the body.
5241 people found this helpful

Benefits Of Kshara Sutra In Fistula Than Modern Surgery!

Dr. Ritesh Chawla 90% (1168 ratings)
B.A.M.S, M.D In Ayurvedic Medicine
Ayurvedic Doctor, Amritsar
Benefits Of Kshara Sutra In Fistula Than Modern Surgery!

Anal fistula is an anorectal disorder for which different treatment methods have been advocated from time to time. Certain conventional surgical methods like Fistulotomy and Fistulectomy have been used but they are associated with complications like delayed healing, the risk of stenosis (abnormal narrowing of the blood vessels or other tubular organs) etc.

Modern techniques of surgery like the ‘lay-open' method and ‘anorectal pathology' come with a similar number of intricacies like high rates of recurrence and anal incontinence, prolonged hospitalization etc. Therefore, even today this particular disease has no satisfactory method of treatments in modern surgery.

However, in Ayurveda, about 2000 years ago, the great Indian Surgeon Acharya Sushrata first narrated about the ‘Kshara', which was later, compiled into the work ‘Sushrat Samhita'. Kshara Sutra is a minimal invasive ayurvedic parasurgical technique, effective for the treatment of anorectal disorders like hemorrhoids, fistula-in-ano, Anal fissure and pilonidal sinus.

Why is it used to treat Fistula-In-Ano?
In this technique of surgery, a thread also called a Kshar Sutra thread is specially prepared which acts by herbal chemical cauterization (the medical practice of burning a part of the body to remove or close off a part) and cures diseases. Hence, this is the safest and cost-effective method to treat Fistula-In-Ano.

Procedure-
The Kshar Sutra is a surgical linen thread of size 20 is coated with ayurvedic herbs with no side effects. There are three types of Kshar Sutra based on the number of coatings and the quality of materials used. Each patient gets customized treatment as per his or her own requirements.

First, a malleable probe is made to pass through the external opening of the fistula to the internal aperture in the anal canal. It is then taken out gently through the anal opening along with the Kshar. Later both the ends are tied together.

A cumulative effect of the drugs coated on the Kshar exerts a powerful debridement effect on the fistula tract & prompts healing by new & healthy granulation tissues. Thus, this mechanism of drug delivery directly heals the tissues involved in an optimal time period.

The thread is changed once every week that gradually helps heal the infected tract. As the result, the chances of recurrence are minimal.

Benefits of Kshar Sutra over modern surgery techniques-

  1. An out-patient treatment, it is mostly conducted under local anesthesia
  2. The most significant benefit of Kshar Sutra therapy over conventional modern surgeries is that the muscles that support the anus and controls bowel movements are not dissected and hence the chances of anal inconsistency are lowered.
  3. The probability of anal stenosis (narrowing of the anal canal after treatment) are almost nil
  4. There is no damage done to Anal Sphincter
  5. Minimal chances of recurrence and bleeding
  6. Hospital stay is only for 4-5 hours
  7. There is no need for antibiotic coverage.
  8. The patient can get back to routine life after 3-5 days of the surgery
  9. Post-treatment recovery is speedy and without any complications
6722 people found this helpful

Ksharsutra in the Treatment of Fistula in Ano, Anorectal Disorders!

Dr. Vijay Dagar 86% (25 ratings)
BAMS, Ksharsutra
Ayurvedic Doctor, Delhi
Ksharsutra in the Treatment of Fistula in Ano, Anorectal Disorders!

An anorectal condition can be difficult to live with and often remains undiagnosed, due to it being perceived as an embarrassing ailment. Fistulas are conditions where two body parts, that are not meant to be connected, become linked as part of the disorder. Rectal fistulas can be painful and standard treatments are available, which can cure the condition. However, these treatments come with serious side effects.

Most people prefer Ayurvedic fistula treatments over the conventional medications for the lack of side effects as such. Ksar sutra is one such branch of treatment in Ayurveda, which has shown tremendous results against fistulas. Here is a look at all that you need to know about Kshar Sutra.

What does Kshar Sutra mean?
Kshar Sutra is a form of treatment, which uses threads laced with the juices of medicinal herbs to treat rectal fistulas. ‘Kshar’ refers to the herbs and ‘Sutra’ stands for the thread used for the treatment. It is a minimally invasive surgical procedure with almost no side effect or danger. The Kshar Sutra form of treatment was first discovered by Sushruta, Vagbhata and Charak. In recent times, BHU’s Shalya Tantra Department has once again proved its efficacy in case of rectal disorders.

 

How is the treatment done?
Once the thread has been coated with the medicinal herbs, the same thread needs to be inserted into the fistula in ano. The patient is anaesthetized and the thread is inserted into the fistula using a probe. The thread is then taken out from the other side and the two ends of the thread are tied together. This thread is changed after every 7 days. This thread insertion effectively cuts the tract and unhealthy tissue is removed from the region.

Why is Kshar Sutra beneficial?
Benefits for this form of treatment include-

  1. Lower risk of anal incontinence, which may occur in case of conventional medicine and surgery.
  2. Lower risk of the anal canal getting narrower after the treatment is completed.
  3. Minimally invasive treatment, which is why patients can resume normal life after just 3-4 days of recovery.

Apart from the treatment, patients should also follow a diet rich in fibre, fruits and vegetables. Drinking large quantities of water will also result in a better prognosis. Lastly, engaging in daily walks will also help you deal with the condition. In case you have a concern or query you can always consult an expert & get answers to your questions!

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