‘Kshar-sutra’ therapy in cases of fistula in ano, despite a long medical history of credentials & conduct, still possess a challenge to medical fraternity in terms of finding a satisfactory cure of the disease.
‘Ksharsutra’ is a popular treatment modality in India for the management of fistula in ano. It works by the action of excision, scraping, draining, penetrating, debridement & sclerosing as well as healing simultaneously without surgical excision.
The conventional method to insert a ksharsutra by using a metallic probe through an external opening may cause pain and discomfort to the patients. In some cases, this intervention is not possible without general anesthesia. The Ksharsutra may be inserted through an external opening by using an infant feeding tube (no.5 or 6) with the metallic guide wire to finding out the track easily & keep it in the track steady without causing pain as a day care procedure.
2. Panigrahi HK et al. Clinical evaluation of Ksharsutra therapy in the management of Bhagandara (fistula in ano)-a prospective study.2009:28(3):29-35. [PUBMED]
3. Mishra S. Bhaishjyakalpanavidhyan. Varanasi, India: Chowkhambha Sanskrit Sansthan; 2001. pp. 221–35; 301–2.
4. Shastri A, editor. Commentary ayurved tatva sandipika on sushruta samhita of sushruta sutras sthana; chapter 17 Verse 12. 12th ed. Varanasi, India: Chowkhambha Sanskrit Sansthan; 2001. p. 94.
5. Shastri R. Commentry vidyotini on charak samhita of siddhisthan; Chaptar1 Verse. 29. Varanasi, India: Chowkhambha Sanskrit Sansthan; 2009. p. 968.
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