WHAT IS KSHAR SUTRA THERAPY AT SUKHAYU HOSPITAL?
Ksharasutra Therapy is an Ayurvedic Parasurgical Technique. Great Indian Surgeon Sushruta narrated in his teachings the use of Kshara for cure of fistula in ano and other anorectal diseases. The work of Sushruta was later compiled as "Sushrut Samhita" in the 5th century A.D. Acharya Chakrapani Datta (10-11 Century A.D.) and Acharya Bhav Mishra (16-18 century A.D.) have described in their classical Ayurvedic texts, the method of preparation and treatment of fistula in ano by use of Kshara Sutra (K.S.). It is being used for the successful treatment of Anorectal Diseases from many years.
In this technique, a specially prepared thread (Kshar Sutra) is used to cure diseases. Kshar Sutra acts by "Herbal Chemical Cauterisation" and removes the disease from the body.
Many studies have been published by Ayurvedic doctors recently with encouraging results for the treatment of fistula in ano and other anorectal diseases by use of Kshara Sutra.
WHAT IS KSHAR SUTRA?
Kshar Sutra or Alkaline Medicated Thread is the thread that is used to treat various anorectal problems. This thread is specially prepared by high potency ayurvedic herbs and can be used in many ways.
Preparation of Kshar Sutra:
Requirements:
- - Thread: Surgical Linen thread of size 20.
- - Latex of Euphorbia neriifolia
- - Haridra (Curcuma longa)
- - Apamarg Kshar (Achyranthus aspera)
Method of Preparation:
For the preparation of thread, surgical linen thread gauge number 20 is 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 is to be given alternatively.
The thread thus prepared is sterilized by ultraviolet radiation and placed in a polythene bag or glass tube.
COMMON TREATABLE DISEASES
THROUGH KSHAR SUTRA TREATMENT
01 PILES
Both Internal and External Hemorrhoids are treated with Ksharsutra Treatment successfully
Watch Video About Piles in Marathi Language
02 FISSURE
Chronic fissures with sentinel piles are very easily treatable
Watch the video about Fissures in Ano in the Marathi Language
03 FISTULA
All kinds of simple and complicated fistula can be safely cured
04 PILONIDAL SINUS
Kshar Sutra Therapy is the most preferred treatment for pilonidal sinus
05 PERIANAL ABSCESS
Painful Pus-filled boils around the back passage can also be treated
06 RECAL POLYP
All kinds of small and big rectal polyps can be permanently removed
HOW THE TREATMENT IS DONE?
Different procedures are adopted for different problems
- In Piles/Hemorrhoids - Kshar Sutra is tied at the base/root of the pile mass.
- The blood supply is cut and pile mass starts to dry.
- After a few days, pile mass sheds off.
- The root was permanently damaged through Kshar Sutra thereby reducing the chances of recurrence. - In Fissure - Fissure wound is healed by putting kshar sutra at the wound.
- Muscles got relaxed by the kshar present on the thread reducing the congestion. - In Fistula - Kshar Sutra is put in the fistula track.
- It starts draining out all the infection.
- Kshar Sutra is changed every week.
- Eventually the thread comes out itself by cutting the whole fistula. - In Pilonidal Sinus - the Sinus cavity is cleaned.
- Kshar paste is used to scrape the cavity walls.
- Kshar Sutra is put in the track and changed on weekly basis.
- Eventually, the thread comes out itself by cutting the sinus track. - In the Rectal polyp - Kshar Sutra is tied up at the base of the polyp.
- It dries up and finally sheds off.
Mode of Action of Kshar Sutra
- The cut-through of the fistulous tract is affected by the pressure exerted on anorectal tissue by the moderately tight Kshar Sutra tied in the fistulous tract.
- The presence of Kshar Sutra in the fistulous tract does not allow the cavity to close down from either end and there is a continuous drainage of pus along the Kshar Sutra itself.
- The Kshar Sutra slowly and gradually cuts through the fistulous tract from the apex to the periphery. There is an ideal simultaneous cutting and healing of the tract and no pocket of pus is allowed to stay back.
- The Kshara (Caustics) applied on the thread are anti-inflammatory, anti-slough agents and in addition, have the property of chemical curetting. The Kshar Sutra remains in direct contact of the tract and therefore, it chemically curettes out the tract and sloughs out the epithelial lining, thereby allowing the fistulous tract to collapse and heal.
- The Kshar Sutra, due to its antibacterial property, does not allow bacteria to multiply in its presence.
- The pH of Kshar Sutra was towards the alkaline side and therefore it did not allow rectal pathogens to invade the cavity.
