KSHARSUTRA TREATMENT

KSHARSUTRA TREATMENT

WHAT IS KSHARSUTRA ?

The Ksharsootra /Ksharsutra is a type of thread / medicated setone prepared by coating and recoating the thread 15 to 21 times with different drugs of plant origin. The mechanical action of the treads and the chemical action of the drugs coated on the thread, to gather do the work of cutting, curetting, draining, and cleaning the fistulous track, thus promoting healing of the track/ wound. A number of drugs like:

• Apamarg kshar
• Kadali kshar
• Arka kshar
• Nimb kshar
• Snuhi ksheer
• Udumber ksheer
• Papaiya ksheer

And natural antibiotic like haridra powder, guggulu, etc are used in the preparation of different kind of Ksharsutra. It takes a number of days to prepare this Ksharsutra since the previous coat has to dry before the next is applied. Different kinds of Ksharsootra are prepared using different drugs. These Ksharsutra are passed through the track (usually under short anesthesia) and the two ends of the thread are tied forming a loop. The changing of the thread is a simple opd procedure taking about 1 to 2 minutes and requires no anesthesia. the thread gradually cuts through the tissue. The tissues above the thread heal up. Hence when at last the loop of thread comes out, the track is healed.

KSHARSOOTRA

(medicated setone) therapy is practiced in India since times immemorial. Modified and revived by the late Dr. P. J. Deshpande. The Ksharsootra therapy is a unique treatment of Ayurveda gaining popularity globally. Special types of medicated setone are used in this procedure Found to be effective in any ano rectal conditions, it has many advantages in the treatment of Anal fistulae.

BENEFITS OF THE KSHARSUTRA LIGATION PROCEDURE OVER OTHER METHODS

The Ksharsootra ligation method is an age old, time tested procedure originally performed by Sushruta (the father of surgery) around 300 ad. The fact that it is still in practice to day is a proof in it self of its efficacy.

The Ksharsutra procedure is performed under short acting anesthesia / local anesthesia and some times even without anesthesia.

The procedure usually dose not require hospitalization for more than 4 to 5 hours.

The patient requires minimal bed rest & can resume his / her daily routine within 12 to 24 hours.

It gives freedom from pain full dressings.

There is no loss of glutial mussels and hence the anatomy of the peri anal region is not distorted.

The procedure lives just a pencil scar at the site.

The recurrence rate which is usually found to be quite high after other methods is less than 2% after Ksharsutra ligation procedure. This is because the medicines on the thread gradually and continually curate the payogenic membrane and fibrous tissue in the track and thus leave no pus pockets undrained.

Chances of partial or complete incontinence of flatus or / and faces (loss of control of passing stool / flatus) are always present in many types of fistula, (especially in fistulae involving the sphincter muscles after the conventional procedure. ( Fistulectomy /Fistulotomy ). There are no chances of developing incontinence in Ksharsutra ligation method.

Chances of partial or complete incontinence of flatus or / and faces (loss of control of passing stool / flatus) are always present in many types of fistula, (especially in fistulae involving the sphincter muscles after the conventional procedure. ( Fistulectomy /Fistulotomy ). There are no chances of developing incontinence in Ksharsutra ligation method.

HOW CAN I TAKE CARE OF MYSELF ?

• Using stool softeners
• Adding fiber to your diet
• Drinking plenty of water, up to 8 eight-ounce glasses a day
• Taking warm baths
• Using clean, moist pads to wipe the area around the anus, to remove irritating particles and fluid from the fistula.
• Using special skin creams to soothe irritated tissue.

How can i help prevent an anal fistula?

Follow these guidelines to help prevent an anal fistula. They help to keep the lower gastrointestinal tract healthy. Have regular physical exams to look for underlying diseases of the rectum. Be aware of the signs and symptoms of bowel disease, and seek medical attention if any appear.