KSHAR SUTRA TREATMENT FOR FISTULA IN ANO

KSHAR SUTRA TREATMENT FOR FISTULA IN ANO 

• FISTULA IN ANO is a disease in which patient feels a small boil or opening around the anal canal with pus discharge out of it.
• In some cases after the discharge swelling and pain subsides and patient feels relieved.
 • These symptoms may reappear, where as some has continuous pus discharge without any break.
CAUSES OF FISTULA IN ANO
• Any type of infection in the anal canal.
• ulcerativecolitis
 • chronic fissures
• crohn's diseases

INTRODUCTION

• Kshar sutra is a Sanskrit phrase in which KSHAR refers to anything that is corrosive or caustic; while SUTRA means a thread.
 • Kshar sutra is a therapy in ayurveda by Sushruta, Charak and Vagbhata.
 • It is a minimal invasive ayurvedicparasurgical procedure and time tested ayurvedic technique in managementof anorectal diseases.

ADVANTAGES OF KSHAR SUTRA

• Simple and safe parasurgical procedure.
• Can be done under local anesthesia.
• It is a day-care procedure.
• cost effective and ambulatory.
• minimalreccurence rate.
• No surgical complications like incontinence, stenosis and stricture.

PREPARATION OF KSHAR SUTRA
Kshar sutra is a medicated thread prepared by repeatedly coating it with ayurvedic herbs. The thread is coated till the pH of the thread becomes 9.72

MECHANISM OF ACTION OF KSHAR SUTRA

• It helps in cutting, curetting and healing of the fistulous track
 • It destroys and removes unhealthy tissue and promotes healing of the fistulous track due to its caustic action.
• Controls infection by microbicidal action.
 • Seperation of debris and cleaning of wound.
• Facilitate in drainage of pus in fistulous tract and help in healing.
 • cutting through the tissues and laying the track open.

INVESTIGATIONS

• Fistula in ano is confirmed by M.R.I fistulogram or USG.
.• For prophylasis purpose Hemogram,blood sugar, Tb and all viral markers are done.

APLICATION OF KSHAR SUTRA IN FISTULA IN ANO

·     Any type of infection in the anal canal.
·     ulcerative colitus
·     chronic fissures
·     crohn's diseases

INTRODUCTION

 Kshar sutra is a sanskrit phrase in which KSHAR refers to anything that is corrosive or caustic; while SUTRA means a thread.
·     Kshar sutra is a therapy in ayurveda by Sushruta, Charak and Vagbhata.
·     It is a minimal invasive ayurvedic parasurgical procedure and time tested ayurvedic technique in management of anorectal diseases.
ADVANTAGES OF KSHAR SUTRA
·     Simple and safe parasurgical procedure.
·     Can be done under local anesthesia.
·     It is a day-care procedure.
·     cost effective and ambulatory.
·     minimal recurrence rate.
·     No surgical complications like incontinence, stenosis and stricture.

PREPARATION OF KSHAR SUTRA

Kshar sutra is a medicated thread prepared by repeatedly coating it with ayurvedic herbs. The thread is coated till the pH of the thread becomes 9.72

MECHANISM OF ACTION OF KSHAR SUTRA

·     It helps in cutting, curetting and healing of the fistulous track..
·     It destroys and removes unhealthy tissue and promotes healing of the fistulous track due to its caustic action.
·     Controls infection by microbiological action.
·     Separation of debris and cleaning of wound.
·     Facilitate in drainage of pus in fistulous tract and help in healing.
·     cutting through the tissues and laying the track open.

INVESTIGATIONS

·     Fistula in ano is confirmed by M.R.I fistulogram or USG.
·     For prophylaxis purpose Hemogram,blood sugar, Tb and all viral markers are done.

APLLICATION OF KSHAR SUTRA IN FISTULA IN ANO

The thread is passed through the entire tract and both ends are tied and tightened once a week so that it cuts and heels the sinus tract.

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