Dr. Parameshwara C M in conversation with www.thehealthsite.com
Kshar Sutra is an ayurvedic parasurgical treatment used to help manage anorectal disorders such as hemorrhoids, fistula-in-ano, anal fissure, and pilonidal sinus.
Kshar Sutra is performed by first coating a surgical linen thread of gauge number 30 with Snuhi Latex 11 times, snuhi latex and Apamarga Kshara 7 times, and snuhi latex and turmeric powder 3 times. The patient is anaesthetized and a malleable probe with the surgical linen thread (called the Kshar Sutra) in its groove is passed through the external opening of the fistula to its inside and the probe is then carefully taken out with the Kshar Sutra intact. After this, both ends of the Kshar Sutra are tied together and replaced with a new one after a week. After this procedure, the tract is eventually cut and healed because of the removal of unhealthy tissue. This controls microbial infection and facilitates drainage of pus in the tract aiding in healing.
– Our chief colo-rectal surgeon Dr Parameshwara C M
According to Dr Parameshwara C M, the therapy for Pilonidal Sinus is done in a similar manner while for haemorrhoids, a patient is first sedated after which the pile mass is brought out of the anal orifice using forceps and then the mass is given an incision at the mucocutaneous joint after which the pile mass is pulled and transfixed with Kshara Sutra at its base. Finally, the pile mass in the rectum is replaced with Yastimadhu Taila or ghrita.