Abstract
Ksharsutra can be defined as an Ayurvedic medicated thread coated with herbal alkaline drugs. ‘ Ksharsutra therapy ‘ has been described as a treatment of choice for the treatment of fistula in ano due to low recurrence rate. Fistula in ano is a condition which has been recognised as a difficult surgical disease in all the ancient & modern medical sciences of the world. Besides Fistulectomy, Sushruta the father of surgery has also described its treatment by Ksharsutra method considering it as Nadi vrana. To overcome the recurrence in Fistula in ano & hospitalization in Fistulectomy & Fistulotomy procedures a Ksharsutra is a magical result in Fistula in ano.
Highlights
The disease Fistula in ano which is considered to be a minor ailment, has high morbidity
Ksharsutra came to the rescue of surgeons as ' Chemical Fistulectomy ' rather than a ' surgical Fistulectomy '
Application of Ksharsutra into the Fistulous tract was capable of dissolving the tough fibrous tissue &
Summary
The disease Fistula in ano which is considered to be a minor ailment , has high morbidity. Hippocrates (460 B.C.) described the use of seton to cure Fistula in ano . Conventional surgical option for low anal Fistula include Fistulotomy & Fistulectomy.[1] A Fistulectomy involves complete excision of the fistulous tract , thereby eliminating complete tissue for histopathological examination.
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