KsharSutra Treatment instead of Modern Surgery | Proctocure
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The procedure of Kshara Sutra:
In the Kshar Sutra treatment, a surgical linen string gauge number 20 is encased 11 times with Snuhi spandex (Euphorbia neriifolia), 7 times with Apamarga Kshara (Achyranthes Aspera), and 3x with Snuhi latex and Haridra churna (turmeric powder).
In Fistula-in-ano patients, Kshara Sutra is administered by anesthetizing the patient and inserting a malleable device with the Kshara Sutra in its slot through the external urethral orifice of the fistula to the intrinsic one, then carefully removing the probe with the Kshara Sutra intact. Then, a week later, both ends of the Khara Sutra are tied together and replaced by the new one. The track is eventually cut and healed in this manner, expelling unhealthy tissue, dictating microbial infection, and facilitating drainage of pus in the tract to aid in healing
The Kshar Sutra therapy in Pilonidal Sinus is performed in an identical manner as the preceding one, with the Kshara Sutra being transmitted through the sinus’ urethral opening to the skin, tied together, and replaced a week later. Kshara Sutra in Haemorrhoids is performed by first tranquilizing the patient, then removing the pile mass with forceps from the anal orifice, making an episiotomy at the mucocutaneous joint, mildly pulling the pile mass and transfixing it with Kshara Sutra treatment at its bottom, and finally substituting the ligated pile mass into the rectum with Yastimadhu taila or ghrita.

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