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Kshar Sutra Therapy in Ghaziabad

Kshar Sutra Therapy in Ghaziabad is a type of Ayurvedic surgical procedure used for the treatment of various anorectal diseases such as hemorrhoids, fistula, and pilonidal sinus. This therapy involves the use of a medicated thread called Kshar Sutra, which is made by coating a thread with a specific combination of herbal extracts.

The Kshar Sutra is inserted into the affected area and left for a few days. The herbal extracts in the thread gradually dissolve the affected tissue and form a fibrous band, which helps in the healing of the affected area. The thread is changed periodically until the affected tissue is completely healed.

Kshar Sutra therapy is a minimally invasive and effective treatment option for anorectal diseases, and it has several advantages over conventional surgical procedures. It is a daycare procedure that can be performed under local anesthesia, and the recovery time is shorter. Additionally, it has a lower recurrence rate and minimal complications compared to traditional surgery.

However, it is important to note that Kshar Sutra therapy should only be performed by a qualified and experienced Ayurvedic surgeon, as it requires specialized knowledge and training. It may not be suitable for everyone, and a proper diagnosis and evaluation by a qualified healthcare professional are essential before deciding on this treatment.

Preparation of Kshara Sutra Therapy

Kshara Sutra therapy involves the use of a medicated thread called Kshara Sutra, which is prepared using a specific combination of herbal extracts. The preparation of Kshara Sutra involves the following steps:

  1. Selection of herbs: The first step in the preparation of Kshara Sutra is the selection of herbs. The herbs used in Kshara Sutra therapy may vary depending on the condition being treated. Some commonly used herbs include Apamarga (Achyranthes aspera), Haridra (Curcuma longa), Snuhi Ksheera (latex of Euphorbia nerifolia), and Snuhi (Euphorbia neriifolia).

  2. Processing of herbs: Once the herbs are selected, they are processed to extract their active ingredients. The processing may involve grinding, boiling, or soaking the herbs in water or other solvents.

  3. Coating the thread: After the herbs are processed, a thread made of cotton or silk is coated with the herbal extract. The thread is first soaked in the herbal extract and then dried. This process is repeated several times to ensure that the thread is evenly coated with the herbal extract.

  4. Sterilization: Once the thread is coated with the herbal extract, it is sterilized using a combination of heat and fumigation with specific herbs to prevent infection.

After the Kshara Sutra thread is prepared, it is ready to be used in the treatment of anorectal diseases such as hemorrhoids, fistula, and pilonidal sinus. It is important to note that the preparation of Kshara Sutra should only be done by a qualified and experienced Ayurvedic practitioner, as the process requires specialized knowledge and expertise.

Application of Kshara Sutra in Fistula-in-ano –

Kshara Sutra therapy is an effective and minimally invasive treatment option for Fistula-in-ano. The following are the steps involved in the application of Kshara Sutra in Fistula-in-ano:

  1. Pre-operative evaluation: The first step is a thorough pre-operative evaluation, which includes a detailed medical history, physical examination, and imaging studies such as MRI. This evaluation is important to determine the extent and location of the Fistula-in-ano.

  2. Anesthesia: Kshara Sutra therapy for Fistula-in-ano is usually performed under local anesthesia. The patient is placed in a prone position, and the anal region is cleaned and draped.

  3. Tract identification: The Fistula tract is identified using a probe, and a small incision is made at the external opening of the Fistula to expose the tract.

  4. Thread insertion: The Kshara Sutra thread is then inserted into the Fistula tract using a blunt needle. The thread is passed through the tract and brought out through the external opening.

  5. Knot tying: Once the thread is in place, a knot is tied at the external opening of the Fistula to secure the thread in place.

  6. Thread changing: The Kshara Sutra thread is changed at regular intervals, usually once a week. The old thread is removed, and a new thread is inserted in its place.

  7. Healing: The herbal extracts in the Kshara Sutra thread gradually dissolve the affected tissue and form a fibrous band, which helps in the healing of the Fistula tract. The healing process may take several weeks to months, depending on the extent and location of the Fistula.

Kshara Sutra therapy for Fistula-in-ano is a safe and effective treatment option with a high success rate and minimal complications. However, it is important to note that the procedure should only be performed by a qualified and experienced Ayurvedic surgeon. It is also essential to follow proper post-operative care instructions to ensure a speedy recovery.

Mechanism of action of Kshara Sutra in Fistula-in-ano -

The mechanism of action of Kshara Sutra in Fistula-in-ano is mainly due to the caustic action of the herbal extracts present in the thread. The following are the steps involved in the mechanism of action of Kshara Sutra in Fistula-in-ano:

  1. Caustic action: The herbal extracts present in the Kshara Sutra thread have a caustic action, which helps in dissolving the necrotic tissue and cleansing the Fistula tract. This action is primarily due to the presence of alkaline compounds such as potassium hydroxide and calcium oxide in the herbal extracts.

  2. Fibrosis: The caustic action of the herbal extracts also induces fibrosis or the formation of a fibrous band around the Fistula tract. This fibrous band helps in sealing the Fistula tract and promotes healing.

  3. Antibacterial action: The herbal extracts in the Kshara Sutra thread also have antibacterial and antimicrobial properties. They help in preventing infection and reducing inflammation in the Fistula tract.

  4. Granulation tissue formation: The caustic action of the herbal extracts also stimulates the formation of granulation tissue, which helps in filling the Fistula tract and promoting healing.

  5. Minimal tissue damage: Kshara Sutra therapy for Fistula-in-ano causes minimal tissue damage as compared to conventional surgical procedures. This is because the herbal extracts selectively target the diseased tissue without damaging the healthy tissue.

Application of Kshara Sutra in Haemorrhoids –

Kshara Sutra therapy is also an effective treatment option for Haemorrhoids or Piles. The following are the steps involved in the application of Kshara Sutra in Haemorrhoids:

  1. Pre-operative evaluation: The first step is a thorough pre-operative evaluation, which includes a detailed medical history, physical examination, and imaging studies such as colonoscopy. This evaluation is important to determine the extent and location of the Haemorrhoids.

  2. Anesthesia: Kshara Sutra therapy for Haemorrhoids is usually performed under local anesthesia. The patient is placed in a lithotomy position, and the anal region is cleaned and draped.

  3. Thread insertion: The Kshara Sutra thread is inserted into the base of the Haemorrhoids using a blunt needle. The thread is passed through the Haemorrhoids and brought out through the anus.

  4. Knot tying: Once the thread is in place, a knot is tied at the base of the Haemorrhoids to secure the thread in place.

  5. Thread changing: The Kshara Sutra thread is changed at regular intervals, usually once a week. The old thread is removed, and a new thread is inserted in its place.

  6. Healing: The herbal extracts in the Kshara Sutra thread gradually dissolve the affected tissue and form a fibrous band, which helps in the healing of the Haemorrhoids. The healing process may take several weeks to months, depending on the extent and location of the Haemorrhoids.

Kshara Sutra therapy for Haemorrhoids is a safe and effective treatment option with a high success rate and minimal complications. However, it is important to note that the procedure should only be performed by a qualified and experienced Ayurvedic surgeon. It is also essential to follow proper post-operative care instructions to ensure a speedy recovery.

Mechanism of action of Kshara Sutra in Haemorrhoids –

The mechanism of action of Kshara Sutra in Haemorrhoids is similar to that in Fistula-in-ano. The following are the steps involved in the mechanism of action of Kshara Sutra in Haemorrhoids:

  1. Caustic action: The herbal extracts present in the Kshara Sutra thread have a caustic action, which helps in dissolving the affected tissue in the Haemorrhoids. This action is primarily due to the presence of alkaline compounds such as potassium hydroxide and calcium oxide in the herbal extracts.

  2. Fibrosis: The caustic action of the herbal extracts also induces fibrosis or the formation of a fibrous band around the Haemorrhoids. This fibrous band helps in reducing the size of the Haemorrhoids and promotes healing.

  3. Hemostatic action: The herbal extracts in the Kshara Sutra thread have a hemostatic action, which helps in controlling bleeding from the Haemorrhoids.

  4. Antibacterial action: The herbal extracts in the Kshara Sutra thread also have antibacterial and antimicrobial properties. They help in preventing infection and reducing inflammation in the Haemorrhoids.

  5. Minimal tissue damage: Kshara Sutra therapy for Haemorrhoids causes minimal tissue damage as compared to conventional surgical procedures. This is because the herbal extracts selectively target the affected tissue without damaging the healthy tissue.