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Kshara Sutra therapy is a minimal invasive Ayurvedic Parasurgical procedure and time-tested Ayurvedic technique in the management of Anorectal disorders. It is a safe, sure, and cost-effective method of treatment for fistula-in-ano, hemorrhoids, and other sinus diseases. The patient is anesthetized with local or spinal or general anesthesia, then a malleable probe is passed through the external opening of the fistula to the internal opening in the anal canal, and the probe is gently taken out through the anal opening to the outside along with a Kshara Sutra in the groove of the probe. Later both ends of the Kshara Sutra is tied together. The Kshara Sutra is replaced by a new one after an interval of one week. The Kshara Sutra gradually cuts and heals the tract. Finally, the whole fistulous tract heals after cutting. The patient is anesthetized with local anesthesia. First pile mass holding with pile holding forceps and bring them out of the anal orifice, then give incision at mucocutaneous junction. The later slight pull was exerted over the pile mass and transfixed by Kshara Sutra at the base.
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