Jan 31, 2013

Ksharsutra for fistula in ano

Ksharsutra is barbouslinen No.20 coated with latex of ‘EUPHORBIA NERIFOLYA’ ash of
‘ACHYRANTHUS ASPERA’and dried powder of ‘TURMERIC’.

It has antibacterial, antifungal, anti-inflammatory, antioxidant, anticoagulant properties.

How it is used-

Under general anesthesia fistula site is probed

Tract delineated by methylene blue and hydrogen peroxide

Internal opening is identified

Ksharsutra passed through the probe

Knot tied and kept

Re application of Ksharsutra is done after 10 days

Ksharsutra cut through the fistula over a span of 3 weeks

Wound healed well with secondary intention

Ksharsutra performs chemical cauterization

Complications are less

It can avoid incontinence, stricture and bleeding

High cure rate

Early ambulation and early discharge

Average cutting time 0.78 to 1 cms/week