Tag: BhagandarMedicine

Can Ayurveda Cure Fistula in Ano? Here’s What You Need to Know

Post author By ravinder
Post date October 1, 2024
No Comments on Can Ayurveda Cure Fistula in Ano? Here’s What You Need to Know

Fistula-in-Ano (Anal Fistula): Understanding and Managing this Condition

Fistula-in-ano, also called an anal fistula or Bhagandar, is a connection that forms between the anal canal (end of the bowel) and the skin surrounding the anus. It frequently develops after an anal abscess. A fistula in ano has two openings: one on the skin near the anus and another inside the rectum or anal canal. Discover information on different options for fistula in ano.

Anal Fistula Treatment: Effective Solutions for Healing

While spontaneous healing of anal fistulas is rare, and oral medications are ineffective, effective treatment options do exist. Let’s explore these treatments to understand how to cure an anal fistula and achieve lasting relief.

Anal Fistula Treatment with Seton Drainage: A Minimally Invasive Approach

A seton is a non-absorbable suture (typically silk or nylon) inserted into the fistula tract to treat anal fistulas. This procedure serves two main purposes:

Drainage: The seton keeps the tract open, allowing pus to drain and relieving pressure, pain, and swelling.
Healing (Cutting Seton): A cutting seton is gradually tightened over time, slowly cutting through the fistula tract and promoting healing without extensive surgery. This process induces controlled tissue necrosis (pressure necrosis), encouraging the fistula to close.

This minimally invasive approach offers an alternative to more invasive surgical procedures for certain types of anal fistulas.

Benefits of Seton Placement for Anal Fistulas	Seton Procedure Risks: Incontinence, Recurrence, and Persistence
Setons provide a comfortable, pain-free solution for managing anal fistulas by ensuring continuous drainage of pus and preventing closure of the fistula tract. In some cases, a cutting seton can effectively treat fistula-in-ano.	Seton drainage procedures have a 100% persistence rate. Cutting seton methods, relying on tissue necrosis rather than removal of diseased tissue, have a low fistula treatment success rate of approximately 20% and may lead to long-term incontinence in over 30% of patients.

Fistulotomy: The Lay Open Technique for Anal Fistula Treatment

A fistulotomy is a surgical procedure where the fistula tract is opened and laid flat. A probe is inserted into the fistula, and the overlying tissue is divided, converting the tract into an open wound that heals from the inside out. This is a common and effective treatment for anal fistulas.

Benefits of Fistulotomy (the Lay Open Technique)

Fistulotomy: Incontinence Risk (25-35%)

If you have a simple anal fistula—defined as a non-recurrent fistula affecting less than 30% of the external sphincter, not located anteriorly in women, and without prior continence issues—this procedure may be an effective treatment.

Between 25% and 35% of patients (roughly one-quarter to one-third) experience bowel incontinence, a condition characterized by the partial or complete inability to control bowel movements.

Fistulectomy with Primary Sphincter Repair: A Surgical Solution for Anal Fistulas

This surgical procedure treats anal fistulas by removing the fistula tract. The surgeon makes an incision from the internal opening of the fistula to the external opening, allowing for complete removal of the infected tract. In cases involving the sphincter muscle, a primary sphincter reconstruction is performed to repair and strengthen the muscle, minimizing the risk of incontinence.

Fistulectomy with Sphincter Reconstruction: Benefits & Recovery	Incontinence Risk with Fistulectomy and Primary Sphincter Repair
Fistulectomy with primary sphincter reconstruction offers significant advantages, including immediate ambulation, minimal wound care, and a relatively short recovery period of 4-6 weeks before resuming normal physical activity.	Fistulectomy with primary sphincter reconstruction carries a risk of incontinence, affecting approximately 23% of patients.

Fibrin Sealant Treatment for Anal Fistula

The Fibrin Sealant procedure involves initial debridement of the tract followed by irrigation with saline or hydrogen peroxide to ensure thorough cleaning. The sealant is then gradually injected into the internal opening and allowed to solidify. Once the clot stabilizes at the main opening, the sealant is injected further to completely obliterate the tract. The clot is left to solidify for five to ten minutes.

Advantages of Fibrin Sealant Treatment for Fistula	Fibrin Sealant for Fistula: Recurrence Rates and Limitations
Minimally Invasive Procedures: Fibrin Sealant is an outpatient procedure, reducing hospital stays and associated costs. Reduced Risk of Incontinence: By preserving the integrity of the sphincter muscle, Fibrin Sealant significantly minimizes the risk of incontinence.	Studies on fibrin sealant have shown a recurrence rate of 36.95% (17 out of 46 cases). This translates to a long-term success rate of 63.04%

Fistula Plug Procedure: A Minimally Invasive Treatment for Anal Fistula

The fistula plug procedure offers a minimally invasive approach to treating anal fistulas. During the procedure, a surgeon identifies the fistula tract using a standard fistula probe and performs curettage (cleaning) of the tract. A specially designed fistula plug, which can be synthetic or biological, is then attached to the probe and carefully pulled through the tract. The plug is trimmed internally to match the mucosal level and secured with absorbable sutures. Externally, the plug is cut flush with the skin. Importantly, the external opening is left partially open to allow drainage, preventing pressure buildup. This technique avoids distal suturing of the plug. The choice of plug material (synthetic or biological) is determined based on individual patient needs.

Advantages of Fistula Plug Surgery for Anal Fistulas

Fistula Plug Disadvantages: High Failure and Recurrence Rates

Reduced Risk of Incontinence: Fistula plug surgery is a sphincter-saving procedure, meaning it doesn’t require cutting the sphincter muscles. This significantly lowers the risk of post-operative incontinence, a common concern with traditional fistula surgeries.
Minimally Invasive Procedure: Fistula plug placement is a relatively simple and minimally invasive procedure, often performed on an outpatient basis. This translates to less pain, a shorter recovery period, and a faster return to normal activities for patients.

While fistula plugs offer a minimally invasive treatment option, success rates vary widely (24-88%). This means a significant chance of failure (12-76%) and potential fistula recurrence.

Endorectal Advancement Flap Surgery for Anal Fistula Repair

The advancement flap procedure is a surgical approach used in the treatment of fistulas. This technique involves a detailed examination of the fistula tract, including probing to identify any additional tracts that could compromise the outcome.

The surgeon creates a partial-thickness flap, ensuring a wide base (at least twice the width of the apex) to maintain proper blood flow. This flap is carefully dissected to cover the internal opening without tension. The fistula tract is thoroughly cleaned through curettage to remove granulation tissue and debris. The internal opening is then closed by removing the tip of the flap and suturing the flap into its new position.

Two variations of this procedure exist:

Endorectal Advancement Flap: This is the standard technique, involving tissue from within the rectum.
Dermal Advancement Flap: This variation uses skin as the flap.

This surgical approach offers an effective solution for fistula repair.

Anal Fistula Surgery: Advancement Flap Benefits (Crohn’s, Stenosis)	Advancement Flap Surgery for Anal Fistula: Risks, Disadvantages & Recurrence
Crohn’s Disease and Rectovaginal Fistulas: Rectorectal flaps are effective for these complex conditions. Anal Stenosis: Dermal flaps are beneficial when anal stenosis coexists with the fistula.	High Recurrence Rate: A major concern is the relatively high recurrence rate, with 30% to 50% of patients experiencing a return of the fistula.

LIFT Procedure for Anal Fistula: Minimally Invasive Treatment for Anal Fistulas

The LIFT procedure, or Ligation of Intersphincteric Fistula Tract, is a surgical treatment for complex anal fistulas. During the LIFT procedure, a probe is inserted into the fistula tract to identify its path. The surgeon then dissects the space between the internal and external sphincter muscles. The fistula tract is divided and sutured on both sides. In some cases, a portion of the fistula tract may be removed. To promote drainage and healing, the external opening is widened, and the LIFT incision is loosely closed. This minimally invasive approach aims to preserve sphincter muscle function and reduce the risk of incontinence.

Advantages of LIFT for Anal Fistula Treatment: Preserving Continence While Promoting Healing

LIFT Surgery Complications and Success Rates

High initial healing rates
Minimal risk of incontinence
Potential to improve future healing outcomes.

A significant disadvantage of LIFT is the potential for fistula recurrence.

Recent studies showed that the success rates of LIFT can be less than 50%.

Minimally Invasive Anal Fistula Surgery: Video-Assisted Anal Fistula Therapy (VAAFT)

VAAFT is a modern surgical technique for treating anal fistulas. This minimally invasive procedure involves inserting a small camera into the fistula tract, allowing for direct visualization and precise treatment. The surgeon seals the fistula’s internal opening, cleans the tract to remove infection and debris, and promotes healing.

VAAFT for Anal Fistula: Key Advantages & Benefits	Potential Limitations of Video-Assisted Anal Fistula Therapy (VAAFT)
Benefits of VAAFT may include reduced pain, faster recovery, and less scarring compared to traditional surgery.	Success Rate: The overall success rate of VAAFT is approximately 73.5%. This means that in some cases, the fistula may persist or recur, requiring further treatment. Cost: VAAFT treatment can be relatively expensive compared to other surgical options for anal fistulas.

Fistula Laser Closure (FiLaC): Minimally Invasive Treatment for Anal Fistula

The Fistula Laser Closure (FiLaC) procedure uses a ceramic diode laser to effectively treat fistulas. A laser fiber is inserted through the external opening of the fistula tract and guided to the internal opening. The laser energy then causes the fistula tract to contract and close, offering a minimally invasive treatment option.

FiLaC: Sphincter-Saving Fistula Treatment with Reduced Incontinence Risk

FiLaC Laser Fistula Closure: Understanding the Limitations

Fistula Laser Closure (FiLaC) offers a minimally invasive approach to fistula treatment with a reduced risk of incontinence.

Cost: FiLaC procedures can be relatively expensive compared to some traditional fistula treatments.
Success Rate: The overall success rate of FiLaC is around 81%. However, this rate decreases to approximately 71% in patients with Crohn’s disease.

Ksharsutra Treatment for Fistula: A Minimally Invasive Ayurvedic Approach

Ksharsutra therapy offers a minimally invasive treatment option for fistula. The procedure begins with precise identification of the fistula tract using probing or an MRI fistulogram. A medicated thread (Ksharsutra) is then carefully inserted into the tract using a specialized probe. This medicated thread works to debride the fistula and promote natural healing from within. The Ksharsutra is replaced every 7-10 days until complete healing is achieved, as its medicinal properties last for approximately 5-7 days. Consider Ksharsutra for a non-surgical approach to fistula treatment.

Ksharsutra Treatment for Fistula: 96.77% Success Rate, Minimal Complications

Disadvantages of Ksharsutra Treatment for Fistula

For Fistula-in-Ano, the success rate of Ksharsutra treatment is impressive, reaching 96.77%.
Importantly, this traditional Ayurvedic approach has a significantly lower risk of complications than conventional surgical methods.
Notably, complications like incontinence are not reported with Ksharsutra treatment.

- Time Commitment: Ksharsutra treatment requires a significant time commitment due to the nature of the procedure.
- Surgeon Dependency: The effectiveness of Ksharsutra is highly dependent on the surgeon’s skill and experience in accurately locating and treating the fistula tract.

Can Ayurveda Cure Fistula-in-Ano? Exploring Ksharsutra Treatment

Numerous treatments for anal fistula have been proposed over the years. Among them, Ayurveda, with its Ksharsutra treatment, offers a promising solution. By carefully considering the advantages and disadvantages of the top ten available treatments, it’s evident that Ayurveda can effectively cure fistula. Notably, the Ksharsutra method ensures complete healing without complications like incontinence, a common side effect of fistula surgery.

What is Ksharsutra Treatment for Fistula? An Ayurvedic Explanation

Ksharsutra is a time-tested Ayurvedic treatment for fistula. This minimally invasive procedure uses a medicated thread (“sutra”) coated with potent herbal extracts called Kshar (alkaline). This medicated thread is placed in the fistula tract, allowing targeted medication delivery. The Kshar, derived from plants like Apamarga, Yava, and Til Naal, aids in healing. The Ksharsutra delivers the medication directly to the fistula, promoting healing.

Ksharsutra Treatment for Fistula-in-Ano: ICMR Approved Ayurvedic Therapy

Is Ksharsutra treatment effective for fistula-in-ano? Yes, this Ayurvedic therapy has received clinical approval from the Indian Council of Medical Research (ICMR). In 1991, the ICMR conducted a clinical evaluation at prestigious institutions like PGI Chandigarh and AIIMS New Delhi. The results showed that Ksharsutra treatment offers a more convenient and effective solution for patients with fistula-in-ano compared to conventional surgery. This ICMR approval validates Ksharsutra as a viable and effective treatment option.

How is Ksharsutra Treatment Performed? A Step-by-Step Guide

Ksharsutra treatment is a minimally invasive Ayurvedic procedure for managing anorectal conditions like fistula-in-ano. This guide explains the Ksharsutra treatment procedure, from initial diagnosis to the healing process.

Diagnosis and Pre-Treatment Evaluation:

Before starting Ksharsutra therapy, a thorough examination is conducted. A Ksharsutra specialist will perform standard tests and carefully assess the patient’s overall health, considering any existing conditions such as diabetes, hypertension, tuberculosis, or ulcerative colitis. Accurate diagnosis is crucial for effective treatment.

A key part of the evaluation involves precisely mapping the fistula tract. This includes determining its:

Length: The total distance of the fistula tract.
Depth: How far the tract extends into the surrounding tissues.
Branching Pattern: Whether the tract has any side branches.

Typically, a soft, malleable metallic probe is used to explore the fistula tract. In cases where the fistula is deep or the branching pattern is complex, advanced imaging techniques like MRI fistulogram or ultrasound may be recommended for a more detailed assessment.

Ksharsutra Insertion and Application:

Once the fistula tract is clearly defined, the Ksharsutra procedure begins. The Ksharsutra, a medicated thread coated with herbal extracts, is carefully inserted into the fistula tract through the external opening near the anus. The two ends of the Ksharsutra are then tied together, forming a loop within the tract.

The herbal medications on the Ksharsutra work to:

Debride: Cleanse and remove infected tissue within the fistula tract.
Promote Healing: Stimulate the growth of healthy tissue and close the fistula.

Ksharsutra Changes and Treatment Duration:

The medicinal coating on the Ksharsutra typically remains effective for five to seven days. Therefore, the Ksharsutra is replaced with a fresh one every week or ten days. This process is repeated until the fistula heals completely.

The number of Ksharsutra changes required depends on the fistula’s length, depth, and complexity. With each change, the specialist measures the length of the used Ksharsutra to monitor the healing progress.

Monitoring Healing and Treatment Progress:

The fistula is observed to heal approximately 0.5 to 1 cm with each Ksharsutra change. For example, a 3 cm long fistula tract may require four to six Ksharsutra changes, spaced a week or ten days apart. Regular monitoring ensures the treatment is progressing effectively.

Fistula Treatment in Delhi Without Surgery: Ksharsutra Therapy at Piles To Smiles

Fistula-in-ano presents a significant treatment challenge. Traditional fistula surgery often leads to recurrence or complications like fecal incontinence, making it a difficult condition to manage surgically.

However, there’s hope. Ksharsutra treatment offers a highly effective and minimally invasive solution for fistula in Delhi. At Piles To Smiles, we specialize in Ksharsutra therapy, providing a proven alternative to conventional surgery.

Benefits of Ksharsutra Treatment at Piles To Smiles:

High Success Rate: We have a proven track record of achieving 100% positive outcomes with Ksharsutra treatment for fistula.
Minimally Invasive: No major surgery, incisions, or general anesthesia required.
Reduced Recurrence: Significantly lower risk of fistula recurrence compared to traditional surgery.
No Incontinence Risk: Minimizes the risk of damaging sphincter muscles, preventing fecal incontinence.
No Hospitalization: Outpatient procedure allowing patients to continue their daily routines.
Safe and Effective: A time-tested Ayurvedic treatment with minimal side effects.

Fistula Treatment in Delhi: Choose Piles To Smiles

At Piles To Smiles in Delhi, we specialize in Ksharsutra treatment for fistula-in-ano. Our experienced practitioners provide personalized care and achieve high success rates. If you’re seeking effective and safe fistula treatment in Delhi, contact Piles To Smiles today.

Piles To Smiles: FAQs on Best Fistula Treatment Without Surgery in Delhi

What are the warning signs of a fistula, and when should I seek treatment?

An anal fistula can cause a range of uncomfortable symptoms. You should consult a doctor if you notice any of the following:

Persistent pain around the anus: This is a common symptom and can range from mild to severe.
Swelling and redness: Inflammation in the anal area can indicate a fistula.
Discharge of pus or blood: This is a key sign of an infected fistula.
Recurrent anal abscesses: Repeated abscesses in the same area often suggest an underlying fistula.
Painful bowel movements: Passing stool can become extremely painful due to the fistula.
Changes in bowel habits: This can include diarrhea, constipation, or other irregularities.
Fever or chills: These may indicate a more serious infection.

If you experience any of these symptoms, especially if they persist or worsen, it’s crucial to seek medical advice for proper diagnosis and treatment.

Is Ksharsutra treatment painful?

Ksharsutra treatment for fistula is performed under local anesthesia, so you’ll be awake but comfortable. You may feel a few pinches when the anesthetic is administered, but the procedure itself is generally painless and takes only 15-20 minutes.

What is the recovery process after Ksharsutra treatment?

After Ksharsutra treatment, you can typically resume eating and drinking immediately. You’ll be able to move around and get out of bed shortly after the procedure. Some discomfort is normal, but this can be effectively managed with over-the-counter or prescribed pain medication.

Most patients can return to their normal daily activities within a short period, although specific recovery times may vary.

What is the recovery time after Ksharsutra treatment, and when can I go home?

One of the key advantages of Ksharsutra treatment for fistula is the minimal downtime. Because the procedure is performed under local anesthesia, there’s no need for an overnight hospital stay. You’ll be monitored for a few hours post-procedure, and once you’re comfortable and have passed urine, you’ll be discharged—usually within 2-4 hours.

We recommend having someone drive you home and stay with you for the first 24 hours, if possible, for added support.

What is the recommended diet for Ksharsutra treatment of fistula-in-ano?

Maintaining a healthy, high-fiber diet is advised both before and during your Ksharsutra treatment for a fistula. This helps promote regular bowel movements and aids in the healing process. You do not need to follow a special or restrictive diet.

How can I speed up healing during Ksharsutra treatment for fistula?

While Ksharsutra treatment is highly effective for fistula-in-ano, there are several things you can do to optimize healing:

Stay Active: Regular walking (3-4 kilometers daily) promotes blood circulation and healing.
Sitz Baths: Soaking the affected area in warm water (Sitz baths) 2-3 times a day, particularly after bowel movements, helps cleanse the area, reduce inflammation, and promote comfort.
Maintain Hygiene: Keeping the area clean is crucial to prevent infection.
Eat a High-Fiber Diet: A diet rich in fiber softens stools, making bowel movements easier and reducing strain on the healing fistula.

Can I Travel After Ksharsutra Treatment for Fistula?

In most cases, yes.

One of the advantages of Ksharsutra treatment is that it allows you to maintain your normal lifestyle, including travel. You can generally travel immediately after your Ksharsutra procedure. However, for long or strenuous journeys, it is advisable to consult with your doctor. They can provide guidance on managing any potential discomfort and ensuring a smooth travel experience.

Do I need a special pillow (like a doughnut pillow) after Ksharsutra treatment for fistula?

No, You do not need a doughnut or any special pillow after the Ksharsutra treatment.

During Ksharsutra treatment for fistula-in-ano, sitting naturally is recommended. This position facilitates better drainage of any discharge from the fistula tract, which can enhance comfort and promote faster healing.

How long does Ksharsutra treatment take to heal a fistula?

The healing time with Ksharsutra treatment depends on the fistula’s size and complexity. Typically, fistulas heal at a rate of 0.5 to 1 cm per week with each Ksharsutra change. A 3 cm fistula may take 4-6 weeks to heal completely.

Tags #AnalFistulaTreatment, #FistulaTreatment, AboutFistulaDisease, AbscessAroundTheAnus, AdvancementFlapFistula, AdvancementFlapProcedure, AdvancementFlapSurgery, AnalAbscessAndFistula, AnalAbscessCure, AnalAbscessSurgery, AnalAbscessTreatmentWithoutSurgery, AnalFissureAndFistula, AnalFistulaAfterSurgery, AnalFistulaAyurveda, AnalFistulaCure, AnalFistulaDisease, AnalFistulaDoctor, AnalFistulaDrainage, AnalFistulaHealing, AnalFistulaHealingTime, AnalFistulaInAno, AnalFistulaLaser, AnalFistulaLaserSurgery, AnalFistulaLaserTreatment, AnalFistulaManagement, AnalFistulaMeaning, AnalFistulaMeans, AnalFistulaMedication, AnalFistulaPain, AnalFistulaPlug, AnalFistulaProcedure, AnalFistulaRemedies, AnalFistulaSpecialist, AnalFistulaSurgerySuccessRate, AnalFistulaTract, AnalFistulaTreatmentInAyurveda, AnalFistulaTreatmentWithoutSurgery, AnalFistulaWithoutSurgery, AnalFistulectomy, AnalFistulotomy, AnalFlap, AnalLaser, AnalReconstruction, AnoFistulaTreatmentInAyurveda, AnoInFistula, AnusFistulaOperation, AyurvedaAndFistula, AyurvedaFistulaTreatment, AyurvedaForAnalFistula, AyurvedaForCrohn'sDisease, AyurvedicCureForFistula, AyurvedicCureForFistulaInAno, AyurvedicFistulaSpecialist, AyurvedicFistulaTreatment, AyurvedicHealingForFistula, AyurvedicKsharsutra, AyurvedicMedicineForFistula, AyurvedicMedicineForFistulaInAno, AyurvedicMedicineForPerianalAbscess, AyurvedicRemedyForFistula, AyurvedicSurgeryForFistula, AyurvedicThreadTreatmentInFistula, AyurvedicTreatmentForAnalFistula, AyurvedicTreatmentForFistula, AyurvedicTreatmentForFistulaNearMe, BenefitsOfKsharsutraForFistula, BestFistulaSurgeon, BestHospitalForFistulaTreatment, BestSurgeryForFistula, BestTreatmentForAnalFistula, BestTreatmentForFistulaInAno, BestTreatmentForFistulaWithoutSurgery, BhagandarAyurveda, BhagandarInAyurveda, BhagandarMedicine, BhagandarTreatmentInAyurveda, BowelDiseaseCure, BumAbscess, ComplicationsAfterFistulaSurgery, ComplicationsOfFistulotomy, Crohn'sAndFistula, Crohn'sDiseaseAnalFistula, Crohn'sDiseaseAndFistula, Crohn'sDiseaseAndPerianalAbscess, Crohn'sDiseaseAnus, Crohn'sDiseaseFistula, Crohn'sDiseaseFistulaSurgery, Crohn'sDiseaseFistulaTreatment, Crohn'sDiseaseSurgery, Crohn'sDiseaseWithFistulaTreatment, Crohn'sFistula, CureFistulaWithoutSurgery, CureForAnalPain, CuttingSeton, CuttingSetonFistula, CuttingSetonSuccessRate, DischargeAfterFistulotomy, DiseaseOfFistula, ExternalFistula, ExternalFistulaTreatment, FibrinGlueFistula, FibrinGlueFistulaInAno, FibrinGlueFistulaSuccessRate, FibrinGlueForFistulaInAno, FibrinGlueInjection, FilacProcedure, FissureAndFistula, FissureDischargePus, FissureFistula, FistulaAdvancementFlapSurgery, FistulaAfterDelivery, FistulaAfterSurgery, FistulaAfterSurgeryCare, FistulaAndSeton, FistulaAyurveda, FistulaAyurvedicSurgery, FistulaAyurvedicTreatment, FistulaAyurvedicTreatmentNearMe, FistulaBestTreatment, FistulaBhagandar, FistulaBowel, FistulaCanBeCuredWithoutSurgery, FistulaCleaning, FistulaColon, FistulaCrohn'sDiseaseTreatment, FistulaCure, FistulaCureWithAyurveda, FistulaDefinition, FistulaDiet, FistulaDisease, FistulaDiseaseTreatment, FistulaDoctor, FistulaDrainage, FistulaDueToCrohn'sDisease, FistulaGlue, FistulaHealingAfterSurgery, FistulaHealingTime, FistulaHowToCure, FistulaHowToTreat, FistulaInAno, FistulaInAnoAyurveda, FistulaInAnoAyurvedicTreatment, FistulaInAnoHealing, FistulaInAnoLaserTreatment, FistulaInAnoLatestTreatment, FistulaInAnoMeaning, FistulaInAnoProcedure, FistulaInAnoSurgeryProcedure, FistulaInAnoTreatmentByKsharSutra, FistulaInAnoTreatmentSuccessRateAyurveda, FistulaInAnoTreatmentWithoutSurgery, FistulaInAnoWithoutSurgery, FistulaInAyurvedicTreatment, FistulaInRectum, FistulaInsideAnus, FistulaInternalOpening, FistulaKaAyurvedicUpchar, FistulaKaIlaj, FistulaKaLaserOperation, FistulaKaOperation, FistulaLaser, FistulaLaserSurgery, FistulaLaserSurgeryHealingTime, FistulaLaserSurgerySuccessRate, FistulaLaserTreatment, FistulaLaserTreatmentInDelhi, FistulaLaserTreatmentSuccessRate, FistulaLatestTreatment, FistulaLift, FistulaLiftProcedure, FistulaManagement, FistulaMeaning, FistulaMedicalMeaning, FistulaOfAno, FistulaOpening, FistulaOpenSurgery, FistulaOperationAfterCare, FistulaOperationByLaser, FistulaOperationProcedure, FistulaOperationSuccessRate, FistulaPain, FistulaPainAfterSurgery, FistulaPainTreatment, FistulaPlug, FistulaPlugSurgery, FistulaPostSurgeryComplications, FistulaProcedure, FistulaPusDischarge, FistulaRecurrenceAfterSurgery, FistulaRecurrenceRate, FistulaRemedies, FistulaRemediesAyurveda, FistulasAndCrohn'sDisease, FistulasInUlcerativeColitis, FistulaSpecialist, FistulaSpecialistDoctorNearMe, FistulaSurgeon, FistulaSurgerySuccessRate, FistulaSurgeryVsAyurveda, FistulaSurgicalProcedure, FistulaSurgicalTreatment, FistulaThreadTreatment, FistulatomySurgery, FistulaTract, FistulaTreatmentAtHome, FistulaTreatmentInDelhi, FistulaTreatmentKsharSutra, FistulaTreatmentLaser, FistulaTreatmentSurgery, FistulaTreatmentWithoutSurgery, FistulaTreatmentWithoutSurgeryAyurveda, FistulaTreatmentWithoutSurgeryNearMe, FistulaTreatmentWithThread, FistulaWithoutInternalOpening, FistulaWithoutPain, FistulaWithoutSurgery, FistulaWoundHealingTime, FistulectomyComplications, FistulectomyMeaning, FistulectomySuccessRate, FistulotomyBeforeAndAfter, FistulotomyComplications, FistulotomyLaserTreatment, FistulotomyProcedure, FistulotomySuccessRate, FistulotomySurgery, FistulousOpening, FistulousTractMeaning, HealingTimeForFistulaSurgery, HerbalRemediesForFistula, HerbalTreatmentsForFistula, HighFistulaInAnoTreatment, HighFistulaTreatment, HighPerianalFistula, HolisticHealingForFistula, IfFistulaIsNotTreated, InternalFistula, InternalOpeningOfFistula, InternalOpeningOfFistulaInAno, IntersphinctericFistula, IntersphinctericFistulaInAno, IntersphinctericFistulaTreatment, KsharaKarmaForFistula, KsharaSutraTherapy, KsharaSutraTreatmentForFistula, KsharaTreatment, KsharSutraAyurvedicTreatment, KsharSutraFistulaTreatment, KsharsutraForFistula, KsharSutraInAyurveda, KsharsutraProcedure, KsharSutraSurgery, KsharsutraTherapy, KsharsutraTreatment, KsharSutraTreatmentForFistulaInAno, KsharSutraTreatmentProcedure, LaserFilac, LaserFistulotomy, LaserForFistulaInAno, LaserSurgeryForFistulaInAno, LaserTreatmentForFistulaProcedure, LaserTreatmentForFistulaSuccessRate, LaserTreatmentOfFistulaInAno, LayingOpenOfFistulaInAno, LayOpenFistula, LayOpenFistulaHealingTime, LayOpenFistulotomy, LiftProcedure, LiftProcedureFistulaSuccessRate, LiftProcedureForAnalFistula, LigationOfFistula, LigationOfIntersphinctericFistulaTract, MedicalManagementOfAnalFistula, MedicationForAnalFistula, MedicationForBowelMovement, MedicineForFistula, MinimallyInvasiveFistulaTreatment, MriFistulogram, MriOfFistulogram, NaturalRemediesForFistula, NaturalTreatmentForFistula, NewTreatmentForFistula, NonSurgicalFistulaTreatment, NonSurgicalFistulaTreatmentAyurveda, OpenWoundAboveAnus, OpenWoundOnAnus, PainfulSwellingAroundAnus, PainlessFistulaTreatment, PainReliefForFistula, Piles&FistulaSpecialist, PilesAndFistulaTreatment, PilesFistulaDoctor, PilesFistulaTreatment, PilonidalFistula, PostFistulaSurgeryPusDischarge, PostFistulectomy, PusComingFromAnus, PusDischargeAfterFistulaSurgery, PusDischargeFromFistula, PusFromAnus, PusFromFistula, PusInAnus, PusNearAnus, ReasonsForFistulaInAno, RecurrenceRateOfFistulaInAno, RecurrentFistula, RecurrentFistulaInAno, SetonAndFistulotomy, SetonChange, SetonDrain, SetonDrainComplications, SetonFistula, SetonFistulaSuccessRate, SetonForFistulaInAno, SetonManagement, SetonPlacementFistula, SetonProcedureForFistula, SetonProcedures, SetonSurgeryForFistula, SetonTechnique, SetonTherapy, SetonTreatment, SetonTreatmentForFistula, SetonTreatmentForFistulaInAno, SmallFistulaTreatment, SphincterFistula, SuccessRateOfFistulotomy, SuccessRateOfLaserFistulaSurgery, SurgeonForFistula, SwellingAroundAnal, SwellingNextToAnus, SymptomsOfFistula, TraditionalAyurvedicTreatments, TreatmentOfFissureAndFistula, TreatmentOfFistulaInCrohn'sDisease, TypesOfFistula, UlcerativeColitisAndFistulas, VaaftSuccessRate, VideoAssistedAnalFistulaTreatment, VideoAssistedFistulaTreatment, WoundAroundAnus, WoundNearAnus

All Fistula

Why Ksharsutra for Fistula-in-Ano

Post author By Dr Ravinder Sharma
Post date May 13, 2024
No Comments on Why Ksharsutra for Fistula-in-Ano

Ksharsutra Treatment is more convenient and more effective than surgery in patients suffering from Anal Fistula*

*Indian Council of Medical Research (ICMR)

What is Fistula-in-Ano?

A Fistula-in-Ano is a painful condition characterized by an abnormal tunnel or passageway that forms between the anal canal and the skin around the anus. This abnormal tract can lead to discomfort, swelling, and chronic discharge.

Understanding the Causes

While the exact cause of Fistula-in-Ano remains unclear, several factors can contribute to its development, including:

Anal Abscess: An untreated or poorly treated anal abscess can lead to fistula formation.
Inflammatory Bowel Disease: Conditions like Crohn’s disease and ulcerative colitis can increase the risk of fistula development.
Tuberculosis: In rare cases, tuberculosis can cause fistulas in the anal region.
Trauma: Injury to the anal area can sometimes result in fistula formation.

Treatment Options for Fistula-in-Ano

Common treatment options for fistula-in-ano include:

Surgical Procedures for fistula:

Fistulotomy: This procedure involves cutting open the fistula tract to allow it to heal from the inside out. It’s suitable for simple, low-lying fistulas.
Fistulectomy: This is a surgical procedure where a surgeon completely removes a fistula.
Seton Placement: A rubber band or thread is inserted into the fistula tract to promote drainage and healing.
Advancement Flap: This advanced surgical technique involves using tissue from the anal canal to repair the fistula tract.
Fibrin Sealant: A biological adhesive is injected into the fistula tract to seal it off and promote healing.
Fistula Plug: A plug is inserted into the fistula tract to stimulate healing.

Minimally Invasive Techniques for Fistula:

Video-Assisted Anal Fistula Treatment (VAAFT): This minimally invasive procedure uses a camera to guide the insertion of a laser fiber to treat the fistula.
Laser Therapy: This modern technique uses a laser to cauterize the fistula tract, reducing inflammation and promoting healing. It’s often less painful and has a quicker recovery time compared to traditional surgery.
Ksharsutra Treatment: This ancient Ayurvedic technique involves inserting a medicated thread into the fistula tract to promote healing. It’s a minimally invasive procedure with a high success rate and minimal side effects.

Why Choose Ksharsutra for Fistula Treatment?

With various treatment options available for fistula-in-ano, choosing the right approach can be challenging. Ksharsutra treatment, an ancient Ayurvedic technique, offers several advantages over other methods:

Safer Treatment

While describing usefulness of Ksharsutra Treatment Acharya Sushruta writes:

कृशदुर्बलभीरूणां नाड़ी मर्माश्रिता च या |
क्षारसूत्रेण तां छिन्दयात् न तु शस्त्रेण बुद्धिमान् ||

An intelligent surgeon prefers Ksharsutra treatment over any surgical intervention to treat a patient suffering from a Fistula/ sinus or other similar problem who is emaciated/ weak/ fearful/ timid/ whose fistula or sinus is in a vulnerable area.

सुश्रुत संहिता चि. स्था . 17/29 (Sushruta Samhita Chi. Stha. 17/29).

So Ksharsutra treatment offers a valuable alternative for patients who are not suitable candidates for traditional surgical procedures. This makes it a particularly beneficial option for individuals with underlying health conditions or those who prefer a less invasive approach.

Ksharsutra: A Proven Ayurvedic Solution for Anal Fistula

A groundbreaking study conducted by the Indian Council of Medical Research (ICMR) in collaboration with renowned institutions like AIIMS New Delhi, PGIMER Chandigarh, and others, revealed a significant finding: Ksharsutra treatment is not only more convenient but also more effective than traditional surgical methods in treating anal fistula. This ancient Ayurvedic technique has stood the test of time, offering a gentle and effective solution for this persistent condition.

Higher Success Rate

Ksharsutra treatment stands out as a superior option for treating fistula-in-ano, particularly due to its significantly higher success rate. While modern surgical techniques like laser and VAAFT have their place, they often struggle with high recurrence rates of around 25-30%. In contrast, Ksharsutra treatment boasts a remarkable success rate of approximately 96.77%, making it a reliable and effective choice for patients. This ancient Ayurvedic technique has proven its efficacy even in complex cases where multiple surgeries have failed.

By choosing Ksharsutra treatment, patients can increase their chances of a complete and lasting recovery from fistula-in-ano.

Minimizing Complications: A Key Advantage of Ksharsutra

One significant advantage of Ksharsutra treatment over traditional surgical procedures is the reduced risk of complications, particularly fecal incontinence. Surgical interventions for fistula-in-ano often involve cutting or damaging the sphincter muscles, which can lead to partial or complete loss of bowel control.

In contrast, Ksharsutra therapy is a minimally invasive technique that preserves the integrity of the sphincter muscles, minimizing the risk of post-operative incontinence. This makes it a safer and more effective option for Fistula-in-Ano.

Minimal Disruption to Your Daily Life

Ksharsutra treatment is an outpatient procedure, typically performed under local anesthesia. This means you can return home on the same day, minimizing the need for hospitalization and extended bed rest. This non-invasive approach allows you to maintain your daily activities with minimal disruption.

Minimal Invasiveness and Patient Safety: Ksharsutra Treatment

Ksharsutra treatment is a minimally invasive procedure performed under local anesthesia. This approach significantly reduces the risk of complications associated with general or spinal anesthesia, such as:

Backache
Headache
Altered brain function
Urinary retention

By opting for local anesthesia, Ksharsutra treatment prioritizes patient safety and comfort, making it a preferred choice for many individuals seeking relief from Fistula-in-Ano and other anorectal problems.

Minimal Pain and Complications with Ksharsutra Treatment

Ksharsutra treatment for fistula-in-ano stands out for its minimal invasiveness and low risk of complications. Unlike traditional surgical procedures that involve cutting tissues, Ksharsutra therapy uses a medicated thread to heal the fistula tract gently.

Key Benefits:

Minimal Pain: The procedure is relatively painless, with minimal discomfort during the insertion and replacement of the Ksharsutra thread.
Reduced Risk of Bleeding: As there’s no cutting involved, the risk of bleeding is significantly reduced.
Lower Infection Risk: The use of medicated threads helps to prevent infections.

While some patients may experience mild burning sensation or irritation during Ksharsutra treatment, these side effects are usually manageable with simple measures like warm water sitz baths or topical anesthetics.

Convenience and Minimal Disruption

One of the significant advantages of Ksharsutra treatment is the reduced need for frequent hospital visits. Unlike surgical interventions that often require daily dressing changes, Ksharsutra therapy involves periodic replacement of the medicated thread at intervals of 7-10 days. This minimal disruption to your routine allows for a more convenient and comfortable healing process.

Cost-Effective Treatment

Ksharsutra treatment offers a cost-effective solution for fistula-in-ano compared to traditional surgical procedures. The treatment is typically spread out over weekly visits, making it more financially manageable for patients.

By considering these advantages, individuals suffering from fistula-in-ano can make informed decisions about their treatment options and choose the most suitable approach for their specific needs.

Tags #AnalFistula, #AnalFistulaTreatment, #FistulaSurgery, #FistulaTreatment, #PilesTub, #SitzBathForFistula, AfterCareForFistulaSurgery, AfterFistulaLaserSurgery, AfterFistulaSurgeryDiet, AfterFistulaSurgeryDressing, AfterFistulaSurgeryPain, AfterSurgeryFistula, AnalFistulaAfterSurgery, AnalFistulaAndAnalFissure, AnalFistulaAndFissure, AnalFistulaAndPiles, AnalFistulaAyurveda, AnalFistulaCauses, AnalFistulaComplications, AnalFistulaCost, AnalFistulaCure, AnalFistulaDiagnosis, AnalFistulaFissure, AnalFistulaInAno, AnalFistulaLaser, AnalFistulaLaserSurgery, AnalFistulaLaserTreatment, AnalFistulaLocation, AnalFistulaLooksLike, AnalFistulaMedicalTreatment, AnalFistulaOpening, AnalFistulaPain, AnalFistulaReal, AnalFistulaReasons, AnalFistulaRecovery, AnalFistulaRecurrence, AnalFistulaSignsAndSymptoms, AnalFistulaSurgeon, AnalFistulaSurgery, AnalFistulaSurgeryRecovery, AnalFistulaSurgeryRecoveryTime, AnalFistulaSurgerySuccessRate, AnalFistulaSymptoms, AnalFistulaTreatmentCost, AnalFistulaTreatmentInAyurveda, AnalFistulaTreatmentWithoutSurgery, AnalFistulaWithoutSurgery, AnalFistulaWound, AnalInfectionSymptoms, AnalniFistula, AnalSurgery, AnalTreatments, AnasFistula, AnocutaneousFistula, AnoInFistula, AnoPerinealFistula, AnorectalFistulaSymptoms, AnusInfectionCauses, AnusInfectionTreatment, AnusLaserTreatment, AyurvedaForFistula, AyurvedaMedicineForFistula, AyurvedicKsharsutra, BestDoctorForPilesNearMe, BestPilesClinicNearMe, BestSurgeryForFistula, BestTreatmentForAnalFistula, BestTreatmentForFistula, BestTreatmentForFistulaInAno, BestTreatmentForFistulaWithoutSurgery, BhagandarBestTreatment, BhagandarFistula, BhagandarMedicine, BhagandarTreatment, BhagandarTreatmentInAyurveda, BhagandarTreatmentWithoutSurgery, BleedingAnalFistula, BowelFistulaTreatment, BowelIncontinenceAfterFistulaSurgery, ButtockFistula, CausesOfRectalFistula, ChancesOfRecurrenceOfFistulaAfterSurgery, ClinicForPiles, ColorectalFistula, ColorectalFistulaTreatment, ComplicatedAnalFistula, ComplicatedFistula, ConstipationAndFistula, ConstipationFistula, CostOfFistulaLaserSurgery, CostOfLaserTreatmentForFistula, CuringFistulaWithoutSurgery, DiagnosisOfAnalFistula, DietForAnalFistula, DietForFistulaInAno, DietForFistulaPatients, DifferenceBetweenPilesAndFistula, DressingAfterFistulaSurgery, FissureAndFistula, FissureAndFistulaTreatment, FissureFistula, FissureFistulaAndPiles, FissureFistulaSymptoms, FissureFistulaTreatment, FissureInAno, FissureInAnoAndFistulaInAno, FissureKaIlaj, FissureToFistula, FistulaAfterSurgery, FistulaAndAno, FistulaAndPilesAreSame, FistulaAnoCauses, FistulaArea, FistulaAroundAnus, FistulaAyurvedicIlaj, FistulaAyurvedicUpchar, FistulaBack, FistulaBhagandar, FistulaBowel, FistulaCanBeCuredWithoutSurgery, FistulaCausedBySurgery, FistulaCauses, FistulaCausesAndSymptoms, FistulaCausesDueTo, FistulaChannel, FistulaClinicNearMe, FistulaComingBackAfterSurgery, FistulaComplicationsAfterSurgery, FistulaCure, FistulaCureWithoutSurgery, FistulaDamage, FistulaDefinition, FistulaDesiIlaj, FistulaDiagnosis, FistulaDiet, FistulaFissurePiles, FistulaFromSurgery, FistulaHemorrhoids, FistulaHowToCure, FistulaHowToTreat, FistulaIlaj, FistulaInAnoAfterSurgery, FistulaInAnoAyurveda, FistulaInAnoBestTreatment, FistulaInAnoBleeding, FistulaInAnoHemorrhoids, FistulaInAnoLaserSurgery, FistulaInAnoLaserTreatment, FistulaInAnoMedicalTreatment, FistulaInAnoRecoveryAfterSurgery, FistulaInAnoRecoveryTime, FistulaInAnoRecurrence, FistulaInAnoRecurrenceAfterSurgery, FistulaInAnoSignsAndSymptoms, FistulaInAnoSurgeryComplications, FistulaInAnoSurgeryCost, FistulaInAnoSurgeryRecoveryTime, FistulaInAnoTreatmentInAyurveda, FistulaInAnoTreatmentWithoutSurgery, FistulaInAnoWithoutSurgery, FistulaInfectionSymptoms, FistulaInfectionTreatment, FistulaInMedical, FistulaInPiles, FistulaInRectalArea, FistulaInsideAnus, FistulaInSmallBowel, FistulaInSurgery, FistulaIsPiles, FistulaKaIlaj, FistulaKaLaserOperation, FistulaKiDawa, FistulaKiMedicine, FistulaLaserSurgeryCost, FistulaLaserTreatment, FistulaLaserTreatmentInDelhi, FistulaLaserTreatmentSuccessRate, FistulaLatestTreatment, FistulaMeaning, FistulaMedicalTreatment, FistulaMein, FistulaMultiple, FistulaNearAnus, FistulaNoAnus, FistulaOfAno, FistulaOfAnus, FistulaOnBack, FistulaOt, FistulaPain, FistulaPainAfterSurgery, FistulaPainSymptoms, FistulaPainTreatment, FistulaPatient, FistulaPilesSymptoms, FistulaProblem, FistulaRecovery, FistulaRecoveryAfterSurgery, FistulaRecoveryTime, FistulaRecoveryWithoutSurgery, FistulaRectoanal, FistulaRecurrence, FistulaRecurrenceAfterLaserSurgery, FistulaRecurrenceAfterSurgery, FistulaRecurrenceAfterSurgerySymptoms, FistulaRecurrenceRate, FistulaRecurrenceSymptoms, FistulaRecurrenceTime, FistulaSignAndSymptoms, FistulaSigns, FistulaSkin, FistulaSphincterMuscles, FistulaSuccessRate, FistulaSurgeon, FistulaSurgeonNearMe, FistulaSurgeryAfterCare, FistulaSurgeryComplications, FistulaSurgeryHowLongDoesItTake, FistulaSurgeryLaser, FistulaSurgeryRecovery, FistulaSurgeryRecoveryTime, FistulaSurgerySuccessRate, FistulaSurgicalTreatment, FistulaSymptoms, FistulaSymptomsAndTreatment, FistulatomySurgery, FistulaTreatmentAfterSurgery, FistulaTreatmentAyurveda, FistulaTreatmentCost, FistulaTreatmentInDelhi, FistulaTreatmentLaser, FistulaTreatmentSurgery, FistulaTreatmentWithoutSurgery, FistulaTreatmentWithoutSurgeryNearMe, FistulaUpchar, FistulaWithoutPain, FistulaWithoutSurgery, FistulaWithoutSurgeryTreatment, FistulaWound, GelForFistula, HealAnalFistula, HealingAFistula, HemorrhoidsAndFistula, HemorrhoidsFistulaTreatment, HighFistula, HighFistulaInAno, HighFistulaInAnoTreatment, HighFistulaTreatment, IfFistulaIsNotTreated, IndianPiles, InfectionAnusSymptoms, InfectionFistula, InfectionInAnusTreatment, InfectionOnTheAnus, IntersphinctericFistula, IntersphinctericFistulaInAno, IntersphinctericFistulaTreatment, KsharsutraForFistula, KsharsutraForPiles, KsharsutraTreatment, KsharsutraTreatmentCost, LaserAnalFistula, LaserForFistula, LaserForFistulaInAno, LaserOperationForFistula, LaserPilesClinic, LaserSurgeryForFistula, LaserSurgeryForFistulaCost, LaserSurgeryForFistulaInAno, LaserSurgeryForPiles, LaserTreatmentCostForFistula, LaserTreatmentFistulaInAno, LaserTreatmentForFistulaCost, LaserTreatmentForFistulaNearMe, LaserTreatmentForFistulaSuccessRate, LaserTreatmentForPiles, LaserTreatmentOfFistulaInAno, LatestTreatmentForFistulaInAno, MainCausesOfFistula, MedicationForFistula, MedicineForFistula, MedicineForFistulaInAno, MedicineForFistulaInAnus, MedicineForFistulaInAyurveda, MedicineForFistulaPain, MedicineForFistulaTreatment, MultipleFistula, MultipleFistulaInAno, NaturalRemediesForFistula, NearByPilesHospital, NearPilesClinic, NearPilesHospital, NewTreatmentForFistula, NoFistula, PainAfterFistulaLaserSurgery, PainInFistula, PainkillerForFistula, PathophysiologyOfAnalFistula, PathophysiologyOfFistulaInAno, PerirectalFistula, Piles&FistulaClinic, PilesAndFistula, PilesAndFistulaClinic, PilesAndFistulaClinicNearMe, PilesAndFistulaTreatment, PilesBestHospital, PilesBestTreatment, PilesClinic, PilesFissureFistulaTreatment, PilesFistula, PilesFistulaAndFissure, PilesFistulaSymptoms, PilesFistulaTreatment, PilesHemorrhoidsFistula, PilesHospital, PilesLaser, PilesSurgeon, PilesSurgeryTime, PilonidalFistula, PilonidalSinusAndFistula, PilonidalSinusFistula, ReasonForFistulaRecurrence, ReasonForPilesAndFistula, ReasonsForFistulaInAno, RecoveryAfterAnalFistulaSurgery, RecoveryAfterLaserFistulaSurgery, RecoveryTimeAfterFistulaSurgery, RectalAnalFistula, RectalFistula, RectalFistulaBleeding, RectalFistulaTreatment, RectalFistulaTreatmentWithoutSurgery, RectocutaneousFistula, RectocutaneousFistulaTreatment, RecurrenceOfFistula, RecurrenceOfFistulaInAno, RecurrenceRateOfFistulaInAno, RemediesForFistula, RemedyForFistula, SignsAndSymptomsOfAFistula, SignsAndSymptomsOfAnalFistula, SignsOfAnalFistula, SignsOfRectalFistula, SinusAndFistula, SitzBathAfterFistulaSurgery, SitzBathForAnalFistula, SitzBathForFistulaInAno, SmallFistula, SmallFistulaTreatment, SphinctericFistula, SuccessRateOfLaserFistulaSurgery, SurgeonForFistula, SurgeryAnal, SurgeryOfAnalFistula, SurgicalFistula, SurgicalTreatmentOfAnalFistula, SurgicalTreatmentOfFistulaInAno, SymptomsAnusInfection, SymptomsOfAAnalFistula, SymptomsOfARectalFistula, SymptomsOfPilesAndFistula, TreatmentForAnusInfection, TreatmentForPilesWithoutSurgery, TreatmentOfIntersphinctericFistula, VaaftFistula, VaaftFistulaTreatment, VaaftFistulaTreatmentCost, VaaftForFistulaInAno, VaaftSurgeryInDelhi, VaaftTreatmentForFistula

All Fistula

Top 10 treatments for Fistula-in-Ano

Post author By Dr Ravinder Sharma
Post date May 11, 2024

Fistula-in-Ano: Understanding the Condition

A Fistula-in-Ano is an abnormal tunnel that forms between the anal canal and the skin around the anus. This inflammatory tract is lined with unhealthy tissue and can cause significant discomfort, including pain, swelling, and drainage.

Over the years, various treatment options have been explored to address Fistula-in-Ano, each with varying degrees of success.

Seton Treatment for Fistula-in-Ano: A Closer Look

Seton treatment is a surgical technique used to manage fistula-in-ano, an abnormal passageway that forms between the anal canal and the skin near the anus. This procedure involves inserting a non-absorbable thread, typically made of nylon or silk, into the fistula tract.

How Seton Treatment Works:

Draining the Fistula: The primary purpose of the seton is to keep the fistula tract open, allowing for drainage of pus and reducing inflammation.
Promoting Healing: In some cases, the seton is gradually tightened over time to cut through the tissue of the fistula tract, stimulating healing.

Advantages of Seton Treatment:

Effective Drainage: Seton treatment is highly effective in draining the fistula, reducing pain, and preventing abscess formation.
Minimal Discomfort: The procedure is relatively painless and can be performed under local anesthesia.

Disadvantages of Seton Treatment:

Limited Success Rate:
- 100% persistence of fistula in seton treatments when it is a draining seton^[1].
- One of the key limitations of seton treatment lies in its mechanism of action. The process of cutting the seton relies on tissue necrosis, which is the death of tissue. This approach, however, does not effectively debride or remove unhealthy tissue from the fistula tract. As a result, the success rate of seton treatment can be quite low, with approximately 20% of cases experiencing failure^[2].
Risk of Incontinence: There is a risk of fecal incontinence, especially with long-term seton placement – about 30%^[2]

Fistulotomy and Lay-Open Technique: A Surgical Approach to Fistula-in-Ano

Fistulotomy and lay-open technique is a surgical procedure used to treat fistula-in-ano. It involves cutting open the fistula tract to allow it to heal naturally.

How Fistulotomy and lay-open technique Works:

Fistula Tract Identification: A probe is inserted into the fistula tract to identify its course.
Incision: The surgeon makes an incision along the fistula tract, cutting through the overlying tissue.
Laying-Open the Fistula: The fistula tract is opened, creating an open wound.
Healing Process: The wound is left open to heal naturally, often with packing or drainage tubes.

Advantages of Fistulotomy and Lay-Open Technique:

Effective for Simple Fistulas: This technique is suitable for simple, low-risk fistulas.
Quick Procedure: It’s a relatively quick surgical procedure.

Disadvantages of Fistulotomy and Lay-Open Technique:

Risk of Incontinence: One significant drawback of the Fistulotomy and Lay-Open Technique is the risk of fecal incontinence, which can range from partial to complete loss of bowel control. Approximately 25-35% of patients who undergo Fistulotomy and Lay-Open Technique may experience this side effect, especially for fistulas that involve the anal sphincter.^[3]

Fistulectomy with Primary Sphincter Reconstruction: A Surgical Solution for Fistula-in-Ano

Fistulectomy with primary sphincter reconstruction is a surgical procedure used to treat fistula-in-ano, an abnormal passageway that forms between the anal canal and the skin near the anus. This procedure involves removing the abnormal fistula tract and repairing the damaged anal sphincter muscles.

How Fistulectomy with primary sphincter reconstruction Works:

Incision: A surgical incision is made from the internal opening of the fistula to the anal verge.
Excision of Fistula Tract: The abnormal fistula tract is carefully removed, ensuring complete excision.
Sphincter Repair: The damaged anal sphincter muscles are repaired to minimize the risk of fecal incontinence.

Advantages of Fistulectomy with Primary Sphincter Reconstruction:

Minimal Discomfort: Post-operative pain is generally mild and can be managed with medication.
Rapid Recovery: Patients can usually resume normal activities within a few weeks.
Low Risk of Recurrence: This technique has a relatively low recurrence rate.

Disadvantages of Fistulectomy with Primary Sphincter Reconstruction:

Risk of Incontinence: Studies have shown that approximately 23% of patients who undergo seton treatment may experience some degree of incontinence.^[1]

Fibrin Sealant Treatment for Fistula-in-Ano

Fibrin sealant is a minimally invasive technique for treating fistula-in-ano. It involves injecting a biological adhesive into the fistula tract to seal it off.

How Fibrin Sealant Treatment Works:

Debridement: The fistula tract is cleaned to remove infected tissue.
Injection: A fibrin sealant, that promotes blood clotting, is injected into the fistula’s internal opening.
Clot Formation: The sealant forms a clot, sealing off the fistula tract.

Pros of Fibrin Sealant Treatment:

Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
Quick Recovery: Patients typically experience a faster recovery time with minimal discomfort.
Low Risk of Incontinence: This technique preserves the anal sphincter muscles, reducing the risk of fecal incontinence.
No Need for Antibiotics: Antibiotics are usually not required, minimizing the risk of antibiotic resistance.

Cons of Fibrin Sealant Treatment:

High Recurrence Rate: Studies have shown a significant recurrence rate of around 36.95%, indicating that the fistula may reoccur after treatment.^[4]
Lower Long-Term Success Rate: The long-term overall success rate of fibrin sealant treatment is approximately 63.04%.^[4]

Fistula Plug Treatment: A Minimally Invasive Approach

Fistula plug treatment is a minimally invasive technique for treating fistula-in-ano. It involves inserting a plug into the fistula tract to promote healing.

How Fistula Plug Treatment Works:

Identification of the Fistula Tract: The fistula tract is identified using a probe.
Insertion of the Plug: The plug is inserted into the tract and secured.
Healing Process: The plug stimulates the body’s natural healing process, leading to the closure of the fistula.

Pros of Fistula Plug Treatment:

Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
Lower Risk of Incontinence: As it avoids cutting the sphincter muscles, it carries a lower risk of fecal incontinence.
Quick Recovery: Patients often experience a faster recovery time compared to other surgical procedures.

Cons of Fistula Plug Treatment:

Variable Success Rates: The success rate of fistula plug treatment can vary, with some studies reporting success rates between 24% and 88%^[5].

Advancement Flap: A Surgical Option for Fistula-in-Ano

Advancement flap is a surgical technique used to treat fistula-in-ano. It involves creating a flap of tissue from the rectal lining or the skin and advancing it to cover the fistula tract.

How Advancement Flap for Fistula Works:

Identification of the Fistula Tract: The fistula tract is carefully identified and probed.
Creation of the Flap: Depending on the specific technique, a flap of tissue is raised from the rectal lining or the skin.
Advancement of the Flap: The flap is advanced to cover the fistula’s internal opening.
Closure of the Flap: The flap is sutured in place to promote healing.

Types of Advancement Flaps:

Endorectal Advancement Flap: A flap of tissue is raised from the rectal lining.
Dermal Advancement Flap: A flap of skin is raised and advanced to cover the fistula tract.

Pros of Advancement Flap:

Effective in Complex Cases: This technique can be useful in complex cases, such as fistula with Crohn’s disease or rectovaginal fistulas.
Minimal Disruption of Anal Sphincter: The procedure avoids cutting the sphincter muscles, reducing the risk of incontinence.

Cons of Advancement Flap:

High Recurrence Rate: The recurrence rate of fistula-in-ano after advancement flap surgery can be significant, ranging from 30% to 50%^[1] .
Technical Difficulty: The procedure requires advanced surgical skills and can be challenging to perform.

Ligation of Intersphincteric Fistula Tract (LIFT)

LIFT is a minimally invasive surgical technique used to treat fistula-in-ano, particularly for intersphincteric fistulas.

How LIFT Works:

Fistula Tract Identification: A probe is inserted into the fistula tract to identify its course.
Dissection: A groove is created between the internal and external sphincter muscles to expose the fistula tract.
Ligation: The fistula tract is ligated (tied off) above and below.
Division of the Tract: If the fistula tract is long, a portion of it may be excised.
Wound Closure: The wound is closed loosely to allow for drainage.

Advantages of LIFT:

Minimally Invasive: LIFT is a less invasive procedure compared to traditional techniques, leading to faster recovery.
Lower Risk of Incontinence: By avoiding division of the sphincter muscles, LIFT reduces the risk of fecal incontinence.

Cons of LIFT:

High recurrence Rates: LIFT has shown promising results, with success rates ranging from 57%^[6] to 76.5%^[5]. That means fistula recurrence is observed in 23.5% to 43% of cases after LIFT treatment.

Video-Assisted Anal Fistula Treatment (VAAFT): A Minimally Invasive Approach

Video-Assisted Anal Fistula Treatment (VAAFT) is a minimally invasive procedure that uses advanced imaging techniques to visualize and treat fistula-in-ano.

How VAAFT Works:

Visualization of the Fistula Tract: A tiny camera is inserted into the fistula tract, allowing the surgeon to visualize the internal anatomy directly.
Cleaning the Tract: Any debris or infection is removed from the fistula tract.
Closing the Internal Opening: The fistula’s internal opening is closed using specialized techniques, such as laser therapy or suture.

Advantages of VAAFT:

Minimally Invasive: VAAFT is a minimally invasive procedure, causing minimal discomfort and a shorter recovery time.
Accurate Diagnosis: The use of a camera allows for precise diagnosis, identification of secondary tracts, and assessment of the fistula’s complexity.
Reduced Risk of Incontinence: By preserving the anal sphincter muscles, VAAFT minimizes the risk of fecal incontinence.

Disadvantages of VAAFT:

Higher Cost: VAAFT can be more expensive than traditional surgical techniques.
Limited Success Rate: The overall success rate is reported to be around 73.5%^[5] .

Fistula Laser Closure (FiLaC): A Minimally Invasive Approach

Fistula Laser Closure (FiLaC) is a minimally invasive technique that uses laser energy to treat fistula-in-ano.

How FiLaC Works:

Identification of the Fistula Tract: The fistula tract is identified using a probe.
Laser Fiber Insertion: A laser fiber is inserted into the fistula tract.
Laser Energy Delivery: Laser energy is delivered through the fiber to the fistula walls, causing tissue shrinkage and closure.

Pros of FiLaC:

Minimally Invasive: The procedure is less invasive than traditional surgical techniques.
Lower Risk of Incontinence: As it avoids cutting the sphincter muscles, it carries a lower risk of fecal incontinence.
Quick Recovery Time: Patients often experience a faster recovery time compared to other surgical procedures.

Cons of FiLaC:

Lower Success Rate: The overall success rate of FiLaC is around 81%, which can decrease to 71% in patients with Crohn’s disease^[5] .
Cost: The procedure can be relatively expensive.
Less Effective in Complex Cases: FiLaC may be less effective in complex fistula cases, such as those associated with Crohn’s disease.

Ksharsutra Treatment: A Traditional Approach to Fistula-in-Ano

Ksharsutra treatment is an ancient Ayurvedic technique for treating fistula-in-ano. It involves putting a medicated thread, known as Ksharsutra, into the fistula tract.

How Ksharsutra Treatment Works:

Identification of the Fistula Tract: The fistula tract is carefully mapped using a probe or advanced imaging techniques such as an MRI fistulogram.
Insertion of the Ksharsutra: A specially prepared medicated thread is inserted into the fistula tract.
Gradual Healing: The Ksharsutra gradually dissolves, promoting healing from within the fistula tract.
Regular Replacement: The Ksharsutra is replaced periodically until the fistula is completely healed.

Pros of Ksharsutra Treatment:

High Success Rate: Ksharsutra treatment has proven highly effective in treating fistula-in-ano, with a remarkable success rate of around 96.77%^[7].
Minimal Risk of Incontinence: This technique is less likely to cause incontinence, a common complication of other surgical procedures.
Minimal Invasive: Ksharsutra treatment offers a minimally invasive and holistic solution, addressing underlying imbalances and promoting overall well-being.

Cons of Ksharsutra Treatment:

Time-Consuming: The treatment process can be time-consuming, requiring regular visits to the healthcare provider.

Seyfried S, Bussen D, Joos A, Galata C, Weiss C, Herold A. Fistulectomy with primary sphincter reconstruction. Int J Colorectal Dis. 2018 Jul;33(7):911-918. doi: 10.1007/s00384-018-3042-6. Epub 2018 Apr 12. PMID: 29651553.
https://www.medscape.com/answers/190234-82310/what-is-the-efficacy-of-seton-placement-for-the-treatment-of-fistula-in-ano-anal-fistula
https://link.springer.com/chapter/10.1007/978-1-4614-9014-2_9
Maralcan G, Başkonuş I, Gökalp A, Borazan E, Balk A. Long-term results in the treatment of fistula-in-ano with fibrin glue: a prospective study. J Korean Surg Soc. 2011;81(3):169-175. doi:10.4174/jkss.2011.81.3.169
Limura E, Giordano P. Modern management of anal fistula. World J Gastroenterol. 2015;21(1):12-20. doi:10.3748/wjg.v21.i1.12
Bleier JI, Moloo H, Goldberg SM. Ligation of the intersphincteric fistula tract: an effective new technique for complex fistulas. Dis Colon Rectum. 2010 Jan;53(1):43-6. doi: 10.1007/DCR.0b013e3181bb869f. PMID: 20010349.
Dr., P.S., & Prof., M.S. (2010). Efficacy of Kshar Sutra (medicated seton) therapy in the management of Fistula-in-Ano. World Journal of Colorectal surgery, 2, 6.

Tags #AnalFistula, #AnalFistulaTreatment, #FistulaTreatment, AboutFistulaDisease, AbscessAnal, AbscessAndFistula, AbscessAnusTreatment, AbscessByTheAnus, AbscessInAnusSurgery, AbscessInAnusTreatment, AbscessInsideAnus, AbscessNearAnal, AbscessRectalTreatment, AdvancementFlapProcedure, AdvancementFlapSurgery, AfterFistulaOperation, AfterFistulaSurgeryPain, AfterSurgeryFistula, AnalAbscessCure, AnalAbscessHealing, AnalAbscessSurgery, AnalAbscessTreatmentWithoutSurgery, AnalAdvancementFlap, AnalDrainage, AnalFistulaAbscess, AnalFistulaAfterSurgery, AnalFistulaAndAbscess, AnalFistulaAndFissure, AnalFistulaAntibiotics, AnalFistulaAyurveda, AnalFistulaCrohn's, AnalFistulaDisease, AnalFistulaDrainage, AnalFistulaFissure, AnalFistulaHealingTime, AnalFistulaInAno, AnalFistulaLaser, AnalFistulaLaserSurgery, AnalFistulaLaserTreatment, AnalFistulaMedicine, AnalFistulaOperation, AnalFistulaPain, AnalFistulaPlug, AnalFistulaProcedure, AnalFistulaRecurrence, AnalFistulaSpecialist, AnalFistulaSurgerySuccessRate, AnalFistulaTract, AnalFistulaTreatmentWithoutSurgery, AnalFistulaVideo, AnalFistulectomy, AnalFistulotomy, AnalniFistula, AnalSurgery, AnalSwelling, AnasFistula, AnocutaneousFistula, AnoInFistula, AnoRectalFistula, AnoRectalSurgery, AntibioticsForAnalAbscess, AnusAbscessDrainage, AnusDischargeTreatment, AnusWound, AyurvedaMedicineForFistula, BestAntibioticsForFistula, BestDrForFistula, BestMedicineForFistula, BestMedicineForFistulaInAno, BestSurgeonForFistula, BestTreatmentForAnalFistula, BestTreatmentForFistula, BestTreatmentForFistulaInAno, BhagandarMedicine, BhagandarTreatment, BhagandarTreatmentInAyurveda, ButtockFistula, CareAfterFistulaSurgery, ChancesOfRecurrenceOfFistulaAfterSurgery, ClosedFistula, ColovaginalFistulas, ComplexFistula, ComplexFistulaInAno, Crohn'sAndFistula, Crohn'sDiseaseAnalFistula, Crohn'sDiseaseAndFistulas, Crohn'sDiseaseFistula, Crohn'sFistula, CuttingSeton, CuttingSetonFistula, DischargeFromAnus, DiseaseOfFistula, DrainageSeton, EndorectalAdvancementFlap, ExternalFistula, FibrinGlueFistula, FibrinGlueInjection, FilacSurgery, FissureAndFistulaTreatment, FissureFistula, FissureFistulaTreatment, FistulaAbscess, FistulaAndFissure, FistulaAndPerianalAbscess, FistulaAndSeton, FistulaAntibiotics, FistulaAroundAnus, FistulaAyurveda, FistulaBhagandar, FistulaBowel, FistulaCanBeCuredWithoutSurgery, FistulaCanCureWithoutOperation, FistulaClinic, FistulaColon, FistulaCure, FistulaCureInAyurveda, FistulaCureWithoutSurgery, FistulaDefine, FistulaDefinition, FistulaDisease, FistulaDiseaseTreatment, FistulaDoctor, FistulaDrainage, FistulaExternalOpening, FistulaHealing, FistulaHealingAfterSurgery, FistulaHealingTime, FistulaHemorrhoids, FistulaHowToCure, FistulaInAnoAntibiotics, FistulaInAnoHealingTime, FistulaInAnoLaserTreatment, FistulaInAnoOperation, FistulaInAnoRecurrence, FistulaInAnoSurgeryProcedure, FistulaInAnoTreatmentWithoutSurgery, FistulaInsideAnus, FistulaIntersphincteric, FistulaKaIlaj, FistulaKaOperation, FistulaKsharSutraTreatmentVideo, FistulaLaserOperation, FistulaLaserSurgeryHealingTime, FistulaLaserSurgerySuccessRate, FistulaLaserSurgeryVideo, FistulaLaserTreatment, FistulaLaserTreatmentSuccessRate, FistulaMeaning, FistulaMedicine, FistulaMedicineInAyurveda, FistulaNearAnus, FistulaOfAno, FistulaOfAnus, FistulaOpenSurgery, FistulaOperation, FistulaOperationProcedure, FistulaOperationTime, FistulaPainTreatment, FistulaPathophysiology, FistulaPatient, FistulaPlug, FistulaProblem, FistulaProcedure, FistulaPusDischarge, FistulaRecurrence, FistulaRecurrenceRate, FistulaRecurrenceSymptoms, FistulaRecurrenceTime, FistulaRemedies, FistulasColonicas, FistulaSinusPilonidal, FistulaSkin, FistulaSpecialistNearMe, FistulaSurgeon, FistulaSurgerySuccessRate, FistulaSurgicalProcedure, FistulaSymptomsAndTreatment, FistulaTherapy, FistulatomySurgery, FistulaTract, FistulaTreatmentInAyurveda, FistulaTreatmentInDelhi, FistulaTreatmentMedicine, FistulaTreatmentWithoutOperation, FistulaTreatmentWithoutSurgery, FistulaWithCrohn's, FistulaWithoutExternalOpening, FistulaWithoutSurgery, FistulaWound, FistulaWoundHealing, FistulaWoundHealingTime, FistulectomyAndFistulotomy, FistulectomyMeaning, FistulectomyProcedure, FistulectomySuccessRate, FistulectomySurgery, FistulotomyHealingTime, FistulotomyMeaning, FistulotomyProcedure, FistulotomySuccessRate, FistulotomySurgery, FistulotomySurgeryProcedure, FistulousTractMeaning, HealingTimeForFistulaSurgery, HemorrhoidsAndFistula, HemorrhoidsAndPus, HighFistula, HighFistulaInAno, HighPerianalFistula, InfectionAnusFissure, InternalFistula, IntersphinctericAnalFistula, IntersphinctericFistula, IntersphinctericFistulaInAno, IntersphinctericFistulaTreatment, KsharaSutraTherapy, KsharaSutraTreatment, KsharSutra, KsharSutraFistulaTreatment, KsharsutraForFistula, KsharSutraNearMe, KsharsutraProcedure, KsharSutraSuccessRate, KsharsutraTherapy, KsharsutraTreatment, KsharSutraTreatmentForFistulaNearMe, KsharSutraTreatmentNearMe, KsharSutraTreatmentRecoveryTime, KsharSutraTreatmentVideo, LaserAnalFistula, LaserFistulectomy, LaserForFistula, LaserForFistulaInAno, LaserOperationForFistula, LaserSurgeryForFistula, LaserSurgeryForFistulaInAno, LaserTreatmentForFistulaNearMe, LaserTreatmentForFistulaSuccessRate, LayingOpenOfFistulaInAno, LayOpenFistula, LayOpenFistulaHealingTime, LiftAnalFistula, LiftFistula, LiftFistulaProcedure, LiftForFistulaInAno, LiftOperation, LiftProcedureAnalFistula, LiftProcedureFistulaSuccessRate, LiftProcedureForFistulaInAno, LiftTechnique, LigationFistula, LigationOfTheIntersphinctericFistulaTract, LowAnalFistula, LowFistula, LowFistulaInAno, ManagementOfAnalFistula, ManagementOfFistula, MedicationForFistula, MedicineForFistulaInAno, MedicineForFistulaPain, MoolakkuruTreatment, MostCommonTypeOfAnalFistula, MriFistulaInAno, MriForAnalFistula, MriForFistula, MriOfFistulaInAno, MriOfPerianalFistula, MulakuruTreatment, MulavyadiMedicine, MulvyadhDoctorNearMe, NaturalRemediesForFistula, NewTreatmentForFistula, OpenFistula, PainAfterFistulaSurgery, PainfulFistula, PathophysiologyOfAnalFistula, PathophysiologyOfFistulaInAno, PerianalAbscessTreatmentWithAntibiotics, PerirectalFistula, Piles&FistulaClinic, PilesAndFistula, PilesAndFistulaClinic, PilesAndFistulaTreatment, PilesFissureFistulaTreatment, PilesFistula, PilesFistulaDoctor, PilesFistulaTreatment, PilesWithPus, PilonidalFistula, PostOpFistulaCare, PusAfterFistulaSurgery, PusAnus, PusDischargeFromAnus, PusFistula, PusFromAnusFissure, PusFromFistula, PusFromPiles, PusInAnus, PusInFistula, PusInPiles, PusNearAnus, RectalAdvancementFlap, RectalAdvancementFlapSurgery, RectalFistula, RectalFistulaAbscess, RectalFistulaTreatment, RectalFistulaTreatmentWithoutSurgery, RectalVagFistula, RectoVaginal, RectovaginalFistula, RectovaginalFistulaCauses, RectovaginalFistulaTreatment, RecurrenceOfFistula, RecurrenceOfFistulaAfterSurgery, RemoveFistula, SetonFistula, SetonForAnalFistula, SetonInFistulaInAno, SetonOperation, SetonPlacement, SetonPlacementFistula, SetonProcedures, SetonSurgery, SetonSurgeryForFistula, SetonSuture, SetonTechnique, SetonTreatment, SetonTreatmentForFistula, SetonTreatmentForFistulaInAno, SimpleFistula, SphinctericFistula, SurgeonForFistula, SurgeryOfAnalFistula, SurgicalAnalCanal, SurgicalFistula, SwellingDuringKsharSutraTreatment, SwellingInsideTheAnus, SwellingNearAnal, SwellingsAroundAnus, TreatingPerianalAbscessWithAntibiotics, VaaftFistula, VaaftForFistulaInAno, VaaftProcedure, VaaftSurgery, VaaftSurgerySuccessRate

All Fistula

Ksharsutra Treatment for Fistula- What you need to Know?

Post author By Dr Ravinder Sharma
Post date April 24, 2024

Ksharsutra Treatment: A Natural Approach to Fistula-in-Ano

Ksharsutra is an ancient Ayurvedic technique that involves using a medicated thread to treat various ailments, including fistula-in-ano. The term “Ksharsutra” is a combination of two Sanskrit words:

Kshar: An alkaline substance derived from specific plants.
Sutra: Thread

In the context of fistula-in-ano, a Ksharsutra is a specialized thread impregnated with medicinal substances. This thread is carefully inserted into the fistula tract, where it gradually dissolves the infected tissue and promotes healing.

This minimally invasive procedure offers a natural and effective solution for fistula-in-ano, reducing the need for surgical intervention and associated complications.

The Preparation of Ksharsutra: A Rigorous Process

Ksharsutra, a traditional Ayurvedic remedy, requires a precise and standardized preparation process to ensure its efficacy. The following steps outline the meticulous preparation of this therapeutic tool:

Key Ingredients:

Apamarga Kshar: An alkaline substance derived from the ashes of Achyranthus aspera.
Snuhi Ksheer: Latex extracted from the Euphorbia nerrifolia plant.
Haridra: Turmeric powder.

Preparation Process:

Initial Coating: The thread is repeatedly coated with Snuhi Ksheer, typically 11 times.
Medicinal Coatings: Subsequent layers involve a combination of Snuhi Ksheer and Apamarga Kshar, applied 7 times.
Final Coatings: The final three layers consist of a mixture of Snuhi Ksheer and Haridra.

Sterilization:

To maintain sterility and prevent infection, the prepared Ksharsutra is sterilized using ultraviolet radiation.

Modern Preparation Techniques:

In contemporary times, Ksharsutra preparation often involves specialized cabinets equipped with facilities for hanging, heating, and ultraviolet sterilization. This ensures standardized quality and consistency.

By adhering to this rigorous preparation process, Ksharsutra is produced with optimal therapeutic properties, making it a valuable tool in traditional Ayurvedic medicine.

A Timeless Remedy: The Ancient Origins of Ksharsutra

The roots of Ksharsutra treatment for fistula-in-ano can be traced back to ancient Ayurvedic texts. Acharya Sushruta, a renowned Ayurvedic physician, extensively described Ksharsutra in his seminal work, the Sushruta Samhita, around 500 BC. He recognized its efficacy in treating various conditions, including fistula-in-ano, hemorrhoids, and sinus tracts.

While Acharya Charaka, another prominent Ayurvedic physician, also mentioned Ksharsutra, it was Acharya Chakradutta who provided detailed insights into its preparation and application.

In recent times, Dr. Deshpande from Banaras Hindu University (BHU) has made significant contributions to the standardization of Ksharsutra preparation. His research has led to a validated and approved method by the Central Council for Research in Ayurvedic Sciences (CCRAS). This standardization ensures the efficacy and safety of Ksharsutra treatment.

The Ksharsutra Treatment Process: A Step-by-Step Guide

The Ksharsutra treatment for fistula-in-ano involves a precise procedure:

Diagnosis and Assessment:
- A qualified healthcare provider will carefully examine the fistula tract, determining its depth, direction, and any branching patterns.
- In complex cases, an MRI fistulogram may be recommended for a more detailed assessment.
Ksharsutra Insertion:
- The Ksharsutra, a medicated thread, is carefully attached to a probe.
- The probe is inserted into the external opening of the fistula tract and gently advanced towards the internal opening.
- As the probe is withdrawn, the Ksharsutra is placed within the fistula tract.
Healing Process:
- The medicinal properties of the Ksharsutra gradually dissolve the infected tissue lining the fistula tract.
- This promotes healing and closure of the fistula.
Regular Replacement:
- The Ksharsutra is typically replaced every 7-10 days.
- The frequency of replacement depends on the severity of the fistula and the individual’s healing response.

By following this precise procedure, Ksharsutra treatment offers a natural and effective approach to healing fistula-in-ano.

Healing Timeline for Ksharsutra Treatment

The duration of Ksharsutra treatment for fistula-in-ano can vary depending on several factors, including:

Severity of the Fistula: The length, depth, and complexity of the fistula tract influence the healing time.
Individual Response to Treatment: Each individual’s healing rate may vary.

Generally, it’s observed that the fistula heals at a rate of 0.5 to 1 cm per Ksharsutra change. For instance, a 3 cm long fistula tract may require 4-6 Ksharsutra changes, typically spaced a week apart.

It’s important to note that these are approximate estimates, and actual healing times may vary. Regular follow-ups with a healthcare provider will help monitor the healing progress and adjust the treatment plan as needed.

Are There Any Contraindications for Ksharsutra Treatment?

While describing Ksharsutra treatment; Acharya Sushruta says:

कृशदुर्बलभीरूणां नाड़ी मर्माश्रिता च या |

क्षारसूत्रेण तां छिन्दयात् न तु शस्त्रेण बुद्धिमान् ||

सुश्रुत संहिता चि. स्था . 17/29 (Sushruta Samhita Chi. Stha. 17/29)

Acharya Sushruta, a renowned Ayurvedic physician, recognized the value of Ksharsutra, particularly in treating patients who may not be suitable for surgical intervention. He emphasized its suitability for individuals who are:

Emaciated: Those who are physically weakened or underweight.
Weak: Patients with general physical debility.
Fearful or Timid: Individuals who experience anxiety or fear related to surgical procedures.
Those with Fistulas in Sensitive Areas: Patients with fistulas located in delicate or sensitive areas.

In such cases, Ksharsutra offers a less invasive and more patient-friendly approach to treatment. Its gentle action and minimal tissue damage make it a preferred choice for these vulnerable patient groups. So generally speaking Ksharsutra Treatment for Fistula is a safe treatment option without any contraindications.

Managing Discomfort During Ksharsutra Treatment

While Ksharsutra treatment is generally well-tolerated, some patients may experience mild discomfort or burning sensations. This is due to the alkaline nature of the medicinal substances used in the Ksharsutra thread.

To manage this discomfort, several strategies can be employed:

Sitz Baths: Regular warm water sitz baths can help soothe the affected area and reduce pain & inflammation.
Topical Anesthetics: Applying a topical anesthetic gel, such as lidocaine, can numb the area and relieve discomfort & burning.
Pain Relievers: Over-the-counter pain relievers can help alleviate discomfort.

It’s important to consult with your healthcare provider to discuss the best pain management strategies for your specific needs.

During Ksharsutra Treatment: Patient Care

To ensure optimal healing and minimize discomfort, it’s essential to follow these guidelines during Ksharsutra treatment:

Maintain Regular Bowel Movements: A healthy bowel regimen is crucial to prevent straining and promote healing.
Practice Good Hygiene: Keep the anal area clean and dry to reduce the risk of infection.
Sitz Baths: Regular warm water sitz baths can help soothe the area, reduce inflammation, and promote healing.
Stay Active: Engaging in moderate physical activity, such as walking, can aid in the healing process and overall well-being.

By following these simple steps, you can optimize your recovery and achieve a successful outcome with Ksharsutra treatment.

The Secret to Ksharsutra’s High Success Rate

One of the key factors contributing to Ksharsutra’s high success rate in treating fistula-in-ano is its ability to effectively target and treat the entire fistula tract. Here’s how:

Precise Targeting: Before inserting the Ksharsutra, the healthcare provider carefully identifies the extent and complexity of the fistula tract. This ensures that the medicated thread reaches all affected areas.
Medicinal Action: The Ksharsutra releases medicinal substances that gradually dissolve the infected tissue lining the fistula tract. This process, known as debridement, promotes healing and prevents recurrence.
Self-Expanding Properties: The Ksharsutra’s medicinal properties allow it to penetrate deeper into the fistula tract, ensuring complete coverage and treatment.
Adaptive Healing: If any part of the fistula tract remains untreated, the Ksharsutra’s medicine can often stimulate the formation of a new opening, making it accessible for further treatment.

By combining these factors, Ksharsutra offers a comprehensive and effective approach to treating fistula-in-ano, leading to high success rates and minimal recurrence.

Factors Affecting Healing Time with Ksharsutra

The healing time for fistula-in-ano using Ksharsutra can vary between individuals and even within the same individual. This variation is primarily influenced by:

Tissue Consistency: The type of tissue involved in the fistula tract can impact healing time. Softer tissues, such as fatty tissue, tend to heal faster than harder tissues like muscle.
Complexity of the Fistula: The length, depth, and branching patterns of the fistula can affect the duration of treatment.
Individual Response: Each individual’s healing capacity and response to treatment can vary.

While these factors can influence the healing timeline, Ksharsutra remains a highly effective treatment option with a high success rate. By following the prescribed treatment regimen and maintaining good hygiene, patients can optimize their healing process.

Ksharsutra vs. Surgery: A Comparative Analysis

Ksharsutra treatment offers several advantages over surgical interventions for fistula-in-ano:

Lower Recurrence Rate

Ksharsutra: Predictably, Ksharsutra treatment has a significantly lower recurrence rate, often resulting in complete healing without the need for repeat procedures.
Surgery: Surgical interventions for fistula-in-ano have a higher risk of recurrence, with approximately 15-20% of cases experiencing a recurrence.

Lower Risk of Complications

Reduced Risk of Incontinence: Ksharsutra preserves the anal sphincter muscles, minimizing the risk of fecal incontinence, a common complication of surgical procedures.
Lower Infection Risk: The minimally invasive nature of Ksharsutra reduces the risk of post-operative infections.

Minimally Invasive Approach

Ksharsutra: As a minimally invasive procedure, Ksharsutra involves smaller incisions and less tissue damage, leading to faster healing and reduced pain.
Surgery: Surgical procedures for fistula-in-ano typically involve larger incisions and more extensive tissue manipulation, which can increase the risk of complications and prolong recovery time.

Faster Recovery Time

Ksharsutra: Ksharsutra is often an outpatient procedure, allowing patients to return home on the same day. The recovery period is typically shorter, enabling patients to resume normal activities quickly.
Surgery: Surgical procedures often require hospitalization and a longer recovery period. Patients may experience limitations in their daily activities for several weeks.

Improved Quality of Life

Minimal Discomfort: Ksharsutra typically results in less post-operative pain and discomfort.
Faster Return to Normal Activities: Patients can often resume their normal activities sooner after Ksharsutra treatment.

Anesthesia related Complications

Surgery: Surgical procedures for fistula-in-ano often require general or spinal anesthesia, which can lead to various side effects, including:
- Headache
- Nausea and vomiting
- Dizziness
- Temporary memory loss
- Back pain
Ksharsutra: Ksharsutra, on the other hand, typically involves local anesthesia, which is a less invasive and safer approach. Local anesthesia targets the specific treatment area, minimizing the risk of systemic side effects and allowing for a more comfortable procedure.

Cost-Effective Treatment

Lower Financial Burden: Ksharsutra is generally more affordable than surgical procedures, making it a cost-effective option for many patients.

By considering these factors, it’s evident that Ksharsutra offers a compelling alternative to surgery for fistula-in-ano, providing a safer, less invasive, and more patient-friendly approach to treatment.

Ksharsutra: A Solution for Recurrent Fistula-in-Ano

Yes, Ksharsutra treatment can be an effective solution for recurrent fistula-in-ano, even after previous surgical interventions.

Ksharsutra’s mechanism of action involves debriding the fistula tract, removing infected tissue, and promoting healing. This process is equally effective in treating recurrent fistulas. By targeting the root cause of the problem, Ksharsutra can help prevent further recurrences.

If you have experienced recurrent fistula-in-ano after surgery, consulting with a qualified healthcare provider to discuss the potential benefits of Ksharsutra treatment can be a valuable step toward finding a lasting solution.

Preserving Sphincter Function: A Key Advantage of Ksharsutra

One of the major concerns with surgical interventions for fistula-in-ano is the potential risk of fecal incontinence. Ksharsutra, however, offers a significant advantage in this regard:

Preservation of Sphincter Muscles:

Gradual Tissue Removal: Ksharsutra involves a slow and controlled process of removing infected tissue, minimizing damage to the delicate sphincter muscles.
Minimal Disruption: The procedure avoids extensive cutting or excision of tissue, reducing the risk of muscle damage.
Encouraging Natural Healing: The body’s natural healing process is stimulated, allowing the sphincter muscles to repair and regain their function.

Additional Factors:

Targeted Therapy: Ksharsutra targets the specific fistula tract, minimizing damage to surrounding healthy tissue.
Post-Treatment Care: Post-treatment care, including sphincter exercises, can further strengthen the anal sphincter muscles.

By adopting a gentle and precise approach, Ksharsutra significantly reduces the risk of fecal incontinence, offering a safer and more effective treatment option for fistula-in-ano.

Tags #AnalFistula, #AnalFistulaTreatment, #FistulaTreatment, #SitzBathForFistula, AfterFistulaSurgeryDressing, AfterFistulaSurgeryPain, AnalFistulaAfterSurgery, AnalFistulaAndFissure, AnalFistulaAyurveda, AnalFistulaAyurvedicTreatment, AnalFistulaCauses, AnalFistulaComplications, AnalFistulaCure, AnalFistulaDoctor, AnalFistulaFissure, AnalFistulaHealingTime, AnalFistulaInAno, AnalFistulaManagement, AnalFistulaMedicine, AnalFistulaOpening, AnalFistulaPain, AnalFistulaProcedure, AnalFistulaReasons, AnalFistulaRecurrence, AnalFistulaSpecialist, AnalFistulaSurgerySuccessRate, AnalFistulaSymptoms, AnalFistulaTract, AnalFistulaTreatmentWithoutSurgery, AnalniFistula, AnasFistula, AnocutaneousFistula, AnoInFistula, AnoRectalFistula, AnorectalFistulaSymptoms, AnusFistulaTreatmentInAyurveda, AyurvedaFistula, AyurvedicCureForFistula, AyurvedicFistulaMedicine, AyurvedicKsharsutra, AyurvedicKsharSutraTreatment, AyurvedicMedicineForAnalFistula, AyurvedicMedicineForBhagandar, AyurvedicMedicineForFistula, AyurvedicMedicineForFistulaInAno, AyurvedicPilesFissureAndFistulaClinic, AyurvedicRemedyForFistula, AyurvedicSurgeryForFistula, AyurvedicTreatmentForFistulaInAno, AyurvedicTreatmentForFistulaNearMe, BawasirClinic, BestAyurvedicMedicineForFistula, BestDrForFistula, BestMedicineForFistula, BestMedicineForFistulaInAno, BestMedicineForPilesAndFistula, BestSurgeonForFistula, BestSurgeryForFistula, BestTreatmentForAnalFistula, BestTreatmentForFistula, BestTreatmentForFistulaInAno, BestTreatmentForFistulaWithoutSurgery, BhagandarFistula, BhagandarMedicine, BhagandarTreatment, BhagandarTreatmentInAyurveda, BhagandarTreatmentWithoutSurgery, BhuFistulaDoctor, BleedingAfterKsharSutra, BleedingAnalFistula, ButtockFistula, CausesOfRectalFistula, ChancesOfRecurrenceOfFistulaAfterSurgery, ComplicationsOfFistulaSurgery, DefineAnalFistula, DifferenceBetweenFistulaAndPilonidalSinus, DifferenceBetweenPilonidalSinusAndFistula, DifferenceBetweenSinusAndFistulaInSurgery, DifferentTypesOfFistula, DressingAfterFistulaSurgery, DrForFistula, ExternalFistula, ExternalOpeningOfFistula, FissureFistula, FissureFistulaTreatment, FistulaAfterSurgery, FistulaAfterSurgeryCare, FistulaAndFissure, FistulaAndFissureTreatment, FistulaAnoCauses, FistulaAroundAnus, FistulaAyurvedicSurgery, FistulaAyurvedicTreatment, FistulaAyurvedicTreatmentNearMe, FistulaBhagandar, FistulaBowel, FistulaCanBeCuredWithoutSurgery, FistulaCauses, FistulaCausesAndSymptoms, FistulaClinic, FistulaCure, FistulaCureAtHome, FistulaCureWithoutSurgery, FistulaDoctor, FistulaExternalOpening, FistulaHealing, FistulaHealingAfterSurgery, FistulaHealingTime, FistulaHealingWithoutSurgery, FistulaHospitalInDelhi, FistulaHowToCure, FistulaInAnoExternalOpening, FistulaInAnoHealingTime, FistulaInAnoHomeTreatment, FistulaInAnoRecurrence, FistulaInAnoSurgeryProcedure, FistulaInAnoType, FistulaInPiles, FistulaInsideAnus, FistulaInternalOpening, FistulaKaIlaj, FistulaKaOperation, FistulaKiDawa, FistulaKiMedicine, FistulaManagement, FistulaMedicine, FistulaMedicineInAyurveda, FistulaNearAnus, FistulaOfAno, FistulaOfAnus, FistulaOpenSurgery, FistulaOperationTime, FistulaPain, FistulaPainTreatment, FistulaPatient, FistulaPilesSymptoms, FistulaProblem, FistulaProcedure, FistulaReasons, FistulaRecurrence, FistulaRecurrenceAfterSurgery, FistulaRecurrenceRate, FistulaRecurrenceSymptoms, FistulaRecurrenceTime, FistulaSigns, FistulaSinusPilonidal, FistulaSkin, FistulaSpecialist, FistulaSpecialistDoctor, FistulaSpecialistDoctorNearMe, FistulaSpecialistNearMe, FistulaSurgeon, FistulaSurgerySuccessRate, FistulaSurgicalProcedure, FistulaSurgicalTreatment, FistulaSymptoms, FistulaSymptomsAndTreatment, FistulaThreadSurgery, FistulaThreadTreatment, FistulatomySurgery, FistulaTract, FistulaTractLength, FistulaTreatmentAtHome, FistulaTreatmentBestDoctor, FistulaTreatmentDoctor, FistulaTreatmentHospitalNearMe, FistulaTreatmentInDelhi, FistulaTreatmentKsharSutra, FistulaTreatmentMedicine, FistulaTreatmentSurgery, FistulaTreatmentWithoutSurgery, FistulaTreatmentWithoutSurgeryNearMe, FistulaWithoutSurgery, FistulaWound, FistulaWoundCare, FistulaWoundHealing, FistulaWoundHealingProcess, FistulaWoundHealingTime, HealingTimeForFistulaSurgery, HemorrhoidsAndFistula, HemorrhoidsFistulaTreatment, HomeTreatmentForAnusFistula, InternalFistula, InternalFistulaSymptoms, InternalOpeningOfFistulaInAno, IntersphinctericFistula, IntersphinctericFistulaInAno, IntersphinctericFistulaMri, IntersphinctericFistulaTract, IntersphinctericFistulaTreatment, KsharaInAyurveda, KsharInAyurveda, KsharSutra, KsharSutraClinic, KsharSutraClinicNearMe, KsharsutraCuttingAndHealing, KsharSutraDhaga, KsharsutraForFistula, KsharsutraHospital, KsharSutraHospitalNearMe, KsharSutraInFissure, KsharSutraNearMe, KsharSutraPilesTreatment, KsharsutraProcedure, KsharSutraProcedureForFistula, KsharSutraSpecialistNearMe, KsharSutraSuccessRate, KsharSutraSurgery, KsharsutraThread, KsharSutraThreadChange, KsharSutraThreadChangePain, KsharsutraTreatment, KsharSutraTreatmentForFistula, KsharSutraTreatmentForFistulaNearMe, KsharSutraTreatmentForPilonidalSinus, KsharSutraTreatmentInBhu, KsharSutraTreatmentIsPainful, KsharSutraTreatmentNearMe, KsharSutraTreatmentProcedure, KsharSutraTreatmentRecoveryTime, KsharSutraTreatmentSuccessRate, LigationOfFistula, MedicationForFistula, MedicineForFistulaInAno, MedicineForFistulaInAyurveda, MedicineForFistulaPain, MedicineForFistulaTreatment, MedicineForPilesAndFistula, MoolakkuruMedicine, MoolakkuruTreatment, MriFistulaInAno, MriFistulogram, MriForAnalFistula, MriForFistula, MriForFistulaInAno, MriOfFistula, MriOfFistulaInAno, MriOfFistulogram, MriScanFistulaInAno, MulakuruMedicine, MulakuruTreatment, MulavyadiHospital, MulvyadhDoctorNearMe, NadiVrana, NewTreatmentForFistula, OpeningOfFistula, PainAfterFistulaSurgery, PainAfterKsharSutraTreatment, PainReliefForFistula, PathophysiologyOfAnalFistula, PathophysiologyOfFistulaInAno, PerirectalFistula, Piles&FistulaClinic, Piles&FistulaHospital, Piles&FistulaSpecialist, PilesAndFistula, PilesAndFistulaClinic, PilesAndFistulaTreatment, PilesFissureFistulaAyurvedicTreatment, PilesFissureFistulaTreatment, PilesFistula, PilesFistulaDoctor, PilesFistulaMedicine, PilesFistulaSymptoms, PilesFistulaTreatment, PilesHospitalNearby, PilonidalFistula, PilonidalSinusAndFistula, PrecautionsAfterKsharSutraTreatment, RectalFistula, RectalFistulaTreatment, RectalFistulaTreatmentWithoutSurgery, RecurrenceOfFistula, SignAndSymptomsOfFistula, SignsAndSymptomsOfAnalFistula, SignsOfAnalFistula, SignsOfARectalFistula, SinusAndFistula, SitzBathAfterFistulaSurgery, SmallFistula, SphincterFistula, SurgeonForFistula, SurgeryOfAnalFistula, SurgicalFistula, SurgicalManagementOfFistula, SymptomsOfARectalFistula, SymptomsOfBhagandar, SymptomsOfPilesAndFistula, TheAnoRectalClinic, TreatmentOfFistulaInAnoWithoutSurgery, TypesOfFistula, TypesOfKsharSutra

Piles To Smiles

5.0

Based on 94 reviews

review us on

sameer subba

02:47 11 Jan 25

I am from Darjeeling and I got cured from Piles to Smile.I always used to ask Dr.Ravinder Sir when I get a smile on my face he replies soon you will get it…Now I am fully cured and thanks to Dr. Ravinder and his team.I am very Lucky and fortunate that I got Dr. Ravinder for my treatment. He is very soft spoken and he understand the feelings of patient…Thanks to Dr. Ravinder Sir and Team

ajay Kumar

06:35 10 Jan 25

Must visit piles to smiles for haemorrhoids problem,,good ayurvedic treatment and painless with 💯 percent recovery,thanks a lot sir🙏😊

Jagdish Kumar

06:32 10 Jan 25

I m giving 5 star rating according to my experience with Dr. Ravinder Sharma,he is very expert in handling fistula ,got treated well and satisfied 😊

Gora devi

08:08 09 Jan 25

Good one, satisfied with the ayurvedic treatment of piles,the treatment by the docter defines the name of the clinic i .e.piles to smiles ☺️thanks a lot sir🙏(Dr Ravinder Sharma)..

Brijesh Kumar Kanaujiya

13:55 03 Jan 25

Very good experience.Am very satisfied.Piles smile is good for treatment of piles.

jagmati vats

11:58 29 Dec 24

Very satisfied with the treatment of my rectal polyps which I have been suffering since years. Now my polyps are treated. Very experienced, humble doctor and renowned doctor for treating anorectal polyps and fistulas. Staff is very supportive and helpful. Must visit piles to smiles for any issues in anorectal area.

Kullu Noel

09:47 22 Dec 24

Dr. Ravinder sharma is very experience doctor. He is doing a great job, listens to your problem very attractively, best 👌 👍 ayurvedic clinic for piles, fissures hemorrhoids and fistula. 😃😃😃😄😄

Alka Bisht Bisht

08:48 22 Dec 24

Thank you so much doctor for supporting us in these difficult times, we felt very good about your treatment, there is no hesitation in taking any kind of doctor or privacy is more important, we also did not have any tension, thank you so much sir.

med Jayant

09:02 18 Dec 24

Dr Sharma is very learned and experienced. I visited two reputed hospitals for more than two years but all invain. No relief at all. I searched on line and visited to Dr. Sharma, he treated and I got relief in first visit with a very nominal charges.clinic is also neat and clean. Staff is also co operative. I always recommend every body to visit at Dr Sharma clinic who are having such problems.

Kiran Grover

06:05 13 Dec 24

One of the best and cost effective ayurvedic anorectal clinic with good results,100percent healing and zero recurrence rate in Delhi ncr ......Best experience with Dr. Ravinder Sharma😊🙏

Mandy Sandhu

17:40 29 Nov 24

Highly impressed by the service received by the doctor and the staff at Piles to Smiles.An absolute fabulous treatment with reasonable price.I recommend people to visit Piles to Smiles clinic for an efficient treatment.

Devdutt Dev

07:20 26 Nov 24

Best place for fistula treatment...

Md Shamim Ansari

14:18 25 Nov 24

Hello. May Md Shamim Ansari.I was suffering from piles since last 4 years and I had a lot of problem.I had a lot of problem in getting fresh in the morning.Last September 2024 I got Piles to Smile and first showed it to Doctor Sir. Doctor sir told me that this problem will be solved with the help of your kshar sutra. I was treated with kshar sutra in October 2024. I am absolutely fit. thanks to Doctor sir. Thanks to piles to smile.

Komal Tanwar

18:41 17 Nov 24

i went to his clinic for fissure treatment. i got relief in only two days but continue his medicines so that it won’t happen again. He is best in his work.

Nikita Verma

17:51 06 Nov 24

I visited clinic for anorectal problem ,I am very happy with the ayurvedic treatment which is painless ,clinic is very clean,staff is cooperative and good,sir treats well,satisfied ....☺️

Akash Chaubey

15:32 05 Nov 24

My father was suffering from pain,bleeding,he is well now and pain-free,satisfied well with treatment,thanks a lot sir...

deepika singh

14:04 22 Oct 24

Good experience,Dr Ravinder is very kind,gentle and intelligent,can treat anorectal problems with painless, minimal expense and best ayurvedic treatment...

Debkumari Bachaspatimayum

11:53 19 Oct 24

Wonderful experience with Ksharsutra Treatment of my mother who is 75 plus years old. Dr Ravinder Sharma explained every step very patiently and as my mother gets anxious very quickly she was always worried that it would pain . But after every sitting she would smile and come out and say it didn’t pain .Dr handled my mother’s situation with lots of care and made sure she was very comfortable before every thread change . Duration was exactly as explained and now she is 100% fine and happily smiling not having to worry about Anal Fistula anymore. I highyly recommend Piles to Smile and Dr Ravinder Sharma . Clinic is very clean and well maintained as well.

Monika

12:43 16 Oct 24

I visited Dr Ravinder's clinic for fissure treatment . The doctor is very patient . Listens to your problem very attentively , gives sufficient time.His medication has been very effective to getting fissure cured completely.I would definately recommend his name if you are suffering from piles , fissure or fistula, please visit his clinic once.

Ravi Lagga

08:27 12 Oct 24

There is no better ayurvedic doctor than Dr Ravindra Sharma in Delhi. He gives good advice like a friend. He treats your illness very well. You will not get Ayurvedic treatment doctor anywhere in Delhi like him.

Lalita Bhandari

13:27 07 Oct 24

My husband was suffering fistula problem from last 2 month then we visited piles to smiles clinic in vasant kunj and met with Dr. Ravinder sir he listen carefully our problem and give his best treatment .He is very kind,polite and geniune Doctor in Delhi ncr Dr Ravinder treated my husband's fistula in just 2weeks without any pain ,discomfort and with less medication .He treated very well with nominal expense.He is very cooperative and much understanding about the patient problem and circumtances. He is very knowledgeable and best proctologist.Now my husband is completely fine with in one month. Really thankfull to you Doctor Ravinder sir 🙏I must say those who are suffering from fistula, fissure and piles related problem atleast consult once piles to smile clinic. Thankyou😊😊🙏I will give him five star for this treatment.

mahipal kathayat

13:40 27 Sep 24

PILES TO SMILES IS the best according it's name .And Dr Ravinder Sharma is best for piles treatment. I am very happy with Dr Ravinder Sharma treatment..Thank you so much sir

Who Yogisingla

01:14 25 Sep 24

Dr. Ravinder was so helpful and professional in his job. Due to infection, my wife wasn’t even able sit properly. He supported emotionally and guided that how to tackle from this disease. During the treatment, he always guided diet and gave proper medicines and did some surgical treatment which was obviously nothing but magic.I’ll highly recommend.

Rameshwari Singh

01:59 20 Sep 24

Good experience,best docter for painless ayurvedic treatment for piles....

RUDRAMURTHE GNANASOUNDRAMURTHI

13:54 13 Sep 24

Nice experience,best docter and best ayurvedic treatment for pilonidal sinus.....

Shashi Devi

12:08 09 Sep 24

Sir did very good treatment, took care of my son, now he is completely fine, Dhanavyad sir😊🙏

Priya Vats

18:01 28 Jul 24

A must-visit place for non-surgical treatment of fissures.... One of my friend has taken treatment for her Fissure problem from Dr. Ravinder. He managed it with medicines only. She was feeling improvement in pain from the very first day of treatment. Thanks a lot...

Amarjeet Cagten

03:57 25 Jul 24

"I recently visited the piles to smiles clinic, and I must say, I had a fantastic experience. The clinic staff were incredibly friendly and professional. They made me feel comfortable right from the moment I walked in. Dr. Ravinder is very knowledgeable and took the time to explain everything to me in detail. I was experiencing symptoms like rectal bleeding, pain, and itching, but after receiving treatment at the clinic, I noticed a significant improvement. I highly recommend this clinic to anyone dealing with piles-related issues. Thank you, piles to smiles clinic, for your exceptional care and expertise!"

Nidhi Bhardwaj

07:02 19 Jul 24

I would definitelyrecommend this hospital tofamily and friends!One of my friend had taken treatment for fistula and he’s satisfied and happy with the treatment now!All reward goes to Dr.Ravinder & It's abeautiful environment, verynice and clean. Thecommunity needs thisservice.Thank you for all you do!

Yogeeta Kadian

06:37 30 Jun 24

Dr. Ravinder is an experienced doctor. He understands the problem well and provides right solutions to cure people's suffering from intense pain. His expertise has been very helpful for my mother. I have referred him to my relatives and friends and all of them were also treated well. Apart from his expertise as doctor he is very soft spoken and kind person.

creative songs

05:23 29 May 24

I got my previous treatment done somewhere,but was not having good experience. Then I decided to visit piles to smiles,Dr Ravinder is very incredible,He explains everything in clear manner,he treated me well,best experience, will recommend to visit here for best ayurvedaic treatment for fissures...

Fistula-in-Ano (Anal Fistula): Understanding and Managing this Condition

Anal Fistula Treatment: Effective Solutions for Healing

Anal Fistula Treatment with Seton Drainage: A Minimally Invasive Approach

Fistulotomy: The Lay Open Technique for Anal Fistula Treatment

Fistulectomy with Primary Sphincter Repair: A Surgical Solution for Anal Fistulas

Fibrin Sealant Treatment for Anal Fistula

Fistula Plug Procedure: A Minimally Invasive Treatment for Anal Fistula

Endorectal Advancement Flap Surgery for Anal Fistula Repair

LIFT Procedure for Anal Fistula: Minimally Invasive Treatment for Anal Fistulas

Minimally Invasive Anal Fistula Surgery: Video-Assisted Anal Fistula Therapy (VAAFT)

Fistula Laser Closure (FiLaC): Minimally Invasive Treatment for Anal Fistula

Ksharsutra Treatment for Fistula: A Minimally Invasive Ayurvedic Approach

Can Ayurveda Cure Fistula-in-Ano? Exploring Ksharsutra Treatment

What is Ksharsutra Treatment for Fistula? An Ayurvedic Explanation

Ksharsutra Treatment for Fistula-in-Ano: ICMR Approved Ayurvedic Therapy

How is Ksharsutra Treatment Performed? A Step-by-Step Guide

Fistula Treatment in Delhi Without Surgery: Ksharsutra Therapy at Piles To Smiles

Piles To Smiles: FAQs on Best Fistula Treatment Without Surgery in Delhi

What is Fistula-in-Ano?

Understanding the Causes

Treatment Options for Fistula-in-Ano

Surgical Procedures for fistula:

Minimally Invasive Techniques for Fistula:

Why Choose Ksharsutra for Fistula Treatment?

Safer Treatment

Ksharsutra: A Proven Ayurvedic Solution for Anal Fistula

Higher Success Rate

Minimizing Complications: A Key Advantage of Ksharsutra

Minimal Disruption to Your Daily Life

Minimal Invasiveness and Patient Safety: Ksharsutra Treatment

Minimal Pain and Complications with Ksharsutra Treatment

Convenience and Minimal Disruption

Cost-Effective Treatment

Fistula-in-Ano: Understanding the Condition

Seton Treatment for Fistula-in-Ano: A Closer Look

Fistulotomy and Lay-Open Technique: A Surgical Approach to Fistula-in-Ano

Fistulectomy with Primary Sphincter Reconstruction: A Surgical Solution for Fistula-in-Ano

Fibrin Sealant Treatment for Fistula-in-Ano

Fistula Plug Treatment: A Minimally Invasive Approach

Advancement Flap: A Surgical Option for Fistula-in-Ano

Ligation of Intersphincteric Fistula Tract (LIFT)

Video-Assisted Anal Fistula Treatment (VAAFT): A Minimally Invasive Approach

Fistula Laser Closure (FiLaC): A Minimally Invasive Approach

Ksharsutra Treatment: A Traditional Approach to Fistula-in-Ano

Ksharsutra Treatment: A Natural Approach to Fistula-in-Ano

The Preparation of Ksharsutra: A Rigorous Process

A Timeless Remedy: The Ancient Origins of Ksharsutra

The Ksharsutra Treatment Process: A Step-by-Step Guide

Healing Timeline for Ksharsutra Treatment

Are There Any Contraindications for Ksharsutra Treatment?

Managing Discomfort During Ksharsutra Treatment

During Ksharsutra Treatment: Patient Care

The Secret to Ksharsutra’s High Success Rate

Factors Affecting Healing Time with Ksharsutra

Ksharsutra vs. Surgery: A Comparative Analysis

Lower Recurrence Rate

Lower Risk of Complications

Minimally Invasive Approach

Faster Recovery Time

Improved Quality of Life

Anesthesia related Complications

Cost-Effective Treatment

Ksharsutra: A Solution for Recurrent Fistula-in-Ano

Preserving Sphincter Function: A Key Advantage of Ksharsutra

Quick Links

Treatments

Get In Touch

©All Rights reserved | Developed and Managed by Wand Weaver

Book Appointment