Why Ksharsutra for Fistula-in-Ano

कृशदुर्बलभीरूणां नाड़ी मर्माश्रिता च या |

क्षारसूत्रेण तां छिन्दयात् न तु शस्त्रेण बुद्धिमान् ||
i.e.
An intelligent surgeon prefers Ksharsutra treatment over any surgical intervention to treat a patient suffering from Fistula/ sinus or other similar problem who is emaciated/ weak/ fearful/ timid/ whose fistula or sinus is in vulnerable area.
सुश्रुत संहिता चि. स्था . 17/29 (Sushruta Samhita Chi. Stha. 17/29)

Till date many treatment modalities have been tried to treat Fistula-in-Ano with varying rate of success. So for a patient suffering from Fistula-in-Ano; it becomes very difficult to decide which treat to adopt.

Here we are listing few advantages with Ksharsutra treatment for Fistula-in-Ano over other treatments:

• Predictably ZERO recurrence: Fistula-in-Ano is notorious enough to recur again and again even after being treated by the bestest of surgeon. Because of its high recurrence rate there is an idiom “If you want to defame a surgeon refer him a patient suffering from Fistula-in-Ano. Even the latest treatments like Laser/ VAAFT etc. have pretty high recurrence rate of 25-30% after treatment.

Whereas Ksharsutra treatment assures complete recovery from Fistula-in-Ano and usually recurrence of Fistula-in-Ano is not reported after Ksharsutra treatment. Ksharsutra treatment is found successful in complicated Fistula-in-Ano where multiple surgeries have failed.

• Ayurved is the best to correct diet and lifestyle: unhealthy dietary habits and lifestyle is one of the main causative factor for Fistula-in-Ano and everybody is aware about the fact that Ayurved is the best health science when it comes about correcting unhealthy dietary habits and lifestyle.
• No Complications: Due to damage to sphincter muscles partial or complete stool incontinence (difficulty or inability to hold stool) is observed after surgery for Fistula-in-Ano whereas sphincter muscles remain intact in Ksharsutra treatment for Fistula-in-Ano and complication of stool incontinence is not reported.
• Done under local Anesthesia: Ksharsutra treatment is done under local anesthesia which is the safest route of anesthesia so complications associated to spinal/ general anesthesia like back ache/headache/ affected brain activities/ urine retention etc. are not seen in Ksharsutra treatment for Fistula-in-Ano.
• No Hospitalization/ Bed rest: Ksharsutra treatment is an OPD treatment and done under local Anesthesia so usually hospitalization or bed rest is not required in Ksharsutra treatment for Fistula-in-Ano.
• Minimal pain and other complications: Ksharsutra treatment for Fistula-in-Ano does not involve any cutting of tissue so complications like pain/ bleeding/ frequent infection etc. are not seen in Ksharsutra treatment for Fistula-in-Ano. A little bit of burning sensation or irritation is felt by some of the patients when ksharsutra is changed which is manageable by sitz bath (warm water tub bath)/ application of some anesthetic gel or taking painkiller medicines etc.
• No frequent hospital visit: Surgery for fistula-in-Ano may require daily packing and dressing of the wound which requires frequent hospital visit. Whereas Ksharsutra treatment for Fistula-in-Ano involves replacing of older Ksharsutra by a new one at a week or 10 days interval. Patient is not expected to visit hospital in-between this time period.
• Daily routine not affected: a patient can continue his normal routine activities as usual during Ksharsutra treatment for Fistula-in-Ano which is not possible in surgery for fistula-in-Ano.
• Cost Effective: cost incurred in Ksharsutra Treatment for Fistula-in-Ano is always less than surgery for Fistula-in-Ano. One more thing; Ksharsutra treatment involves payment of small amount at intervals whereas surgery involves payment of big amount in single installment.

Keeping all above said points we can conclude that Ksharsutra treatment is the best treatment for Fistula-in-Ano available till date. So a patient suffering from Fistula-in-Ano should opt for Ksharsutra Treatment for complete recovery..