kshara sutra is an herabal thread also know as medicated thread, It is an innovative parasugical method for treatment of fistula in ano, Kshra sutra is manufacture by coating of Harida (cucumber long), Kshara (purified ash of acarynthus asper), Guggulu (communiferra mukul), Shanui (cactus milk). 21 layer of herbal is used for preparation of kshara sutra, method of application of kshara sutra is very, no general and spinal aneasthesia is required for application fo kshara sutra, only few instruments as copper probes, artery forceps is for kshara sutra application, this ayurvedci siton therapy can be use for fistula sinuses, hemorroids, etc it is non surgical method for fistula in ano, Fistula in ano vis a vis bhagandara, kshra sutra is kwon as parasurgical method of high anal fistula, treatment for recurrent anal fistula, anal fistula, chronic fistula, low anal fistula, extrasphinctric fistula, intersphinteric fistula, transsphincteric fistula, ksha sutra produces very fine scare marks, no side effect, no recurrent occurs, handrade percent success rate,
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