A CRITICAL ANALYSIS ON KSHAR SUTRA –AN INDIAN SURGICAL PROCEDURE OF ANORECTAL SURGERY

Abstract

Kshar Sutra is an ancient Ayurvedic parasurgical technique widely used for the effective management of anorectal disorders such as hemorrhoids, anal fistulas, and pilonidal sinuses. This minimally invasive procedure involves the application of a medicated thread prepared with herbal alkaline substances, latex from Snuhi (Euphorbia neriifolia), and turmeric (Haridra), which exerts a controlled chemical cauterization effect on affected tissues. The technique, described in classical Ayurvedic texts such as the Sushruta Samhita, has been standardized in modern times to ensure consistent efficacy and safety. Its advantages include minimal complications, low recurrence rates, and shorter recovery times compared to conventional surgical approaches. This article explores the historical significance, preparation process, clinical applications, advantages, and modern adaptations of the Kshar Sutra technique, highlighting its relevance in current medical practices for anorectal disorders.