A Clinical Study on Chronic Anal Fissure by ligating Ksharasutra (medicated thread) w.s.r. to Sphincterotomy

The Ksharasutra is well known Ayurvedic treatment for fistula-in-ano with less chance of incontinence and recurrence. Thirty patients were selected from the OPD of Government Ayurveda College Hospital, Tripunithura, Kerala, India, satisfying the inclusion and exclusion criteria and follow up done upto 6 months. The ligating Ksharasutra is highly effective in relieving the subjective parameters such as Pain (≤0.001), Bleeding (≤0.001), Sphincter Spasm (≤0.001) and Straining (≤0.001)