Double Kshar Sutra Technique (DKST) is a specialized treatment method used for the management of anal fistula and pilonidal sinus, offered at Arogyam Piles Clinic and Research Center in Mohali, Chandigarh. This technique combines the principles of Ayurveda with innovation to provide effective and long-lasting relief from these conditions.
An anal fistula is an abnormal tunnel that forms between the anal canal and the skin near the anus. It is usually the result of an infection in an anal gland, which leads to the formation of an abscess. When the abscess drains, it leaves behind a passage or tract, resulting in a fistula. Anal fistulas can cause pain, discomfort, discharge of pus, and recurrent infections.
Pilonidal sinus is a condition characterized by the formation of a cyst or sinus tract in the natal cleft (the area between the buttocks). It occurs due to the accumulation of hair, dirt, and debris in the area, leading to infection and the formation of a sinus tract. Pilonidal sinuses can cause pain, swelling, redness, and the discharge of pus.
The Double Kshar Sutra Technique involves the application of a specialized medicated thread called Kshar Sutra into the fistula or sinus tract. It differs from traditional kshar sutra because in this technique in place of one kshar sutra two kshar sutra are placed in the tract. Kshar refers to a combination of herbal alkaline preparations used in Ayurveda. The Kshar Sutra is prepared by coating a sterile surgical thread with a mixture of medicinal herbs like Snuhi Ksheera (latex of Euphorbia nerifolia) and Apamarga Kshara (alkaline extract of Achyranthes aspera). The procedure begins with the identification and mapping of the fistula or sinus tract using specialized techniques like a fistulogram or a sinogram. Once the tract is identified, the Kshar Sutra is then inserted through the external opening and passed through the entire length of the tract, allowing it to come out from the internal opening. The ends of the thread are tied together, creating a loop that remains outside the body. At next follow up previous thread is replaced with two kshar sutra.
The Kshar Sutra acts by multiple mechanisms. Firstly, it has excellent cutting and debridement properties, which helps in the gradual removal of unhealthy tissues and debris from the tract. Secondly, the herbal alkaline properties of the Kshar Sutra have antimicrobial and wound-healing effects, reducing the chances of infection and promoting the healing process. The Kshar Sutra also helps in the gradual closure of the tract by inducing fibrosis and shrinking the tissue.
In Double Kshar Sutra Technique the amount of medicine in contact with fistula tract become double due to two thread that make this technique more effective in all aspects as compared to traditional kshar sutra technique. The Kshar Sutra is changed at regular intervals, usually once a week, to ensure its optimal therapeutic effects. The process is repeated until the tract completely heals and closes. The duration of the treatment varies depending on the complexity and extent of the fistula or sinus tract but it is lesser in DKST technique compared to traditional kshar sutra technique.
Benefits of the Double Kshar Sutra Technique (DKST) include:
- Haigh success rate: DKST has shown excellent results in the treatment of anal fistula and pilonidal sinus. It has a high success rate in terms of complete healing and closure of the tracts.
- Minimal recurrence: Compared to conventional surgical techniques, DKST has a lower chance of recurrence. The gradual removal of unhealthy tissues and the antimicrobial properties of the Kshar Sutra help in reducing the chances of reinfection and recurrence.
- Minimally invasive: The procedure is minimally invasive and can be performed on an outpatient basis. It avoids the need for large incisions, reducing post-operative pain, discomfort, and scarring.
- Faster healing: The herbal alkaline properties of the Kshar Sutra aid in the healing process by promoting tissue regeneration and reducing inflammation. This results in faster healing and recovery compared to conventional surgical methods.
- Preserves sphincter function: DKST is designed to preserve the anal sphincter function, which is crucial for maintaining continence. By targeting the tract without disturbing the healthy surrounding tissues, DKST minimizes the risk of damage to the sphincter muscles.
It is important to note that the Double Kshar Sutra Technique (DKST) should be performed by trained and experienced professionals in a specialized clinic or center. Arogyam Piles Clinic and Research Center in Mohali, Chandigarh, is known for its expertise in providing DKST treatment for anal fistula and pilonidal sinus. They have a team of skilled Ayurvedic surgeons who specialize in this technique and have successfully treated numerous patients.
If you are considering DKST for the management of anal fistula or pilonidal sinus, it is advisable to consult with a healthcare professional to determine if you are a suitable candidate for the procedure and to discuss the potential risks and benefits based on your specific condition.
