Kshara Sutra Therapy is the most effective treatment for fistula-in-ano (Bhagandara).
Number of 20 Barbers thread is used for making the kshara soothra. Classical 21 coatings ksharasutra is used to treating cases of fistula-in-ano.
11 Coatings of snuhi ksheera, 7 Coatings of snuhi ksheera (Euphorbia neriifolia) with apamarga kshara, 3 Coatings of haridra churna (turmeric powder) is used for preparing the Classical Kshara soothra.
Self-made preparation
By simultaneous cutting and healing action of kshara sutra fistula never . So kshara sutra is supreme over fistulectomy of fistulotomy treatment.