International Journal of Ayurveda Research

: 2010  |  Volume : 1  |  Issue : 3  |  Page : 195-

Barron's rubber band ligation vs. Kshar Sutra ligation

Viroj Wiwanitkit 
 Wiwanitkit House, Bangkhae, Bangkok 10160, Bangkok, Thailand

Correspondence Address:
Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok 10160, Bangkok

How to cite this article:
Wiwanitkit V. Barron's rubber band ligation vs. Kshar Sutra ligation.Int J Ayurveda Res 2010;1:195-195

How to cite this URL:
Wiwanitkit V. Barron's rubber band ligation vs. Kshar Sutra ligation. Int J Ayurveda Res [serial online] 2010 [cited 2015 Jan 25 ];1:195-195
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I read the recent publication on ligation by Singh et al.[1] with great interest. The authors concluded that "Kshar Sutra ligation is a useful form of treatment for Grades II and III internal hemorrhoids." [1] I agree that this report might imply some clinical usefulness of Kshar Sutra ligation. The thread that is used in Kshar Sutra therapy is confirmed for active compositions in ethnopharmacology. [2] However, there are some points to be further discussed. First, there are a few subjects studied, which might limit the usefulness of the results. The clarification on statistical acceptability is needed. Second, it is interesting to know the comparative cost effectiveness between both ligation techniques. Third, the comparison on the operative time and attempt as well as acute and long-term complications rate should also be done. To fulfill the present study, these information are required.


1Singh R, Arya RC, Minhas SS, Dutt A. A comparative study of Barron's rubber band ligation with Kshar Sutra ligation in hemorrhoids. Int J Ayurveda Res 2010;1:73-81.
2Gewali MB, Pilapitiya U, Hattori M, Namba T. Analysis of a thread used in the Kshara Sutra treatment in the Ayurvedic medicinal system. J Ethnopharmacol 1990;29:199-206.