The 867 cases of chronic fissure in ano aged between 10-60 years of both sexes complaints with painful defecation and bleeding P/R dropping and particularly burning pain with chronic linear ulcer at fissure bed, who were advised for analgesic, anti inflammatory and occasionally antibiotics modern drugs as conservative treatment and further finally diagnosed for fissurectomy. Such patients were selected for surgical study treated with ksharasutra suture treatment procedure (KSS). Taking all the preoperative measures KSS was applied once under suitable anesthesia. The treatment period was only 3-5 days while they were asked to attend the hospital for a week only for observations and the post operative management. The assessment of result was assessed through clinical parameters. The 838 cases were completely cured where as 29 patients got complications like proctitis, abscess and sinus as in numbers12, 10 and 7 respectively. And also they were managed under Ksharakarma procedure. All the demographic observations concerning to the chronic anal fissure were recorded and critically analyzed. The curing rate of the Ksharasutra suture procedure was 96.65%. No untoward effects were observed in any of the patients after cure.

Key Words: Fissure in ano, fissurectomy, parikartiaka, KSS, ksharasutra.