The Siddha system is an Indian medical system consisting of 32 internal and exterior remedies. Aruvai maruthuvam (surgery) is a remarkable procedure used by siddhars to treat a variety of chronic and acute illnesses. Many tamil literatures like kambaramayanam reveals the detailed accuracy and extensive surgical practices which had practiced in ancient periods. Karanool (Alkaline thread) and Suttigai (Cauterization) are familiar therapies practiced widely for treatment of non-healing ulcer, warts, benign growth, skin tags, fistula, piles and other anorectal diseases. Suttigai is one of the external medicines comes under Asura vaithiyam as eloborated in Siddha system by Saint Therayar and Yoogi. Siddha physicians practice these surgical therapies to treat anorectal diseases especially to prevent the remission

Karanool (Alkaline thread), Suttigai (Cauterization), Siddha, Aruvai maruthuvam (Surgery), anorectal diseases

Even while contemporary technology offers a variety of surgical methods to cure anorectal illnesses, there is no guarantee that the condition won't reoccur. When treating anorectal illnesses, the Karanool & cauterizing procedures are efficient, effective, and economical. Compared to other surgical procedures, they appear to be a less painful and more efficient choice for avoiding its recurrence

B. Manikandan, S. Elansekaran and K.S. Uma (2023). Significance of Karanool (Alkaline Thread) and Suttigai (Cauterization) in Anorectal Diseases. Biological Forum – An International Journal, 15(3a): 97-99