Treatment Offerings at Shree Dhanvantari Ayurveda Hospital 1. Kshara Sutra Therapy The hospital specializes in Kshara Sūtra, a classical Ayurvedic para-surgical procedure considered a permanent cure for piles, fistula, and fissures. 2. Agni Karma For external piles or skin tags, the hospital offers Agni Karma—a procedure using a specialized heated instrument (Panchaloha Shalaka) to cauterize and remove the lesion dhanvantarihospital.com .