Abstract

MANAGEMENT OF NADI VRANA (PILONIDAL SINUS) WITH KSHARASUTRA – CASE STUDY

Dr. Diksha Sharma*

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Abstract

Pilonidal sinus is a chronic condition consisting of an opening or series of opening, situated in midgluteal cleft at postnatal region. Sometimes they are so small that they barely admit a fine lacrimal probe, but usually of matchstick size. Prolong sitting, presence of deep natal claft, obesity, repeated irritation due to hair, family history may increase the risk of disease. In Ayurvedic science Acharya Sushruta mentioned eight types of sinuses as Nadivrana. Among these pilonidal sinus can be considered under Shalyajnadivrana (sinus due to foreign body). Ksharasutraia a kind of threadcoated with caustic material prepared by ash of certaine medicinal plant, minerals, latex etc. Sushruta described Ksharasutra in the management of sinus. A case of pilonidal sinus in 27yr old male patient was thoroughly examined and treated with Ksharasutra therapy. Bulk of hairs were expelled out during procedure. Ksharasutra is an ideal procedure to be adopted for the manegment of sinus tract for not only it destroys the fibrous wall of the track but also helps in its curettage. A complete cure of disease achieved in 60 days with minimum scar formation. No recurrence and any complain were found in the patient during the follow up period of 3 months. The detail description with subsequent photography will help to understand the procedure.

Keywords: Pilonidal sinus, Sushruta, Shalyaj, Nadivrana, Ksharasutra.