Abstract

A SINGLE CASE STUDY ON PILONIDAL SINUS TREATED WITH CHEDANA KARMA, KSHARA KARMA AND KSHARA SUTRA LIGATION

Dr. Pooja Chauhan* and Dr. Sakshi Pandey

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Abstract

Pilonidal sinus is very common disease of natal cleft of the sacrococcygeal area. It is an acquired condition seen more in male then females as male have more hairs, the buttocks moves and hairs breaks off by friction and collect in the cleft which makes local inflammation turn to sinus formation. It is more commonly seen in between age group of 20-40 years. The incidence of pilonidal disease is about 26 per 100 there are several methods of to treat pilonidal sinus, but the recurrence rate is more in modern surgical intervention. Accordind to Ayurveda it can be correlated to salyajanya nadi vrana (pilonidal sinus) a type of nadi vran. The most commonly used surgical techniques for pilonidal sinus includes excision with primary closure and excision with reconstruction flap with their own limitation. Sushruta mentioned the chedan as well as Ksharakarma and ksharasutra ligation in the management of nadivrana. Hence the study concluded that excision and ksharakarma in pilonidal is one of the potential treatment option to avoid recurrence.

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