Abstract

MANAGEMENT OF PILONIDAL SINUS WITH TILANADI KSAHRA SUTRA: A CASE STUDY

*Dr. Dattatreya Kunnur, Dr. Chandrakant Halli MD(Ayu), Dr. Vijay Biradar MS(Ayu), Dr. Ashok Naikar MS(Ayu) and Dr. Nikhil

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Abstract

A Pilonidal sinus (Shalyaja Nadi vrana) occurs in the cleavage between the buttocks (natal cleft) and can cause discomfort, embarrassment and absence from work. It is more common in men (as they have more hairs) than in women. The most commonly used surgical techniques for this disorder include excision and primary closure and excision with reconstructive flaps. However, the risk of recurrence or of developing an infection of the wound after the operation is high. Also, the patient requires longer hospitalization, and the procedure is expensive. There is a similarity between Shalyaja Nadi Vrana described in Sushruta Samhita and Pilonidal sinus. Sushruta has advocated a minimally invasive para-surgical treatment, viz., Kshar Sutra procedure for nadi vrana. Hence this therapy was tried in Pilonidal sinus and is described in this case report. Kshar Sutra treatment not only minimizes complications but also enables the patient to resume work quicker and with less discomfort as well as reduced cost.

Keywords: Nadi Vrana, Pilonidal sinus, Tilanadi Ksharsutra.