Abstract

EFFICACY OF SNUHI KSHARSUTRA IN THE MANAGEMENT OF DUSTA NADIVRANA (UNHEALED VARIETY OF PILONIDAL SINUS) - A CASE REPORT

Vibhesh Kumar*, Sumit Kumar and Deepali Sundari Verma

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Abstract

Pilonidal sinus is a common condition, typically occurring in the presacral area (At the base of the spine). It is more frequent in males, particularly those with a lot of body hair. The condition has a recurrence rate of approximately 30-40%. There are two types of pilonidal sinuses: primary and secondary. While the condition is most commonly found in the pre-sacral area, it can occasionally appear in other less typical locations, such as between the fingers, the axilla (Armpit), and the eyelid, though these cases are extremely rare. This is the case study presenting: A 34-year old college student presents with a wound in the pre-sacral region, which has not healed following a previous surgical excision of a pilonidal sinus. The patient underwent surgery for the pilonidal sinus approximately 6 months ago, but the wound has not healed since then. The patient complains persistent pain and pus discharge from the wound. Upon examination in the outpatient department (OPD), probing of the wound reveals certain findings. It seems like the incomplete excision of the pilonidal sinus may have led to a recurrence or persistent infection. This is common in cases where the sinus is not fully removed or if there is contamination after surgery. So patient admitted in our hospital Gach, Patna. After admission necessary blood routine investigation done. Under spinal anaesthesia probing and primary threading done within the wound. On the seven postoperative day, the primary thread was replaced by Snuhi Kshara Sutra. This is a traditional Ayurvedic treatment involving the use of a medicated thread, which is known for its wound healing and anti-inflammatory properties. The Kshara Sutra was replaced every 7th day for the next 5 consecutive weeks. In addition, Jatyadi Taila (an Ayurvedic herbal oil) was used for daily wound dressing. This combined approach helped to promote the healing of the wound, and after 50 days, the wound completely healed. This treatment method seems to have been effective in managing the post-surgical complications, including the pus discharge and non-healing wound, likely due to its antimicrobial and healing-enhancing properties.

Keywords: Pilonidal sinus, Snuhi kshar sutra, Jatyadi, Nadivrana, Anti-inflammatory.