ABSTRACT

Pilus means hair and nidus means nest. A pilonidal sinus is an acquired condition. It is also termed as Jeep-bottom because it was very common in jeep drivers. Pilonidal sinus occurs in between the gluteal region (natal cleft) and can cause discomfort, serous discharge, pruritis and absence from work. It is more common in men (as they have more hair) than in women. When gluteal region moves and hair falls off by friction and local irritation to skin. Negative suction of hair follicles start entering inside the sinus causing pilonidal sinus and recurrent infection of it. The most commonly used surgical interventions for this disorder include excision followed by primary closure and excision with reconstructive flap. However, the risk of recurrence or of developing an infection of the wound after the operation is high. Also, the patient requires longer hospitalization, hence more financial burden. Pilonidal sinus can be correlated with Nadi Vrana as per Ayurveda. Management of Nadi Vrana is described by Sushruta along with Chedana(excision) of the Nadi i.e. whole tract (sinus) (Su.Chi-17/18). Sushruta has advocated a minimally invasive para-surgical treatment, viz., Kshara Sutra procedure, for Nadi Vrana. Hence this therapy was tried in Pilonidal sinus, and is described in this case report. Kshara Sutra treatment not only minimizes complications and recurrence but also enables the patient to resume work quicker and with less discomfort, impact upon body image and self-esteem as well as reduced cost. Keywords: Pilonidal sinus, Shalya Tantra, Nadi Vrana Chikitsa, Kshara Sutra
Publication date: 01/12/2024

https://ijbpas.com/pdf/2024/December/MS_IJBPAS_2024_8533.pdf

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https://doi.org/10.31032/IJBPAS/2024/13.12.8533