APPLICATION OF KSHARSUTRA IN THE MANAGEMENT OF NADI VRANA (PILONIDAL SINUS): A CASE STUDY
Abstract
A Pilonidal sinus (PNS) 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 disease include excision and 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, and the procedure is expensive. There is a similarity between Shalyaj 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. Kshar 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, Kshar Sutra.
References
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