Abstract

Dr. Vivek Kumar Tiwari, Dr. Rajendra Kumar Dixit and Dr. Ravi Raman Rajpoot*

ABSTRACT

Pilonidal sinus is an infective chronic condition mainly seen in the natal cleft of the sacrococcygeal region with weak hair accumulation occurring in the hair follicles mainly in young hairy male patient with the complaints of inflammation,and painful swelling, redness and sinus pus discharge. Different surgical method have been described for this disease. The most commonly used management procedures are excision and primary closure and excision with reconstructive flap. However the risk of recurrence or developing an infection of the wound after operation is high. In Ayurveda, the clinical features and pathology of pilonidal sinus and shakha Nadivrana described in Sushrut Samhita are very much similar to each other. Acharya Sushrut has advocated a minimal invasive para surgical treatment i.e Kshara sutra procedure for managment of Nadi Vrana .This case study is of a male patient aged 32 years suffering from pilonidal sinus since 6 months and treated successfully with Kshara sutra Procedure. It causes minimal scar and facilitates the patient to resume early working with less discomfort and also reduce time and cost as well by minimising complications and recurrence.