A Single case study of Pilonidal Sinus managed through Ayurvedic Surgical Treatment Vis-à-vis through Chedhana Karma (Wide Excision)

Abstract

Pilonidal sinus is a very common anorectal problem that more often arises in the hair follicles of natal cleft of the sacrococcygeal area. It is due to penetration of hair through the skin into subcutaneous tissue.it forms unhealthy granulation tissue in the deeper plane.it is of infective origin and occurs in sacral region between the buttocks, umbilicus, axilla. It is common in hair dressers (seen in interdigital clefts), jeep drivers. More commonly seen in between age group of 20-40 years. It is common in males and mostly affects hairy men. Incidence of pilonidal disease is about 26 per 100,000 population. Pilonidal disease occurs predominantly in males, at a ratio of about 3-4:1. When the causes, pathology, clinical symptoms and the examination are taken under consideration and when we read Shalyaja Nadi Vrana mentioned by Acharya Sushruta we can corelate this disease with Pilonidal Sinus.  Treatment of Nadi Vrana is Chedana Karma or with the usage of Kshara Karma. Similarly in contemporary science procedure of wide excision is gold standard for the management of Pilonidal Sinus, which was already mentioned by Acharya Sushruta under the treatment of ‘Nadi Vrana’. We can proudly say that Pilonidal sinus can be completely managed by principles of Ayurveda. Here we report a case of Pilonidal Sinus in 35 year male patient, who had been operated 8 years back for Pilonidal Sinus. Now, he has presented with recurrence of same complaints with sinus at natal cleft region associated with the pain, discharge, swelling since one month.