Management of Pilonidal Sinus with Chitraka Kshara Sutra - A Case Study

Abstract

Pilonidal sinus means nest of hairs also called Jeep-bottom because it was very common in jeep drivers. It is an acquired condition commonly found in hairy males. Different surgical methods have been described for this disease such as excision and primary closure and excision with reconstructive flap, etc. However, the recurrence after surgery is very high. There is similarity between Pilonidal sinus and Shalyaja Nadi Vrana described in Sushruta Samhita. Acharya Sushruta has described minimally invasive Para surgical procedure viz. Kshara Sutra for Nadi Vrana (Pilonidal sinus). This treatment not only minimizing the complications and recurrence but also enables the patient to resume work quickly with less discomfort. The patient attended Shalya Tantra OPD of Sri Kalabyraveshwara Ayurvedic College was treated with the Chitraka Kshara Sutra. The patient recovered well with complete excision of the tract within span of seven weeks.