Management of shalya nadivrana by ksharsutra W.S.R. to pilonidal sinus: A case study

A chronic condition called Pilonidal Sinus is characterized by a midline pit in the gluteal cleft of the sacrococcygeal, that is usually associated with hairs. commonly found in hairy males. Long periods of sitting, a deep natal cleft, obesity, frequent hair irritation, and family history can all raise the risk of developing the condition. Acharya Sushruta classified eight various kinds of sinuses as Nadivrana in the context of ayurveda. Among these, the pilonidal sinus fits into the category of Shalyaj Nadivrana (sinus due to foreign body). The primary adverse effects of surgical treatment include recurrence, post-operative infection, and extensive skin excision that takes a long time to recover. Kshara Sutra, a minimally invasive parasurgical technique for Nadi Vrana (Pilonidal sinus), has been described by Acharya Sushruta. Kshar sutra is a type of thread which is coated in a chemical substance made from latex, minerals, and the ash of specific medicinal plants. Kshara is having antimicrobial action so chance of infection is very rare. Kshara Sutra healps for cutting, curetting and healing of the tract faster. A case report of pilonidal sinus treated at Rishikul Ayurvedic Hospital, Haridwar is discussed here. Kshara sutra (prepared with Apamarga Kshara), application was done after preoperative procedures and weekly thread change was done till tract was cut through completely followed by dressing. Internally Triphalaguggulu, Triphlachurna and Jatyaditaila (per rectum) was given. Externally sitz bath daily two times and dressing with betadine gauze. The detail description with photograph will help to understand the procedure.