Abstract
A pilonidal sinus is an acquired condition seen more in males than females, as males have more hairs , the buttocks moves and hairs breaks off by friction and collect in th e cleft which makes local infla mmation turns to sinus formation. The commonly used surgical technique for this disorder includes excision, primary closure and excision with reconstructive fla p. However patients require longer hospitalization, the risk of reoccurrence, and infection of w ound after oper ation is high and expensive. We can see the similarity between shalyaja nadivrana described in Sushruta Samhita and pilonidal sinus. Sushruta advised many para - surgical techniques viz – kshara sut ra for nadi vrana h ence kshara sutra therapy was tried in a case of pilonidal sinus. Kshara sutra treatment not only minimizes complications and reoccurrences but also facilitates the patient to resume early working with less discomfort as well as reduced time and cost.
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