Abstract
A Pilonidal sinus (PNS) occurs in the cleavage between the buttocks (natal cleft) and can cause discomfort, embarrassment and absence from work. It is more common in men (as they have more hair) than in women. The most commonly used surgical techniques for this disorder include excision and primary closure and excision with reconstructive flap. However, the risk of recurrence or of developing an infection of the wound after the operation is high. Also, the patient requires longer hospitalization, and the procedure is expensive. There is a similarity between Shalyaj Nadi Vran described in Sushruta Samhita and Pilonidal sinus. Sushruta has advocated a minimally invasive para-surgical treatment, viz., Kshar Sutra procedure, for nadi vran. Hence this therapy was tried in Pilonidal sinus, and is described in this case report. Kshar Sutra treatment not only minimizes complications and recurrence but also enables the patient to resume work quicker and with less discomfort, impact upon body image and self-esteem as well as reduced cost.
Highlights
A Pilonidal sinus is a sinus track which commonly contains hair.It occurs under the skin between the buttocks at a short distance above the anus
Shalyaj Nadi Vran described in Sushruta Samhita and Pilonidal sinus
The sinus track goes in a vertical direction between the buttocks
Summary
A Pilonidal sinus is a sinus track which commonly contains hair.It occurs under the skin between the buttocks (the natal cleft) at a short distance above the anus. Shalyaj Nadi Vran described in Sushruta Samhita and Pilonidal sinus. Sushruta has advocated a minimally invasive para-surgical treatment, viz., Kshar Sutra procedure, for nadi vran. This therapy was tried in Pilonidal sinus, and is described in this case report.
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