Management of Subscrotal Abscess with I&D, Ksharkarma and Secondary Suturing (Integrative Approach)- A Case Report

Abstract

Abscess is a collection of the pus in the cavity and it is an acquired condition seen all over the body. The clinical features of abscess are swelling, pain, redness, tenderness, and local temperature. The aggravated Dosha vitiates the skin, blood, muscles, fat and bone tissue, becomes localised and produces a troublesome swelling - deep rooted, painful, slowly bulging called Vidhradhi. When this Vidhradhi completes its pakwa avasta, it bursts open or we have to do bedhana karma to drain vitiated substances leading to a cavity. The clinical features of Vidhradhi presenting swelling, pain, redness, local temperature can be correlated to abscess The abscess which is developed in Scrotal regions is called Subscrotal abscess. There are many theories that have been explained regarding causative factors n complications for SUBSCROTAL abscess. However in most of the cases SUBSCROTAL abscess always ends up forming a sinus, fistula or fournier gangrene. Here in this case the Ayurvedic management of pratisaraniya kshara application post I and D considered it as a Dusta Vrana and daily dressing with kshartaila keeping in mind to avoid the reoccurrence,fistula,sinus or fournier gangrene formation. After healthy granulation secondary closure of the wound is done and further healing time also reduces.