Abstract

EFFECTIVE AYURVEDIC MANAGEMENT OF RECURRENT PILONIDAL SINUS USING KSHARSUTRA: A SINGLE CASE REPORT

*Dr. Ravindra Kumar Patil, Dr. Mukesh Pathak, Dr. H. P. Sharma

Abstract

Pilonidal sinus (PNS) is a chronic inflammatory disorder occurring in the intergluteal (natal) cleft, most commonly affecting young adult males. The condition often causes pain, sero-purulent discharge, embarrassment, work absenteeism, and considerable psychological distress. Conventional surgical procedures such as excision with primary closure or flap reconstruction are frequently adopted for recurrent or chronic cases; however, they are associated with prolonged hospitalization, postoperative complications, high recurrence rates, and increased treatment expenditure. In Ayurvedic literature, pilonidal sinus closely resembles Shalyaja Nadi Vrana, for which Ksarasūtra therapy is described as a minimally invasive and effective para-surgical procedure. It combines the benefits of drainage, debridement, and chemical cauterization, facilitating simultaneous cutting and healing of the tract with minimal recurrence. This case report presents a 32-year-old male with recurrent pilonidal sinus following a failed other tratment. The patient was managed with Ksarasutra therapy along with supportive Ayurvedic oral medication. Complete wound healing was achieved within one month without hospitalization, and the patient was able to continue his routine activities throughout the treatment. No recurrence was observed during a 6 month follow-up period. The outcome suggests that Kṣharsutra therapy may serve as a safe, cost-effective, and cosmetically acceptable alternative to conventional surgery in recurrent pilonidal sinus cases, offering quicker recovery and preventing recurrence.

Keywords: Pilonidal sinus, Nadi Vrana chikitsa, Kshar Sutra.