Abstract

MANAGEMENT OF PILONIDAL SINUS WITH KSHEER SUTRA THERAPY: A CASE STUDY

Dr. Negi Vineeta*

Abstract

Pilonidal sinus is a chronic condition consisting of an opening or series of openings, placed close together or spread out over a distance of 2- 3cm situated in midline app. 5cm behind the anus. Sometimes they are so small that they barely admit a fine lacrimal probe, but usually of matchstick size. Hairs often project from the openings. In Ayurveda acharya Sushruta has considered it under shalyaj nadi vrana (sinus or fistula due to foreign body). Ksheera sutra is a kind of medicated thread made from snuhi ksheer (Euphorbia nerifolia) and haridra powder (Curcuma longa) as mentioned in Bhavaprakash and Bhaisajaya Ratanavali. A few cases of pilonidal sinus were thoroughly examined and treated with ksheer sutra therapy after expelling out the tuft of hairs inside and cleaning the wound properly. It is an ideal procedure to be adopted as it helps in cutting and healing of the wound simultaneously. A complete cure of disease achieved in 7 weeks with minimum scar formation. No recurrence and any type of complications were found in the patient during follow up period and also took less time in preparing ksheer sutra as compared to standard kshar sutra.

Keywords: Shalyaj Nadi Vrana, Pilonidal Sinus, Ksheer Sutra, Haridra Powder, Snuhi Ksheer.