APAMARGA KSHAR SUTRA EFFICACY IN THE MANAGEMENT OF NADI VRANA (PILONIDAL SINUS)
Dr. Lalita Meena*, Dr. O. P. Dave, Dr. Vishnu Dutt Sharma and Dr. Sampat Meena
ABSTRACT
A Pilonidal sinus (Shalyadi Nadi vrana) 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 vrana. Hence this therapy was tried in Pilonidal sinus and is
described in this case report. Kshar Sutra treatment not only minimizes complications but
also enables the patient to resume work quicker and with less discomfort as well as reduced
cost.
Keywords: Pilonidal sinus, Nadi Vrana, para-surgical, Apamarga Kshar Sutra.
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