Single Case Study on Pilonidal Sinus Using Madhu Saindhav Aragwadhadi Kshar Sutra, A Minimally Invasive Treatment.

Abstract

Pilonidal sinus (PNS) is a fissure between the buttocks (natal cleft) that can cause  pain, embarrassment, and employment disruption. Men are more prone than  women (because of the fact that men have more hair). Excision and primary  closure, along with excision with reconstructive flap, are the most often adopted  surgical methods for this condition. However, there is a substantial threat of  recurrence or wound infection following the operation. In addition, the patient will  have to stay for a longer period of time in the hospital, and the operation will be  expensive. The Pilonidal sinus resembles the Shalya Nadi Vrana mentioned in the  Sushruta Samhita. Sushruta has stated a less invasive para-surgical treatment for  Nadi Vrana, known as the Kshar sutra technique. For a Vrana Shoshanna and  Ropana activity for wound healing, Acharya Sushruta reviewed several herbs or  herbo-mineral combinations. Among them drugs of aragwadhadi gan were used  to prepare the kshar sutra along with madhu(honey), saindhav(himalayan salt) to  lessen microbial burden, eliminates the unhealthy slough, necrotized tissue, and  maintenance of wound moisture. As a result, this treatment was tested in the  Pilonidal sinus, and the results are documented in this case report. The Kshar sutra procedure not only reduces recurrence and complications but also allows patients  to return to work faster with less discomfort, has a significant effect on self-esteem  & body image and is less expensive.