AYURVEDIC CARE AND SURGICAL APPROACH IN PILONIDAL DISEASE – A CASE REPORT
Debraj Maity*, Gopikrishna B. J., Mahesh Kumar E. S. and Sahanasheela K. R.
Background: Pilonidal disease refers to sub cutaneous infection occurring in the upper half of the gluteal cleft having no communication in anal canal. It may present as an acute abscess or chronic wound having pus discharge through an opening, resistant to spontaneous healing and causing discomfort. It presents in the third decade & more men than women, common individuals with more body hairs. Objective: Acquired Pilonidal disease has been treated in many different ways. Excision of sinus without sutures followed by Kshara Karma treatment meet the criteria as easy to perform, short hospital stay, low recurrence rate, minimal pain and easy wound care, early return to daily routine activity and cost effective. Methods: Pilonidal sinus track is widely excised up to the post sacral fascia with a wide mouth and base & tuft of hair removed. After application of Apamarga Kshara wound left open to heal by secondary intention & vranaropan wound dressing done. Systemic vranashodhan drug was given. Result: Wound dressing by Jatyadi taila has healing properties which mainly reduce healing time by microbicidal effect. Apamarga Kshara helps to remove unhealthy granulation tissue & cellular debris by sclerosing property where recurrence rate is low. Gandhak rasayan & Triphala guggulu has anti inflammatory and analgesic effect. Conclusion: Complete healing occurs in 4 weeks. Pilonidal disease can be treated by excision & kshara karma with wound dressing by local ayurvedic and systemic drugs without antibiotic use.
Keywords: Pilonidal sinus, Nadi vrana, Kshara karma, vranaropan, vranashodhan.
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