EFFECTIVENESS OF PRATISARNIYA KSHARA IN THE MANAGEMENT OF NADI VRANA (PILONIDAL SINUS) - A CASE STUDY

*Shivani Anilkumar Chouksey, Shyam Purushottam Warma and Prasanna Narasimha Rao

ABSTRACT

Aim and Objective: The aim of this study is to analyse the effectiveness of Pratisaraniya Kshara in Nadi vrana and to avoid recurrence. Material and Methods: In Pilonidal sinus, after excision of sinus, the Pratisaraniya Kshara applied over the wound and wait for 2 minutes. Later neutralise with lemon juice and pack with Jatyadi. The application of Pratisaraniya Kshara helped after excision of Pilonidal Sinus by scraping of pits in the surrounding tissue of the sinus, avoids the formation of unhealthy granulation tissue and helps in healing of the wound from the base. Subsequent follow-up was maintained till complete closure of wound. Results: This minimally invasive procedure Kshara Karma has good potential in the management of Pilonidal sinus. It minimizes rates of complication and recurrence and enables the patient to resume work and normal social activities as early as possible. It is an acceptable treatment to the patient in terms of cost of treatment, extent of discomfort, impact upon body image and self-esteem. Conclusion: The recurrence rates are also significantly higher in primary closure Additionally, family tendency, sinus number, cavity diameter, are among the risk factors for recurrence, has been reduced by the Kshara application.

Keywords: Pilonidal Sinus; Kshara karma; Nadi Vrana; Kshara sutra.