Kshara Sutra as an alternative to Karydakis flap technique and Z plasty in Pilonidal Sinus- A Case Report
Abstract
Pilonidal disease typically presents with an abscess or intermittent pain and drainage in the sacrococcygeal region during the pubertal years. Further examination typically reveals pits in the midline of the sacrococcyx area due to entrapment of hair with recurrent entrapment, infection, and drainage. Wide local excision with primary closure is usually associated with more wound complications and reported recurrence. Karydakis flap technique and Z plasty are the surgical option which are considered as the Gold Standard of PS treatment. But it has many issues like time consumption to heal, high anaesthesia, unaffordable to poor patients etc. The alternative method that uses Kshara Sutra is cost effective, having almost no chance of recurrence, no hospitalisation and can be done as outpatient and no need of high anaesthesia as evident from the reported case.