A Case Study of Ksharasutra Therapy for the Management of Naadivrana (Pilonidal Sinus)

Abstract

Naadivrana, commonly known as sinus is a chronic inflammatory condition primarily affecting the natal cleft region. The Pilonidal sinus (PNS) is very popular sinus disease seen in patients. Various treatment modalities have been described in the literature, including surgical excision, marsupialization, and Ksharasutra Therapy. Ksharasutra therapy is a minimally invasive Ayurvedic treatment, involves the use of medicated threads known for their potent wound healing properties. A case of 19-year-old male with a Naadivrana (typical Pilonidal Sinus) in the natal cleft region decided for Ksharasutra Therapy under Ayurvedic care. The Naadivrana (Pilonidal Sinus) was managed using Ksharasutra Therapy and Ayurvedic drugs. Guggulu Ksharasutra, a medicated thread impregnated with herbal alkaline compounds was inserted into the sinus tract. Over the course of treatment, the patient experienced gradual healing of the sinus tract with minimal discomfort. The Ksharasutra Therapy offers a promising alternative for the management of Pilonidal Sinus, especially in cases of recurrence or resistance to conventional treatments. The herbal alkaline compounds present in Ksharasutra exhibit potent antimicrobial and wound healing properties, facilitating the resolution of the sinus tract with minimal tissue damage. Further research and long-term studies are warranted to establish the efficacy and safety of Ksharasutra Therapy in the management of Pilonidal Sinus. The patient experienced complete healing of the sinus tract with no signs of recurrence at the six months follow-up, highlighting the efficacy and safety of Ksharasutra in the management of Pilonidal Sinus.