Kshara Karma, Kshara Sutra are mentioned by Sushruta in the management of Nadivrana (pilonidal sinus). Aim and Objective: To see the effectiveness of Chedana Karma followed by Teekshna Apamarga Pratisaraniya Kshara application in Nadivrana (pilonidal sinus) and to avoid recurrence. Material and Method: firstly under local anesthesia 2% lignocaine and adrenaline Chedana Karma (excision of pilonidal sinus) f/b Teekshna Apamarga Pratisaraniya Kshara applied over the excision site of pilonidal sinus for about 100 seconds followed by cleaning with Nimboo Swarasa and dressing done with Jatyadi Taila. Results: Kshara Karma is highly effective management of Nadivrana (pilonidal sinus) with very less chances of recurrence, less recovery period because healing of the wound is from the base, wound was completely healed in 45 days with daily dressing with Jatyadi Taila. Conclusion: Teekshna Apamarga Pratisaraniya Kshara Karma is very effective in management of the pilonidal sinus with minimal recurrence rate as compared the primary closure of the pilonidal sinus where chanced of recurrence are significantly high.
Nadivrana, Pilonidal Sinus, Chedana Karma, Teekshna Apamarga Pratisaraniya Kshara
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