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Management of Pilonidal Sinus with Apamarga Kshara Sutra–A Case Study

Author : Dikshita Sahu, Tapan KU Nayak and Sandhyarani Behera

Abstract :

Pilonidal sinus disease is a chronic granulomatous condition caused by the presence of hair in the subcutaneous tissue. Management ranges from hygiene measures to complex surgical interventions, yet recurrence remains common. Pilonidal sinus bears similarity with Shalyaja Nadi Vrana described in the Sushruta Samhita. Acharya Sushruta advocated a minimally invasive para-surgical technique—Kshara Sutra—for Nadi Vrana. This case study presents a patient treated with Apamarga Kshara Sutra, resulting in complete recovery within four weeks with minimal discomfort and recurrence.

Keywords :

Pilonidal sinus, Nadi Vrana, Apamarga Kshara Sutra.