Ksharasutra therapy - a minimal invasive parasurgical method in the treatment of sacrococcygeal pilonidal sinus (Nadi vrana): Result of a pilot study

Abstract

Many treatment methods have been applied in the treatment of Sacrococcygeal Pilonidal Sinus (Nadi vrana) disease (PSD). Our observations demonstrated Efficacy of Ksharasutra therapy -A minimal invasive Para surgical method in Sacrococcygeal Pilonidal Sinus (Nadi vrana) Disease (Nadi vrana). 20 patients were treated (3 women, 17 men) with PSD by Ksharasutra therapy. All patients were treated on an outpatient basis in the minor Ksharasutra operation theater in ACRI, New Delhi. The mean age was 27 years (18-60). The median length of symptoms was seven months. In the 1 year of mean follow-up period, the disease recurred in 2 patients. This treatment procedure was well-tolerated by all the patients. Time off work was on average one day with an MSD1.75 and SD 0.766485. No patient had skin necrosis or any other complications during the therapy. Recurrence of the disease in two patients was found. Mean Time required for wound healing in week was 10.8 with SD 2.501999. 1(5%) patient had wound infection. It is possible to treat patients in a shorter time with a considerably smaller loss of working time, since the destruction of peripilonidal adipose tissue and skin is less and reoccurrence of the disease is also less, therefore, the use of Ksharasutra therapy in Sacrococcygeal Pilonidal Sinus (Nadi vrana) is an option to be considered in the treatment of PSD.