A Clinical Case Report of Pilonidal Sinus Management with Kshar Sutra Therapy

The nest (Tuft) of hairs in sinus, found in natal cleft is called Pilonidal sinus. It is acquired condition commonly found in dark-hairy males (M: F-6:1), appears between the age of 20-30 years. Hirsutism, obesity & prolonged sitting are risk factors. During Second World War, pilonidal cysts were often called “Jeep-Driver’s disease” because they are more common in people who sit often. A 25-year-old male was come to the OPD with complaints of pain and swelling in lower back with discolouration and soiling of underclothes for 1 week. On examination there was a pilonidal abscess and sinus tract was found. Abscess was treated with I & D and sinus with Apamarga kshara sutra therapy. Complete tract was cut and healed in 5 weeks. Key words: Pilonidal sinus, Incision and drainage, Kshar sutra, Sinus tract