Successful Treatment and Prevention of Pilonidal Sinus Recurrence Through Integrative Approach
Year: 2025
Type: article
Study design: Case Report
Abstract: ABSTRACT Pilonidal sinus (PNS) is considered an acquired, infective condition often involving foreign body reaction, which closely resembles Shalyajanya Nadi vrana as per Acharya Sushruta . It commonly afflicts individuals in their 2 nd and 3 rd decades of life and notably prevalent among heavy motor vehicle drivers. The optimal treatment remains excision of the sinus tract; however, recurrence is frequent due to incomplete identification and drainage of the sinus tract, residual hair, or inadequate post-operative care. Here, we are reporting the case of a 22-year-old male with a 2-year history of pain, swelling, and intermittent pus discharge from the lower back (Natal cleft). He was diagnosed with a case of Shalyaja Nadivrana (PNS). He was managed using an integrative approach combining Chedana (excision) of Nadivrana (sinus) and regular post-operative wound care with Panchvalkal Kwath and Panchvalkal Malhara for topical application. Complete healing was observed within 45 days, and no recurrence was noted in 1 year follow-up period. This case highlights the effectiveness of an integrative approach in managing Shalyaja Nadivrana and in preventing its recurrence.
Authors: Ravi Choukikar, P. Sreenadh, Pashmina B. Joshi, Tukaram S. Dudhamal, R. S. Virani
Institution: Gujarat Ayurved University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4412519799