PA01.74. Management of Pilonidal Sinus with minimal sinectomy and Ksharasootra

PURPOSE: Pilonidal Sinus is a one type of Nadivranan occurs at natal region, having high recurrence rate with surgery. Acharya sushruta has advocated kshara sootra chikitsa for the same. Evaluation of this management was the purpose of the study. METHOD: Patients were asked to lie down in left lateral position and General anesthesia was given small incision was taken at natal region and hairs were extracted and tract was scooped, another opening was created and kshara sootra was passed and it was changed till the complete excision of the tract occurred. RESULT: Total 133 patients are treated with this technique. Out of which 57 patients were treated in between 2005 to 2012. It was observed that out of this 57 patients 33 i.e. 58% patients reported the hospital in their 16 to 25 years of age group and 18 i.e. 31.5% patients regarded the disease in their 26 to 35 years of age. Rest 10.5% reported in later age of their life. 36 i.e. 63% patients were male and 10 i.e. 28% of male patients were having the history of previous surgery out of which one patient had underwent kshara sootra therapy still he had a recurrence of the disease. Whereas 21 i.e. 37% of female patients were reported out of which 8 i.e. 38% female patients reported recurrence of the disease. Thus it can be said that ratio of male/female had deceased & recurrence of the disease was more in female than male. Hairs were found in 24 male patients versus 3 female patients. 3 patients reported delayed healing, all the patients were cured. CONCLUSION: It Seems from the study that minimal sinectomy with the Ksharsootra had provided all most 100% success rate with the advantage of day care procedure cost effectiveness, Minimum days of off the work and better patients compliance with minimal complications.