Clinical approach to nadivrana W.S.R to pilonidal sinus

Authors

  • Amareshappa PG Scholar, Shalya Tantra, SKAMCH & RC, Vijayanagar, Bengaluru, Karnataka 560104.
  • Manoj Kumar PG Scholar, SKAMCH & RC, Vijayanagar, Bengaluru, Karnataka 560104.
  • Shailaja S V Guide and HOD. Dept. of PG Studies in Shalya Tantra, SKAMCH & RC, Vijayanagar, Bengaluru, Karnataka 560104.

DOI:

https://doi.org/10.61096/ijpar.v6.iss4.2017.679-682

Keywords:

Nadivrana, Shastra Karma, Sinus, Pilonidal sinus, Varti, z-plasty .

Abstract

The term Nadi vrana implies a tube-like structure and Nadi vrana means sinus. Nadi vrana is a secondary condition of improper drainage of abscess, negligence of foreign body in wound, tuberculosis. Pakvashopha upeksha, Anuchita paatanakarma, Mithya aahar&vihara, Shalya are the main cause for nadi vrana. Sushruta classified nadivrana into vataja, pittaja, kaphaja, sannipataja, dwandwaja, agantuja whereas vagbhata classified the same except dwandwaja. Sadhyasadhyata asTridosha is  Asadhya vataja, pittaja, kaphaja, dwandaja and  shalyaja are  saadhya. Varti prayoga, ksharasutra & shastra karma are the treatment of choice in nadivrana. Nadivrana can be compaired to sinus and shalyaja / agantuja nadivrana as pilonidal sinus. Sinus is a blind track leading from surface down into the tissue and lined by granulation tissue.  It is mostly formed secondary to abscess and most of the time results into fistula. Treatment includes proper Antibiotics, adequate rest, adequate excision, adequate drainage & treat the secondary causes.  Pilonidal  sinus  is  a  common  disease  of  the  natal  cleft  in  the  sacrococcygeal region  with  weak  hair accumulation occurring in the hair follicles, which can be chronic and undergo acute exacerbation. The patient presents with the complaints, which are characteristics of inflammation-a painful swelling, redness, local temperature raised or with a sinus discharge. There are 2 types as primary- opens in midline, secondary opens lateral to midline. The Causes for reoccurrence are improper removal of track, entry of new tuft of hairs, breakage of scar, irregular shaving of hair, improper hygiene. Regular shaving of the hair in natal area, proper perianal hygiene, proper drainage of the pus, avoid the causative factors are the preventive measures for pilonidal sinus. Treatment includes   surgical management, it is of 2 types. Close surgery includes, excision with primary closure and flap closure. Open surgery includes conventional wide excision and laser pilonidoplasty

Downloads

Published

2022-10-12

How to Cite

Amareshappa, Manoj Kumar, & Shailaja S V. (2022). Clinical approach to nadivrana W.S.R to pilonidal sinus. IJPAR JOURNAL, 6(4), 679–682. https://doi.org/10.61096/ijpar.v6.iss4.2017.679-682