Pilonidal Sinus : Management through Guggulu Apamarga Ksharasutra

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Sanjay Kumar Agri ◽  
Dr. Pankaj Sharma ◽  
Dr. Ajay Kumar Gupta
Keyword(s):  
Pilonidal Sinus ◽  
Burning Sensation ◽  
Purulent Discharge ◽  
Common Disease ◽  
Daily Routine ◽  
Routine Work

Nowadays Pilonidal Sinus (PNS) is becoming common disease in between 20-30 years of age, in men and mostly dense hairy persons. Commonly it occurs midline over the coccyx. It results in purulent discharge, pain and discomfort. In Ayurvedic practice, there are many surgeons who are practicing classical Ksharasutra management to treat PNS, which is very effective but there are some problems using classical Ksharasutra in the management of PNS, such as discomfort, burning sensation, itching and irritation due to Snuhi-ksheera. So to overcome these problems Guggulu Apamarga Ksharasutra has been used, which is very effective in curing PNS and has no complications. So patients can do their daily routine work without any pain or discomfort.

scholarly journals Conceptual & clinical application of kshara in anorectal disease.

2020 ◽  
Vol 8 (02) ◽  
Author(s):  
Ravishankar Pawar
Keyword(s):  
Pilonidal Sinus ◽  
Subcutaneous Fat ◽  
Surgical Techniques ◽  
Wound Management ◽  
Purulent Discharge ◽  
Common Disease ◽  
Daily Routine ◽  
Natal Cleft ◽  
Fistula In Ano ◽  
Anorectal Disorders

Pilonidal disease is a common anorectal problem that typically affects young people. Pilonidal  sinus describes a hair-filled cavity in the subcutaneous fat of the post sacral intergluteal region known as the natal cleft. the pilonidal sinus, presented with boil with slight seropurulent foul discharge from post anal region in the natal cleft.  The most commonly used surgical techniques for pilonidal sinus includes excision with  primary closure and excision with reconstructive flap with their own limitation(PNS).In Ayurveda acharya Sushruta has considered it under shalyaj nadi vrana ( sinus or fistula due to foreign body). Sushruta mentioned the chedana as well as ksharkarma in the management of Nadivrana. Hence the study concluded that excision & ksharkarma in pilonidal sinus is one of the potential treatment option to avoid recurrence. Nowadays Pilonidal Sinus (PNS) is becoming common disease in between 20-50 years of age, in men and mostly dense hairy persons. Commonly it occurs midline over the coccyx. It results in purulent discharge, pain and discomfort. In Ayurvedic practice, there are many surgeons who are practicing classical Ksharasutra management to treat PNS, which is very effective but there are some problems using classical Kshara in the management of PNS, such as discomfort, burning sensation, itching and irritation due to Snuhi-ksheera. So patients can do their daily routine work without any pain or discomfort. In Ayurveda, Shastra and Anushstra Karma are described in detail. Kshara is best among Shastra and  Anushastras. Two types of Kshara are there - Paneeya and Pratisarneeya. Pratisarneeya Kshara is of  three  types-  Mridu,  Madhyama  and  Teekshana.  Kshara  Karma  include -  Pratisarneeya  Kshara  application, Kshara Sutra therapy and Kshara Varti. Pratisaraniya Kshara is mainly used in wound management, various anorectal disorders such as Arsha (Haemorrhoids), kushtha, Arbuda, Dushta Nadivrana, Guda Bhramsha (Rectal prolapse). Kshara is a caustic material. It causes chemical burn on the area where it is applied. It helps in sloughing of necrosed and infected tissues. Kshara Sutra therapy is used specially in Bhagandara (Fistula in Ano), Nadivrana (Pilonidal sinus) and various benign growth of skin such as papilloma, warts etc. Kshara Varti  is used in chronic non healing wounds for debridement and in sinuses or fistula in ano. Ksahra Karma has been very much effective non surgical means in the management of various disorders especially in anorectal disorders.

scholarly journals Observations of sun-spot spectra, 1879—1894

1895 ◽  
Vol 57 (340-346) ◽  
pp. 199-201
Keyword(s):  
Daily Routine ◽  
The Sun ◽  
Routine Work ◽  
Sun Spots

I. The Widening of Iron Lines and of Unknown Lines in relation to the Sun-spot Period . It is now twenty-eight years since I discovered that the lines seen in sun-spots were subject to widening, and that different lines were widened at different times. It was not, however, till 1879 that I was enabled to commence daily routine work of such a nature that all observations were comparable inter se . This desideratum was secured by limiting attention to the twelve lines most widened between F and D.

scholarly journals Management of pilonidal sinus disease with Limberg flap: our experience

2020 ◽  
Vol 7 (5) ◽  
pp. 1575
Author(s):  
Mahavir Singh ◽  
Saish Dalal ◽  
Baleshwar . ◽  
Sethu Raman
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Tertiary Care ◽  
Pilonidal Sinus Disease ◽  
Common Disease ◽  
Main Concern ◽  
Limberg Flap ◽  
Sinus Disease ◽  
Minimal Scarring ◽  
Early Return

Background: Pilonidal sinus disease is a common disease of young adults. The management of the sacrococcygeal pilonidal sinus varies from conservative measures to various surgical procedures. The main concern for the treatment to the patient is the recurrence. Although several methods have been described all have been associated with high recurrence rates. This study was carried out to evaluate the advantages, results of rhomboid excision and limberg flap reconstruction in the management of pilonidal sinus disease.Methods: This prospective study was conducted in General Surgery department of a tertiary care centre of Haryana. It includes 29 patients who were treated for pilonidal sinus disease by Limberg flap surgery from January 2015 to January 2019.  Results: All patients were successfully treated with minimal postoperative discomfort. Only two patients developed seroma which was managed conservatively and in two patients there was slight flap tip necrosis which was also managed conservatively. Rest all other patients wound healed nicely with minimal scarring, with very less postoperative pain, with no recurrence so far.Conclusions:Limberg flap is very effective treatment for pilonidal disease. It has many advantages as it is easy to perform and design, and it flattens the natal cleft with large vascularized pedicle, sutured without tension. This in turn maintains good hygiene, reducing the friction, preventing maceration, and avoiding scar in the midline. The technique is easy to perform in quick time, useful in both primary and recurrent diseases, with very low complication and recurrence rate. Other advantages are quick healing time, short hospital stay, and early return to daily life.  

scholarly journals Pilonidal sinus cyst of the penis: a rare manifestation of a common disease

2013 ◽  
Vol 2013 (may21 1) ◽  
pp. bcr2013009718-bcr2013009718 ◽  
Author(s):  
Z. Al-Qassim ◽  
K. Reddy ◽  
Z. Khan ◽  
I. S. Reddy
Keyword(s):  
Pilonidal Sinus ◽  
Common Disease ◽  
Rare Manifestation

scholarly journals A COMPARATIVE CLINICAL STUDY OF ‘CHEDANA KARMA & KSHARSUTRA (SETON) KARMA’ (GUGGULU BASED) IN THE MANAGEMENT OF SHALYAJ NADI VRANA(SINUS) W.S.R. TO PILONIDAL SINUS (ASSOCIATED WITH ROPAN LEPA)

2021 ◽  
Vol 9 (2) ◽  
pp. 327-334
Author(s):  
Syed Abdul Wahid ◽  
Arvind Gajbhiye
Keyword(s):  
Clinical Study ◽  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Common Disease ◽  
Natal Cleft ◽  
Surgical Interventions ◽  
Comparative Clinical Study ◽  
Ayurvedic Treatment ◽  
Treatment Aspect

A Pilonidal Sinus is a common disease of the natal cleft. Pilonidal Sinus is a track which contains hairs. The incidence of the disease is calculated to be 26 per 100,000 people. Pilonidal disease has a male pre-dominance with a ratio of 3:1. There are several methods to treat pilonidal sinus, but the recurrence rate is more in modern surgical interventions. According to Ayurveda it can be correlated to Salyajanya Nadi Vrana (pilonidal sinus), a type of Nadi Vrana (sinus). Whose etiopathology is described in Nidanasthana and treatment aspect in Chikitsasthana of Susrutha Samhita. Susrutha mentioned the ap-plication of Kshara (caustic alkali) and Ksharsutra (Seton) (Seton) in the management of Nadi Vrana (si-nus). Studies show that by Ayurvedic treatment, it helps to reduce recurrence rate, even though Nadi Vrana (sinus) is said to be Kricchrasadhya (difficult to cure). Hence successful management of this disease de-pends on the knowledge of pathogenesis, patient’s presentation and knowledge on treatment aspects. In this Clinical study, effect of Chedana karma & Ksharsutra (Seton) karma’ (Guggulu based) in the management of Salyajanya Nadi Vrana (pilonidal sinus) w.s.r. To pilonidal sinus (associated with ropan lepa) is seen and conclusion in drawn.

scholarly journals JALA– The Elixir for Life

2021 ◽  
Vol 9 (9) ◽  
pp. 915-918
Author(s):  
Dr. Mohd Imtiyaj
Keyword(s):  
Life Expectancy ◽  
Acute Toxicity ◽  
Daily Routine ◽  
Medical Field ◽  
Non Invasive ◽  
Ancient Science ◽  
Routine Work ◽  
The Right

Abstract: The ancient science of life has considered jala to be the life (ayushya) for all. It is believed that jala has the ability to cure various diseases and this jala therapy is established as an important non-invasive Medicine in the medical field. The importance of jala for life expectancy (ayushya) has been explored in the literature of Ayurveda. Ayurveda has mentioned the role of each type of jala for humans and also describe the right method of intake of jala. The origin of Rasa is due to Jala. Jala is not essential for metabolic actions but also necessary to perform daily routine work. Various researchers have investigated the role of water in different diseases like; acute toxicity, ascites, gastric burn, and constipation. This article summarizes the ayurvedic perspective of jala as per the ancient science of life. Keywords: Jala, Guna, Karma, Kaal, Vidhi, Ayushya.

scholarly journals Limberg flap versus primary closure in the treatment of pilonidal sinus: a randomised clinical study

2021 ◽  
Vol 8 (8) ◽  
pp. 2388
Author(s):  
Devaprashanth M. ◽  
Srinivas N. M. ◽  
Akhihlandeshwari N.
Keyword(s):  
Clinical Study ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Wound Dehiscence ◽  
Pilonidal Sinus Disease ◽  
Limberg Flap ◽  
Randomized Clinical Study ◽  
Routine Work ◽  
Group A ◽  
Group B

Background: Pilonidal sinus is a chronic disease usually involving the sacrococcygeal area. Various treatment modalities exist, yet few comparison studies exist to compare the efficacy of one modality over the other. Hence this randomized clinical study was undertaken as an attempt to compare the outcomes of pilonidal sinus following Limberg flap procedure and primary closure.Methods: 60 patients undergoing surgery for pilonidal sinus disease were considered for the study. 30 patients underwent excision and primary closure and 30 patients underwent Limberg flap repair. They were followed up for 1 year. Duration of hospital stay, duration of inability to work, postoperative infection, wound dehiscence, and postoperative recurrence in a follow up period were recorded. Descriptive statistics, chi- square tests and independent t-test are the statistical tools employed.Results: Mean age was 29.83±4.99 years. Male:female ratio was 5.66:1. The mean duration of hospitalization in group A was significantly less (p<0.05) than group B. The patients in group B returned early to routine work (21.56±3.92 days) as compared to 30.5±5.92 days in group A (p<0.05). 5 of 30 patients in group A and 2 of 30 in group B developed surgical site infection. (p>0.05. 4 patients developed wound dehiscence in group A only which was found to be statistically significant.Conclusions: Limberg flap in treatment of pilonidal sinus is associated with shorter hospitalization, early return to routine work and less wound dehiscence as compared with excision and primary closure. Wound infections are comparable with both the modalities.

Rare complication of a common disease: Coccygeal osteomyelitis following Pilonidal sinus

2019 ◽  
Vol 8 (1) ◽  
pp. 27
Author(s):  
Pranav Mandovra ◽  
Mugdha Kowli ◽  
Gautam Zaveri ◽  
Roy Patankar
Keyword(s):  
Pilonidal Sinus ◽  
Rare Complication ◽  
Common Disease

scholarly journals “A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF SHEETALA JALA NASYA AND MASHA TAILA NASYA WITH RASNADI GUGGULU IN THE MANAGEMENT OF AVABAHUKA WITH SPECIAL REFERENCE TO FROZEN SHOULDER”

2020 ◽  
Vol 8 (10) ◽  
pp. 4669-4676
Author(s):  
Maitradevi 1 ◽  
Uma Patil
Keyword(s):  
Clinical Study ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Treatment Modalities ◽  
Daily Routine ◽  
Routine Work ◽  
Comparative Clinical Study ◽  
Group A ◽  
Group B

Avabahuka is a disease of Amsa Sandhi (shoulder joint) and it has been described under eighty types of Vata Vyadhi by Acharya Sushruta. Being a disease of shoulder joint, which has greatest range of motion, is of vital importance to the activities of daily routine work. This disease is a hindrance in one’s productivity. Various effective treatment modalities have been mentioned in our classics regarding this disease. In order to reverse the pathogenesis, Shodhana is advised initially followed by Shamana therapies. In the present study 40 patients were selected incidentally and placed randomly into two groups- A and B, with 20 sub-jects in each group. Group- A received Nasya with Sheetala Jala and Group- B received Nasya with Ma-sha Taila followed by Rasnadi Guggulu as Shamanoushadhi for both groups A and B. In both the groups after 7th day of Nasya Karma follow up was done. Assessment was done on the bases of symptomatology. Nasya Karma provided highly significant results in all the symptoms of Avabahuka. In the present study as per the clinical data, ‘Nasya with Masha Taila is found to be more effective than Nasya with Sheetala Jala’.

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