Limits...
Taila D ā ha (Cauterization with Oil) an Innovative Approach in Pilonidal Sinus

View Article: PubMed Central - PubMed

ABSTRACT

Summary: : Pilonidal sinus is a chronic inflammatory track in mid gluteal cleft usually associated with hairs with an incidence rate of twenty six per one lakh population. It is more prevalently seen in the natal cleft of hairy middle aged obese, males. Such type of non-healing tracts may be considered as Nāḍivraṇa (Sinuses) and can either be treated by the conventional Kṣārasūtra (medicated seton) therapy or contemporary treatment methods. Irrespective of whatsoever management protocol adopted, it inevitably needs long term hospitalisation and is associated with complications. A case of a 28 year old male patient, presenting with pain (within tolerable limits) in the natal cleft and frequent occurrence of a pustule which burst out spontaneously on and off, diagnosed as pilonidal sinus (nāḍi vraṇa) was treated with excision of tract and Tailadāha (thermal cauterization with hot oil) with a combination of yaṣṭimadhu taila and powdered Copper Sulphate (CuSO4). Good haemostasis and uneventful wound healing with a minimally invasive and cost effective treatment was the outcome of study. This study represents an innovative treatment modality in pilonidal sinus.

No MeSH data available.


0 day probing
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC5382816&req=5

Figure 2: 0 day probing

Mentions: On general examination, movements at lumbar region were restricted due to low back ache. On local examination at the gluteal region –2 external openings were seen at the midline of natal cleft [Figure 1] without indurations or tenderness which was not permitting a metallic probe into it [Figure 2]. Per rectal examination was done to rule out any extension of tracts from natal cleft, other anal pathologies like presence of haemorrhoids, fissures, tender points or indurations. The patient was advised for an MRI sinogram on 12-12-2015 and the impression was [Figures 6 and 7]


Taila D ā ha (Cauterization with Oil) an Innovative Approach in Pilonidal Sinus
0 day probing
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5382816&req=5

Figure 2: 0 day probing
Mentions: On general examination, movements at lumbar region were restricted due to low back ache. On local examination at the gluteal region –2 external openings were seen at the midline of natal cleft [Figure 1] without indurations or tenderness which was not permitting a metallic probe into it [Figure 2]. Per rectal examination was done to rule out any extension of tracts from natal cleft, other anal pathologies like presence of haemorrhoids, fissures, tender points or indurations. The patient was advised for an MRI sinogram on 12-12-2015 and the impression was [Figures 6 and 7]

View Article: PubMed Central - PubMed

ABSTRACT

Summary: : Pilonidal sinus is a chronic inflammatory track in mid gluteal cleft usually associated with hairs with an incidence rate of twenty six per one lakh population. It is more prevalently seen in the natal cleft of hairy middle aged obese, males. Such type of non-healing tracts may be considered as Nāḍivraṇa (Sinuses) and can either be treated by the conventional Kṣārasūtra (medicated seton) therapy or contemporary treatment methods. Irrespective of whatsoever management protocol adopted, it inevitably needs long term hospitalisation and is associated with complications. A case of a 28 year old male patient, presenting with pain (within tolerable limits) in the natal cleft and frequent occurrence of a pustule which burst out spontaneously on and off, diagnosed as pilonidal sinus (nāḍi vraṇa) was treated with excision of tract and Tailadāha (thermal cauterization with hot oil) with a combination of yaṣṭimadhu taila and powdered Copper Sulphate (CuSO4). Good haemostasis and uneventful wound healing with a minimally invasive and cost effective treatment was the outcome of study. This study represents an innovative treatment modality in pilonidal sinus.

No MeSH data available.