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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.


1st review, 3rd day dressing
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Figure 8: 1st review, 3rd day dressing

Mentions: A prescription containing internal medication of Guggulu pañcapala cūrṇa[9] 5 g bid. with honey, Triphalā guggulu[10] (500 mg) 1 tab tid., with Aragvādādi kaṣāya[8] 15 ml was advised for 5 days. He was posted for review on the 3rd day [Figure 8] to change the dressing. On the first review the wound was healthy without discharge. Greenish blue colour was not present. De-sloughing was done and the wound was dressed with yaṣṭimadhu taila. Thereafter patient was reviewed for every alternate day for dressing up to 21 days [Figures 9 and 10]. He resumed his work after five days of procedure [Figure 11]. The follow up period was uneventful [Figure 12]. The quality of life was also assessed by Cardiff wound impact Questionnaire and found improved.


Taila D ā ha (Cauterization with Oil) an Innovative Approach in Pilonidal Sinus
1st review, 3rd day dressing
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 8: 1st review, 3rd day dressing
Mentions: A prescription containing internal medication of Guggulu pañcapala cūrṇa[9] 5 g bid. with honey, Triphalā guggulu[10] (500 mg) 1 tab tid., with Aragvādādi kaṣāya[8] 15 ml was advised for 5 days. He was posted for review on the 3rd day [Figure 8] to change the dressing. On the first review the wound was healthy without discharge. Greenish blue colour was not present. De-sloughing was done and the wound was dressed with yaṣṭimadhu taila. Thereafter patient was reviewed for every alternate day for dressing up to 21 days [Figures 9 and 10]. He resumed his work after five days of procedure [Figure 11]. The follow up period was uneventful [Figure 12]. The quality of life was also assessed by Cardiff wound impact Questionnaire and found improved.

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.