An Outlook on Pilonidal Sinus With Special Reference to Nadi Vrana: A Review

Abstract

Pilonidal sinus is an epithelium lined tract, containing hairs and unhealthy diseased granulation tissue. It is a very common disease encountered in clinical practice. It is often challenging owing to its higher chances of recurrence. Due to its similarity in features, the disease is being compared to Nadivrana according to the classics of Ayurveda. Despite the vast advancements in the field of medicine and surgery, the management of this disease remains agnostic. Though there are around 17 different techniques enumerated for the treatment of this condition, no gold standard method has been evolved in treating it. The classic of Ayurveda explains a set of treatment methodologies that not only provides a cure to the disease but also prevents the recurrence of the same which is the most notable complication of the disease. This article is aimed at throwing light into the disease and its various treatments adopted, both from modern and ayurvedic perspectives.