A Single Case Study of Pilonidal Sinus Managed by Chedana Karma (Wide Excision) With Ayurvedic Postoperative Care

Background: Pilonidal sinus is a chronic inflammatory condition of the sacrococcygeal region, characterised by a sinus tract containing hair tufts. In modern surgery, wide excision (open technique) remains the gold standard, yet postoperative wound healing is frequently prolonged, painful and complicated by secondary infection.[1] Ayurveda describes a comparable entity under Nadi Vrana (sinus wound) and offers a rich pharmacopoeia of wound-healing agents that may complement conventional surgical management. Case Presentation: A 34-year-old male presented with a recurrent midline pit and purulent discharge in the natal cleft of 14 months' duration. He was diagnosed with sacrococcygeal pilonidal sinus (Nadi Vrana / Nadi Shotha) and underwent Chedana Karma (wide excision under local anaesthesia). Postoperatively, wound care was carried out with Ayurvedic formulations including Jatyadi Taila.[2] dressing, Panchavalkala Kashaya irrigation, oral Triphala Guggulu, and dietary regulation (Pathya-Apathya). Outcome: Complete wound healing was achieved by the 42nd postoperative day without secondary infection, wound dehiscence, or recurrence at 6-month follow-up. Pain scores (VAS) reduced significantly by Day 7, and the patient resumed normal activities by Day 21. Conclusion: Chedana Karma combined with Ayurvedic postoperative wound care may provide an effective and cost-efficient integrative management strategy for pilonidal sinus, reducing healing time, pain, and recurrence. Further prospective clinical trials with larger sample sizes are warranted.[3]