Open AccessTaila Dāha (Cauterization with Oil) an innovative approach in pilonidal sinus
Author(s) -
Rabinarayan Tripathy,
Neelima Sherly John,
Sreedevi Vijayalekshmi,
Nj Anuja Nair,
Suresh Pasupalan
Publication year - 2016
Publication title -
ancient science of life/ancient science of life
Language(s) - English
Resource type - Journals
eISSN - 2249-9547
pISSN - 0257-7941
DOI - 10.4103/asl.asl_30_16
Subject(s) - cauterization , medicine , sinus (botany) , surgery , gluteal region , incidence (geometry) , botany , physics , optics , biology , genus
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 (CuSO 4 ). 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.