MYTHS, BELIEFS AND REALITY OF PILONIDAL SINUS DISEASE: AN INTEGRATIVE SURGICAL AND AYURVEDIC PERSPECTIVE
Dr. Manoj D. C.*, Dr. Shailaja S. V.
ABSTRACT
Background: Pilonidal disease (PD) is a chronic inflammatory disorder affecting the natal cleft, with significant morbidity in young adults. Despite extensive research, myths and misconceptions persist regarding its etiology, hygiene, and surgical management. Ancient Ayurvedic texts, under the concept of Nadi Vrana and Kshudra Roga, offer comparable descriptions and therapeutic principles that can enhance modern understanding. Objective: To correlate the myths and beliefs surrounding pilonidal disease with both modern surgical evidence and Ayurvedic classical explanations, highlighting integrative management possibilities. Methods: Literature from modern surgical sources and Ayurvedic compendia including Sushruta Samhita, Charaka Samhita, and Ashtanga Hridaya was reviewed. Myths and misconceptions commonly found in clinical practice were analyzed and compared with evidence-based and classical textual knowledge. Conclusion: Pilonidal disease, though mechanical in origin, is conceptually aligned with Nadi Vrana in Ayurveda. Integrating classical measures like Ksharasutra, Vrana Shodhana (cleansing), and Ropana (healing) with surgical approaches offers a holistic framework for prevention and recurrence control.
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