PERIANAL SINUS- A CASE STUDY

Abstract

Sinus is a blind track lined by granulation tissue leading from an epithelial surface into surrounding tissues. Prolonged sitting, trauma , abscess, some disease like; TB, Osteomylitis, pilonidol sinus with family history may increase the risk of disease.In Ayurveda Acharya Susruta mentioned eight type of sinuses as nadivran in Susruta samhita nidan sthan chapter 10 Visarpnadistanrognidanam.Kalka Varti is a kind of paste with gauze piece.Kalka prepared by compound of certain medicinal plants ,medicated oil and minerals. Susruta describe kalka in the management of Nadi vrana. A 44 year old male patient thoroughly examined and treated with the help of kalka varti. Bulk of dead tissue and pus were expelled during procedure. Kalka is an ideal procedure adopted for sinus track mentioned by susruta not only to destroy the unhealthy granulation lining but also for its curettage and healing work.viz. Kalka varti procedure for nadivrana, Hence this therapy was tried in perianal sinus and is discribed in this report. Kalka varti not only minimize the complication but enables patient to resume work quicker and less discomfort as well as reduce cost.