DOI:
VOLUME-6, ISSUE-02
Dr.Sabade Pradnya Prakash1*, Dr.K.Rajeshwar Reddy2,
ABSTRACT
A sinus is a blind tract leading from surface, down to the tissues. There is persistent discharge called SEROMA from this sinus tract. Hardly any data is available so as to cure this post caesarean sinus. Data presented in this report is apparently a case study of its kind in surgical literature where a female patient with age of 30 yrs, who had been undergone with caesarean section 2 times. Second time, re suturing was done for the opened stitches .After the procedure, she developed multiple sinuses over the scar n was not getting relief with modern therapy. The main purpose of this study was to cure this sinus with advanced modalities in ayurved, to overcome the hurdles n complications caused by the modern procedures. On the first day, the sinus tract was cleaned properly with betadine, pus discharge was drained and ksharvarti was inserted inside the sinus tract. Patient was called for follow up in every week once. Ksharvarti was applied once a week, after every 7th day.The procedure was followed for 24 weeks, with regular dressing and ksharvarti application. It was observed that, the tract was getting healed with proper de-sloughing of pus and debridement of tract was taken care by Ksharvarti. Astonishing results were observed with regeneration of healthy granulation tissue inside the sinus tract. No pus discharge and pain was observed later too. The sinus was completely healed by the 24th week. Ksharvarti helps in proper drainage and simultaneous healing of the sinus tract. Kshar helps in chemical cauterization and de-sloughing of unhealthy granulation tissue, resulting in complete healing of the sinus tract and also avoids its recurrence in future. Thus Ksharvarti has proved the promising effect in the management of post-caesarean sinus.
Keywords: Ksharvarti, post-caesarean sinus, parasurgical procedure, seroma, wound abscess, nadivrana.