Complications of Pilonidal Sinus
- Recurrent infections
- Abscess formation
- Multiple sinus tracts
- Rarely chronic infection spreading to nearby tissue
- Ingrown hair penetrating the skin
- Prolonged sitting or pressure on the area
- Excess body hair and friction
- Poor hygiene
- Obesity or excessive sweating
- Pain or swelling near the tailbone
- Redness and tenderness in the area
- Pus or blood discharge
- Foul smell from the sinus opening
- Fever in case of infection
- Maintaining good hygiene
- Regular hair removal in the area
- Avoiding prolonged sitting
- Maintaining healthy weight
- Keeping the area clean and dry
Diagnosis is usually clinical, based on physical examination by a doctor. Imaging tests like ultrasound or MRI may be used in complicated or recurrent cases.
- Antipyretics and analgesics to deal with fever and pain.
- Antibiotics are prescribed to clear the infection.
- Incision and Drainage- If there is a large abscess is present the surgeon makes a small cut that allows the pus to drain. The wound will be dressed.
- Phenol Injections - This process is similar to cleaning and flushing out the sinus. A solution of 80% phenol is injected into the sinus. It is allowed to stay there for a maximum of 3 minutes and then flushed out. This method pushes out the hair follicles from the sinus.
- Excision of the sinus - The sinus and surrounding region will be removed completely by opening the sinus. The wound is left open to heal naturally. It will take 6 to 12 weeks to recover from this procedure. This procedure has the lowest risk of recurrence.
- Excision with closure - In severe infection, surgeon will excise the sinus completely. He then cuts oval-shaped flaps of skin on either side of it. The ends are then sutured together. This leads to the flattening of the groove between the buttocks. The stitches are removed 10 days after the procedure. The wound needs to be dressed every day. It has a quicker recovery than open excision, but the chances of the wound getting infected are very high.
- Laser Treatment - Laser surgery for pilonidal sinus is a minimally invasive and highly effective treatment for Pilonidal Sinus. In this procedure, the sinus tract is first thoroughly cleaned, and a laser fiber is inserted into the tract. The laser energy is then delivered through a radial fiber to close and destroy the sinus from within. This advanced technique usually does not require large cuts or stitches, resulting in minimal pain and faster healing. Most patients experience a quicker recovery and can return to their normal daily activities much earlier compared to traditional open surgery.
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What Our Patient Say About Our Caring
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I was having fissure and piles since many years.
I was also having liver disease because of which my platelet counts and blood clotting was altered, so surgeons at other hospitals refused to do surgery on me. Then we consulted Dr Uday Ravi sir, he took all precautions and did laser surgery. Now my life is gar better and am comfortable. Thanks full for taking risk and do my surgery.
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