PILONIDAL SINUS / ABCESS

Pilonidal sinus treatment noida –

Pilonidal sinus treatment noida –

OCT 2 – 2020

Pilonidal sinus or Pilonidal abcess requires only surgical treatment when symptomatic.It may present in different forms. Sometimes as an abcess and sometimes as a small opening in the lower back in the prenatal cleft.

Patients give history of pus discharge. This condition is usually seen in patients who have excess hair in the back region.

Pilonidal sinus treatment noida Pilonidal sinus treatment noida v Pilonidal sinus treatment noida

What You should always

remember ?

– No hair around the lesion
– (Even after surgery)
– Otherwise , high chances of recurrence

Dr Nitin Jha is available to guide you through this issue and suggest the treatment options.

Pilonidal sinus surgery

Basically this sinus leads into a cavity full of “tufts of hair”. Hence hairs are the reason for high recurrence if they still remain around even years after surgery.Yes , you read it right –HAIRS!

Once it is excised, we can either leave the wound open and let it heal naturally with dressings or we can do a FLAP closure.

Pilonidal sinus treatment – noida

Check if you have an infected pilonidal sinus

Most people with a pilonidal sinus do not notice it unless it becomes infected and causes symptoms.

An infection will cause pain and swelling, and a pus-filled abscess can develop.See what an infected pilonidal sinus looks like

An infected pilonidal sinus in the cleft at the top of the buttocks.
An infected pilonidal sinus is red, painful and may bleed or leak pus.

Causes

The exact cause of pilonidal cysts isn’t clear. But most pilonidal cysts appear to be caused by loose hairs that penetrate the skin. Friction and pressure — skin rubbing against skin, tight clothing, bicycling, long periods of sitting or similar factors — force the hair down into skin. Responding to the hair as a foreign substance, the body creates a cyst around the hair.

This explanation accounts for rare cases of pilonidal cysts that occur in parts of the body other than near the tailbone. For example, barbers, dog groomers and sheep shearers have developed pilonidal cysts in the skin between fingers.

Risk factors

Certain factors can make you more susceptible to developing pilonidal cysts, such as:

  • Male sex
  • Younger age (pilonidal cysts are most common in people in their 20s)
  • Obesity
  • Inactive lifestyle
  • Occupation requiring prolonged sitting
  • Excess body hair
  • Stiff or coarse hair

UNUSUAL SITES OF PILONIDAL SINUS

blog 4

Typical pilonidal sinus disease (PSD) occurs in the natal cleft i.e. sacrococcygeal region.

However, some occupation related pilonidal sinuses occur in webs of fingers e.g. hair dresser, sheep shearer, dog groomer, slaughterman or milker.

Other locations where pilonidal sinuses may occur include: penis shaft, axilla, intermammary area, groin, nose, neck, cltoris, suprapubic area, occiput, prepuce, chin, periungual region, breast, face and umbilicus.

Pilonidal sinus treatment noida Pilonidal sinus treatment noida

Umbilical PSD typically occurs in young hairy males with a deep umbilicus. Explanations offered include: wearing tight clothes causing hair to be inserted as well as wearing a belt causing hair to accumulate. Poor hygiene is often quoted but this is an unproven oversimplification. Hair removal is all that may be required however a recent randomized study showed surgical excision was superior.

UPSD

Umbilical pilonidal sinus from Eryilmaz R

Penile PSD typically occurs in uncircumcised men around the corona. Hair removal followed by circumcision may be required.

Intermammary PSD typically occurs in overweight women. The tract almost always runs in a caphalad direction to a secondary sinus which is away from the midline. Excision is often required.

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