What is Pilonidal Sinus?
A pilonidal sinus is a depression in the skin or small pit that occurs at the bottom of the tailbone (coccyx) and can become infected and filled with pus. Once infected, the term is pilonidal abscess. Pilonidal abscesses look like a boil at the bottom of the tailbone, just above the crack of the buttocks. It is more common in men than in women.
The symptoms experienced by someone with a pilonidal sinus include the following:
- Pain at the bottom of the spine.
- Swelling at the bottom of the spine.
- Redness at the bottom of the spine.
- Draining pus.
Antibiotics alone do not heal a pilonidal sinus. Doctors have a number of procedures available, including the following treatments: The preferred technique for a first pilonidal sinus is incision and drainage of the sinus, removing the hair follicles, and packing the cavity with gauze. Marsupialisation - This procedure involves incision and draining, removal of pus and hair, and sewing of the edges of the fibrous tract to the wound edges. This creates an open wound that slowly covers with skin and prevents re-formation of the sinus.
- The term pilonidal is derived from the Latin pilus (hair) and nidus (nest).
- Pilonidal sinus disease is a disease of the inter-gluteal region*, characterised by the formation of a sinus in the cleft of the buttocks.
- A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the cleft).
- It may fill with fluid or pus, causing the formation of a cyst or abscess. A pilonidal Cyst usually contains hair, dirt and debris
- Ingrown hair
- Friction from clothes
- Spending a long time sitting.
- Congenital, it probably began as a defect that existed when you were born
- Acquired, it may be the enlargement of a simple hair follicle infection or the result of a hair penetrating the skin and causing an infection.
- Another theory is that pilonidal cysts appear after a trauma to that region of your body
- Wearing Tight Clothes
- Hairs Puncture
- Hormonal changes
- Rubbing the skin hardly creating the opening for the hair fall area Sitting for long hours
- Personal or family history of similar problems such as acne, boils, carbuncles, folliculitis, and sebaceous cysts
- Large amounts of hair in the region
- Tailbone injury
- Horseback riding, cycling
- Prolonged sitting
- Pain, redness, and swelling at the bottom of the spine
- Pus or blood draining out of it
- Bad smell from the pus
- Tenderness to the touch
- They can vary in size. Yours may be a small dimple or cover a large, painful area.
- Uninfected pilonidal sinus:- A pilonidal sinus that's not infected Treatment is not needed if there are no signs of infection. A "watch and wait" approach will be recommended. It's very important to keep the area between your buttocks clean by showering or bathing regularly.
- Infected pilonidal sinus:- Treatments of infected pilonidal sinus
- Your symptoms
- The size of the sinus
- Whether it's your first sinus or it keeps coming back A pilonidal sinus abscess will need treatment with:-
- painkillers, such as paracetamol and anti-inflammatories to help reduce pain and swelling.
- The pus inside will also probably need to be
- Surgical treatment:-
- A Under general anaesthetic or local anaesthetic, depending on the size of the abscess
- A Hospital stay (you can leave the same day)
- A Regular (daily) dressing changes
- A Recovery time is 4 to 6 weeks
- A The wound is left open to heal naturally.
- A General anaesthetic/regional
- A Hospital stay (you can usually leave the same day)
- A Regular (daily) dressing changes
- A Lowest risk of sinus coming back
- A Recovery time is 6 to 12 weeks
- A general anaesthetic/regional
- A hospital stay (you can usually leave the same day)
- A stitches removed about 10 days after the operation
- A quicker recovery time than wide excision and open healing
- A higher risk of infection (the wound may need to be opened and dressings changed regularly)
- Spinal or local anaesthetic
- Hospital stay (you can usually leave the same day)
- Less invasive than surgery as no cut needed
- Good success rate with low risk of complications
- Recovery time is about a month to completely heal (but can be quicker)
- Keep the affected area clean
- A wear comfortable, loose-fitting cotton underwear
- A eat plenty of fibre to make going to the toilet easier and avoid straining
- Do not lift heavy objects or do strenuous exercise for the first week or so
- Do not ride a bike for 6 to 8 weeks
- Do not go swimming until your wound has completely healed
- the procedure you had
- How quickly you recover
- The type of job you do
- Rest when you feel tired. ...
- Ã Try to walk each day. ...
- Ã Shower as usual. ...
- Ã Ask your doctor when you can drive again.
- Ã Avoid sitting for a long time or sitting on hard surfaces until your incision has healed.
- Ã Most people are able to return to work within 2 to 4 weeks after surgery.
- A Shave around the cyst area, if your doctor approves, to keep hairs from becoming embedded.
- A Clean the area with mild soap and water. ...
- A If you need to sit for long periods, take frequent breaks.
- A Avoid wearing tight clothing, as hair can be forced down into the skin.
- A Shave or use depilatory creams (hair removal cream)/laser hair removal to keep the area free of hair.
- A Avoid prolonged sitting or excessive repetitive pressure to the area of the coccyx (tailbone).
- A Weight loss may also help decrease the development and recurrence of pilonidal disease.
Diagnosing Pilonidal Disease Treatment in DelhiPilonidal infection, similar to a giant pimple, can rupture through the skin by itself or may need to be lanced or removed to let the infected fluid break. Pilonidal disease is categorised into 3 steps:
Acute – Distinguished by a painful, subcutaneous mass infiltrating encompassing a range.
Chronic – Shows with chronic pain and effluent from the injury. Hair may be evident in the section of the virus.
Complex – Hardly the subsequent therapy, the recurrent pilonidal illness can occur. Medicine
Severe processing involves reducing the disease in the building. This is done by paralysing the area with a restricted analgesic and letting the virus drain. Once the fluid is discharged the pain will quickly begin to leave. It usually is not required to operate the plague with antimicrobials. In rare cases, the pilonidal disease can pass and can often be controlled with the outpatient operation.
How soon You Will Improve?Daily exercise should serve you to retort to normal movements as soon as possible. Before you begin stretching, you should ask a member of the healthcare team.
SummaryPilonidal sinus is a general predicament in young people. It can cause an ulcer or tenacious discharge and is best healed by surgery.
Pilonidal Sinus treatment in DelhiPilonidal Sinus treatment in Delhi and Surgery Services. Pilonidal Sinus recuperates with therapeutic treatment, any prescription whether allopathic, homeopathic may present some brief fulfillment yet don't nullify the scrape. In the greater part of the cases having pilonidal sinus, specialists more often than not endorse medicinal methodology like Z-plasty, etc. Indeed, even after the activity, the dangers of repeats are dependably there. Postoperative agony, hospitalization, and vulnerabilities of a repeat are the determinants which prescribe that task isn't a reasonable strategy for treating pilonidal sinus.
- Repulsive scarring
- Serum clots
" May I always act so as to preserve the finest tradition of my calling and may I experience the joy of healing those who seek my help."
Dr. Ashish Bhanot