Pilonidal Sinus
Dr. Mahesh Krishna specializes in the treatment of pilonidal sinus, a condition caused by infected hair follicles near the tailbone. With advanced, minimally invasive techniques, he ensures effective healing, reduced discomfort, and a quick recovery for his patients.
Pilonidal sinus
Pilonidal sinus disease is an inflammatory condition involving the hair follicles that can occur anywhere along the crease between the buttocks, which runs from the bone at the bottom of the spine (sacrum) to the anus. The disease is benign and has no association with cancer.
Pilonidal disease may appear as:
A pilonidal abscess, in which the hair follicle becomes infected, and pus collects in the fat tissue
A pilonidal cyst is a cyst or hole that forms if an abscess has been present for a long time.
A pilonidal sinus, in which a tract grows under the skin or more deeply from the hair follicle
Symptoms
Pus draining from a small pit in the skin
Tenderness over the area after you are active or sit for some time
Warm, tender, swollen area near the tailbone
Fever (rare)
There may be no symptoms other than a small dent (pit) in the skin in the crease between the buttocks.
Causes
The cause of the pilonidal disease is not clear. It is thought to be caused by hair growing into the skin in the crease between the buttocks.
This problem is more likely to occur in people who:
Are obese
Experience trauma or irritation in the area
Have excess body hair, particularly coarse, curly hair
Home Care
Wash normally and pat dry. Use a soft bristle scrub brush to prevent the hair from becoming ingrown. Keeping the hairs in this region short (shaving, laser, depilatory) may decrease the risk of flare-ups and recurrence.
Contact your health care provider
abscess formation
Drainage of pus
Redness
Swelling
Tenderness
A pilonidal abscess may be opened, drained, and packed with gauze. If an infection is spreading in the skin or if you also have another, more severe illness, antibiotics may be used.
Other surgeries that may be needed include:
Excision of the affected part
Skin grafts
Flap procedure after excision
Removal of the cyst by surgery
EPSIT
EPSiT is the removal of hair and cauterization of the cavity from the inside by direct endoscopic vision. It was done with a fistuloscope that has a working and irrigation channel. The reported technique had a good outcome in the adult and pediatric population.
Good post-operative pain relief, fast recovery and rapid healing of the wound are said to be among the advantages of EPSiT, along with excellent aesthetic outcomes compared to the conventional open methods
Laser
Sinus Laser Therapy (SiLaT) is a minimally invasive surgical procedure consisting of the debridement of the cyst wound to eliminate bacteria, hair, puss, and granulation tissue, making it possible for tissue healing and, consequently, cyst cavity atresia.
A great benefit of this technique is the minimized expansiveness of the operation, which affects only the cavity of the cyst and leaves tiny, comparatively easy to heal wounds, which heal as a rule within 4 to 6 weeks. Thanks to the minimally invasive nature the cosmetic result is excellent – the buttocks remain virtually unaffected.
