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A pilonidal sinus is a small channel or opening in the skin at the top of the buttocks where they divide. It may not always cause any symptoms, and treatment is only required when it gets infected.
In most cases, a pilonidal sinus is only identified when it becomes infected, causing symptoms such as pain and swelling. The infection may also lead to the development of a pus-filled abscess.
If there are no signs of infection, treatment may not be necessary for a pilonidal sinus. In such cases, the doctor may suggest an "observe and wait" approach. To maintain hygiene, it is important to regularly clean the area between your buttocks by taking showers or baths. However, it is not recommended to shave the affected area unless advised by a doctor. Once the infection has been treated and the wound has healed, the pilonidal sinus will be considered free of infection.
A pilonidal sinus infection is a painful condition caused by a bacterial infection in a hair follicle or sweat gland at the base of the spine. Luckily, there are various effective treatments available. Antibiotics are a common first line of treatment, either taken orally or administered intravenously to eliminate the infection-causing germs. In cases where abscesses are present, surgical removal may be necessary. During the surgery, any contaminated tissue in the surrounding area is also removed to prevent recurrence. Abscess drainage is another option that can provide relief from symptoms and promote healing. Our doctor will recommend the best treatment based on the severity of your infection and your individual needs.
| TYPE OF SURGERY | OVERVIEW |
|---|---|
| 1. Minor operation to drain pus from sinus - Incision and drainage |
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| 2. Operation to remove sinuses (wound left open) - Extensive removal and open healing |
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| 3. Operation to remove sinuses (wound closed) - Excision, wound healing, and frequently flattening of the buttocks groove |
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| 4. Laser Pilonidoplasty (LPP) |
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Prior to infection, pilonidal sinuses are generally considered benign and do not require medical attention. However, once infected, they can cause significant pain, discomfort, and other complications, making medical intervention necessary.
In general, pilonidal sinus infections do not tend to resolve on their own. While temporary relief from symptoms such as swelling and pus leakage may occur, the infection usually returns. It is important to seek medical attention for pilonidal sinus infections, as they can become more severe if left untreated.
Numerous factors, including hormonal imbalance, bacterial infection, and eczema, among others, might contribute to the illness. Pilonidal sinus may occasionally be related to other conditions.
After the anaesthesia wears off, some pain and discomfort is expected. The severity of the pain can vary from person to person and depend on the extent of the surgery. Your doctor will prescribe pain medication to manage any discomfort you may experience. It's important to follow the post-operative care instructions given by your doctor to reduce the risk of complications and promote healing.
Healing hands clinic,
C/O Sbg hospital, Opposite federal bank,
Ganeshpur Rd, Laxmi Tek, Belagavi,
Karnataka 590001.