Open Pilonidal Sinus Surgery
Pilonidal sinus is a very common pathology that is very painful and annoying for the patient, even temporarily incapacitating him from his daily routine, since the symptoms prevent him from being able to sit still.
Pilonidal sinus surgery
The treatment of the sacral cyst or pilonidal sinus, i.e. the cavity caused by the accumulation of hair at the base of the spine or coccyx area, can be applied both surgically and non-surgically.
Among the surgical surgical options for pilonidal cysts, include:
- Removal (excision) of the cyst or open surgery
- Cyst obliteration (often called “minimally invasive pilonidal surgery”)
- Flap operations
- Bascom Operation (Cleft Lift)
Open Surgery and ITS BENEFITS
The pilonidal cyst requires surgical drainage, as this condition will not heal with the prescription of antibiotic medication alone. Therefore, if the infection persists, in many cases a cystectomy or sinus surgery may be required to remove it.
In the open sinus operation, the wound is drained so that any encysted hair can be removed, as well as the pus is absorbed and the skin around the wound is cut.
Depending on the patient’s condition, the specialist will decide whether to pack the wound with gauze or leave the wound open requiring daily dressings, or close the wound completely and follow up until healing is complete.
It may take up to a month before the cyst is completely healed. During this time the gauze needs to be changed often.
It is effective
Surgical and ambulatory solution ideal for the treatment of pilonidal cysts and abscesses, due to its effectiveness in healing the infected area.
Easy postoperative period
Postoperative care is easy, which includes cleaning and disinfection of the open wound, ensuring that it heals without problems.
Painless
The procedure is painless, thanks to the local anesthesia applied. At the same time, it relieves the intense pain prior to the drainage of the infection.
Some disadvantages
- The postoperative period can be uncomfortable and long, 4 - 6 months, until the wound heals.
- Dealing with an open wound for months can be complicated for some patients.
- Difficulty to clean and shave the area personally
Frequently Asked Questions
about Pilonidal Sinus
- Reddening of the skin
- Pain
- Presence of pus or blood in an opening of the skin.
- Unpleasant odor of oozing pus.
This pathology should be treated by a specialist in coloproctology, which is responsible for the diagnosis and treatment of diseases of the colon, rectum and anus.
As we know, the pilonidal cyst is located in the region above the intergluteal fold, an area of treatment for this specialist.
