[Cirugía Del Sinus Pilonidal-Infórmate Antes De Operarte]
With This Surgery You Won't Need 3 Months of Recovery
Innovative method that allows a much faster and less painful recovery and guarantees the best aesthetic result.
If you think it is very likely or you know, after medical evaluation, that you need a pilonidal sinus surgery, you have found the key.
Well, the group of surgeons of Innova Cirugía have imported from the United States a new technique that promises to cure the Pilonidal Cyst.
In addition, the patient is able to lead a practically normal life a few days after the operation.
Although it is a simple procedure, not all patients are suitable for this procedure.
We have created the following test so that, before making a decision, you can be well informed about what our technique consists of.
This is because our surgery is less invasive than traditional surgery, and allows for a much faster recovery.
You can start the test by clicking here below to find out if this new technique is the best for you:
If you prefer to call directly and schedule an appointment, please contact us by clicking on the button below.
Patient does NOT need 3 months of Painful Recovery
Thanks to the type of intervention we perform at INNOVA SURGERY, you can avoid a slow and tedious recovery.
These are the many advantages you will find with our treatment:
- The incision is not left open.
- Faster recovery.
- Very little pain.
- Without interrupting day-to-day life (classes, work...)
- No need for painful daily treatments.
- With the best aesthetic result.
As you will see, all these benefits mean that your physical and mental health will not be so affected. In addition, this treatment implies that:
- After a short recovery period, you will be able to do sports activities.
- Avoid taking too much medication.
How do you know if you have a Pilonidal Sinus?
The diagnosis of pilonidal disease is very different from one patient to another. However, some of the most frequent symptoms are:
- Acute and chronic discomfort in the gluteal fold area.
- Appearance of a tender lump in the gluteal crease area (pilonidal abscess)
- Bleeding in the buttock crease
- Opening of a fistulous orifice (a pinhole in the skin)
- Darkening of the skin on each side of the buttock crease
- In some cases, appearance of a red, painful lump adjacent to the buttock crease (reddening of the skin in that area).
Why do I have Pilonidal Sinus?
The precise causes leading to this pathology are unknown. However, pilonidal sinus is usually caused by a progressive dilatation of a hair follicle, which fills with debris from the area (hairs, skin, keratin), which ends up obstructing the follicle and producing an over-infection of the follicle by bacteria and can end up breaking and forming fistulous tracts or holes (tunnels from the follicle to the skin) to find a new exit.
Factors that can make you more prone to form pilonidal cysts include:
- Being a man.
- Be between 20 and 30 years old.
- Having a family history of Pilonidal Sinus.
- Having very hard and thick hair.
- Having a lot of body hair, especially in the crease between the buttocks.
- Pore size of the overlying skin.
- High friction and pressure on the coccyx (e.g., certain sitting postures).
- Depth of the crease between the buttocks (variable according to genetics and weight).
- Trauma or blows to the coccyx (e.g., horseback riding).
- Tendency to skin pore obstructions (acne, boils, sebaceous cysts, hydrosadenitis, etc.).
- Having a weakened immune system.
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Below, you will see a case of Pilonidal Sinus resolved thanks to our technique. Without leaving the wound open, which prevents possible infections.
But what exactly does this new procedure consist of?
Pilonidal Sinus Surgery, also called Pilonidal Cyst Surgery, is a surgical procedure performed to remove the sacral cyst, that is, a cavity caused by the accumulation of hair at the base of the spine or coccyx area, which mainly affects young, white men with a lot of hair in the area.
Basically, the cyst occurs when the hair follicles become infected and develop a pilonidal abscess , which can be treated both surgically and non-surgically.
If you still have doubts and want to know what your status is before such a disease, take the assessment test
PILONIDAL SINUS TREATMENTS
The truth is that depending on the state of the cyst and according to the needs of each patient, we proceed to the use of various techniques, since we attend to each patient in an individualized and personalized way. Below, you can consult the different types of intervention. In addition, if you still have doubts and you want to know what is your state before such disease, take the assessment test.
This technique follows the most classical principles of sinus surgery, according to which all the fatty tissue should be removed from the skin to the sacral bone and the wound left open. Marsupialization consists of suturing the edge of the skin to the bottom of the wound to “accelerate” healing.
This technique is, by far, the most widely used today by surgeons throughout Spain.
Consequences: it requires painful cures every day in a medical center for 4 to 6 months, so that life is organized around the time of the cure. It is not allowed to play sports, swim in swimming pool or sea, and the recovery time until you can return to a normal activity (studies or work) can be extended a minimum of 8-10 weeks.
Although the skin wound is closed, the principle of extirpation is the same, reaching as far as the sacral bone, so that a large “hole” is produced, which the body tends to fill with fluid (“seroma”) even though the wound is closed; which, in addition, always has a good degree of tension.
All this, together with the fact that it is a poorly ventilated, friction and humid area, favors closure failure, which occurs in approximately 50% of the cases, leaving the wound open as in the technique described above.
By not addressing the ultimate causes of SP (pronounced intergluteal fold and hair friction) the risk of recurrence over the years is high, close to 30%.
It consists of the removal of the fistulous orifices only. It is a very minimally invasive technique with good postoperative pain control and rapid recovery.
However, it can only be performed in very mildly symptomatic cases, with few midline fistulous orifices and no signs of chronic inflammation. Moreover, it does not correct the cause of the SP, so new pilonidal cysts can be expected to occur in the long term.
This technique is promising, although it does not treat the causes of SP, it can correct its consequences, cleaning the chronic tracts with laser energy, and may produce in the long term the complete closure of the same. The healing process is not immediate, and may take several weeks.
It can be performed in cases similar to the previous technique (“pit-picking”), and has the same limitations, to which is added the novelty of the technique that does not allow long-term results to be assured.
It consists of introducing a millimeter camera through the fistulous orifices and treating the disease in this way, under direct vision.
This is a very new, complex technique, which has not yet proven its efficacy.
They consist of repairing the wound caused by removing the sinus by interposing healthy surrounding tissue. There are several types of flaps:
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- Modified Karydakis/Bascom/”Cleft Lift”: this is the technique we recommend most often, so there is a whole section on it.
- Others: Limberg, Z-plasty, rotation flaps: these flaps require modifying a large area of skin around the wound. They are technically more complex, obtain worse aesthetic results and when they fail they do not leave room for many options, so they should be reserved for dramatic cases.
- Also known as Karydakis Flap, Bascom Flap or “Cleft Lift Flap”, it consists of a minimized and eccentric removal of the sinus, keeping as much tissue as possible, with the double intention of flattening the intergluteal groove and removing the midline scar.
- It is undoubtedly the most effective technique in the long term, with a recurrence rate of less than 5%. In addition, it achieves an excellent esthetic result and postoperative pain control, especially compared to the most common techniques.
- The “Pilonidal Support Alliance” (link to www.pilonidal.org), aims to centralize knowledge about SP and provide information and community support to patients suffering from this disease. Visit their website and complete your information!
Frequently Asked Questions
- 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.
In many cases, the pilonidal cyst cannot be removed without surgery, mainly if it is a chronic condition. Therefore, only in acute processes can it be eliminated with drainage and antibiotic treatment.
