Surgery and Primary Closure
Pilonidal sinus in Madrid is one of the most frequent diseases, which are usually treated with minor surgery and without hospitalization, mainly in chronic cases, which have not responded to treatment with antibiotic drugs and drains.
Pilonidal surgery and primary closure
Pilonidal disease is a pathology generated in the gluteal region, which usually affects young adults (men more than women) and can be painful and long lasting (chronic). Pilonidal sinus, in most cases, presents with a painful swelling around the buttocks area, producing an infection with pus.
The most common treatment for pilonidal disease is surgery and primary closure, mainly in patients who have developed a chronic infection, which must be completely incised and excised, followed by primary wound closure.
Primary closure consists of joining the wound edges with suture, adhesive tape, staples or glue, generally used in wounds that are treated quickly and are clean of debris. However, as to whether the resulting wound should be closed with stitches or left open to heal without stitches, there is still no consensus among specialists.
In many cases of patients with pilonidal disease who had their wound closed with stitches, they had rapid healing and resumed their usual routine sooner than patients who had natural healing. However, patients with pilonidal surgery and primary closure were also more likely to develop the disease again, in contrast to those with open pilonidal surgery.
How is the surgery performed?
The pilonidal operation with primary closure begins with the application of a preoperative dose of an antibiotic, which can be cephalosporin, cefmetazol or cefoxitin. Then, the local anesthetic technique is applied, being the most used the intradural puncture and the specialist confirms that the postoperative primary closure can be applied, without the sutures generating tension in the area of the infection, practicing the primary closure in a subcutaneous suture plane of polyglycolic acid and cutaneous of polypropylene.
The specialists perform intraoperative washing of the wound with saline and evaluate all options in case of complications, skin dehiscence, seroma or bleeding. The pilonidal operation with primary closure begins in Madrid, with an average duration of 30 to 40 minutes, in which the cyst is removed and the area is cleaned, in most cases (more than 95%) without the need for hospitalization.
Complete healing in patients with pilonidal surgery and primary closure took place in a period of 15-20 days in some cases, while others may take more than 20 days. However, this procedure is usually effective in the treatment of pilonidal disease, provided there is proper follow-up and intervention by the treating coloproctology specialist.
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.
Frequently Asked Questions
about Pilonidal Sinuses
- 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.
