Pilonidal sinuses form near the top of the buttocks crease and are short, narrow tunnels. A pilonidal sinus may form as a consequence of an abscess caused by trapped hair in the buttocks crease.
Pilonidal sinus sufferers may experience pain and inflammation near the base of the tailbone. Occasionally, a pilonidal sinus may go away on its own, but in other circumstances, treatment may be necessary, such as abscess drainage or sinus removal. We provide the best pilonidal sinus laser treatment in Mumbai.
There is no known and clear cause for pilonidal sinus.
Repeated friction in the buttock cleft in a hairy, sweaty fellow might be to blame. Hair and microorganisms may invade the skin if hair follicles get entrapped. This may cause an abscess to become inflamed and filled with pus.
A pilonidal sinus may form after the abscess has healed. Small apertures on the surface of the skin are seen in the sinuses. In order to avoid further abscesses and infections, those who have a pilonidal sinus must take proper care of the region.
Pilonidal cysts may be brought on by ingrown hairs, according to one theory. It’s thought that sitting increases pressure on the coccygeal region, which might lead to a problem. Trauma may exacerbate an existing pilonidal cyst’s inflammation. According to certain research, a congenital pilonidal dimple may lead to pilonidal cysts. Anaerobic bacteria are abundant in pilonidal cysts, which may be formed by excessive sweating, because moisture fills a stretched hair follicle, producing a low-oxygen environment. A pilonidal cyst is more prone to form when there are germs and low oxygen levels in the environment.
Some factors that may give rise to pilonidal sinus are as follows:
The natal cleft, located at the apex of the buttocks crease and just below the tailbone, is affected by a pilonidal sinus.
Depending on the severity of the illness, symptoms might vary from moderate to severe. The following are possible signs and symptoms of a pilonidal sinus:
There may be no need for therapy if there are no symptoms or evidence of infection from a pilonidal sinus. If a patient is in need of therapy, following options may be considered:
It may be kept under control and avoid from complications with a few simple measures.
The initial step in treating a pilonidal sinus is sometimes hair removal if infection is not present.
Hair removal options may include, but are not limited to, the following:
Regular hair removal and proper cleanliness in the region may lessen the need for surgery and allow patients to return to their daily routines.
Some methods of hair removal may cause skin irritation or rashes, therefore people should exercise caution while using them.
The pilonidal sinus is simpler to treat if the abscess is reduced.
After draining an abscess, some patients may undergo a treatment known as pit picking. Those who undergo the procedure will be given a local anaesthesia before their sinuses are surgically removed.
Antibiotics may help cure skin indextion and minimise irritation.
Smaller abscesses may be treated with antibiotics, or as a supplement to other forms of therapy.
Surgical removal of a pilonidal sinus is the most reliable treatment, although there are risks, including poor wound healing. We offer the best pilonidal sinus surgery in Mumbai.
Anaesthesia will be administered, and a surgeon will either remove or open the sinus. Cutting out the sinus may lead to a better long-term result, but the healing time may be longer. Both conventional and laser surgery may be used to open the sinus.
A surgeon will first open up the abscess and sinus, and then trim the skin around the perimeter of the pilonidal sinus. Any inflammatory tissue around the region will be removed.
After that, the wound will be stitched up with the help of healthy tissue by a surgeon. Despite the danger of infection, it may be important to use this approach.
Depending on the method, surgery might take anywhere from 45 to 60 minutes.
There are so many methods described for the open surgical management of Pilonidal sinus. Each method has pros and cons. Plastic surgery in the forms of different flaps also can be done. All the methods have different rate of success.
Laser Pilonidoplasty (LPP) is a minimally invasive laser-assisted procedure. Making a small incision in the skin and then draining the pus are the initial steps. The laser fiber is subsequently utilized to seal the whole sinus passage.
Pilonidal sinus laser surgery involves ablation of the sinus tract using a laser radial fiber. The first step is to completely clean and eliminate any infected tissue from the sinus tract. Laser energy is used to destroy the aberrant route. The epithelium is destroyed by the laser energy and the tract is obliterated because by shrinking effect. The tract collapses to a large extent due to the controlled destruction of the epithelialized tissue. The healing process is aided and expedited as a result of this.
Laser Pilonidal Sinus therapy is thus less invasive and comfortable compared to standard surgical procedures. Dr. Laxman Proctology Center specialize in performing pilonidal sinus laser surgery treatment in Mumbai.
Benefits of pilonidal sinus laser treatment?
How to reduce the recurrence of pilonidal sinus?
Even if the success rate of laser therapy for pilonidal cysts is quite high, patients may take steps to reduce the likelihood of a recurrence. Patients who have had surgery must adhere to the directions provided by their surgeon. Showering twice a day may be necessary. Maintain a clean and dry environment. Spend as little time as possible sitting still or driving for lengthy periods of time.
Ointment or a compress should be applied to the wound every day. It’s almost probably a good idea to have the hair in that region shaved.
Pilonidal sinuses may clear on their own in some persons, according to ASCRS, without the need for medical intervention.
In most cases, patients may go back home the same day they had surgery. People may be able to return to work within two to three days after having surgery, depending on how well they recover.
Getting back to normal hobbies and exercising might be discussed with a doctor.
Keeping a wound clean and dry, or using a dressing if it is open, is critical after a treatment. The buttocks crease and wound region must also be clear of hair. Until the age of 25 years, when hair begins to thin and soften, people may need to shave every 2–3 weeks.
The top of the buttocks has a tiny hole or tunnel known as the pilonidal sinus (the cleft). Treatment is necessary if it gets infected or pt is having some swelling and pain in that region.
A pilonidal sinus can be reliably treated with Laser Pilonidal sinus surgery.
People with a pilonidal sinus may go their whole lives without developing Pilonidal Sinus Disease, even if they are very hirsute. In cases where coarse, thick hair passes across the lower back and upper buttocks and pierces the skin’s barrier at the base of a pilonidal sinus funnel, PSD is likely to occur.
When it comes to treating pilonidal sinuses, shaving the sacral region and plucking all visible hair from the sinus and keeping the area clean and dry are the easiest methods of therapy.
Yes, it can be painful when it gets infected.
It may take anywhere from six to eight weeks.
It is possible that a pilonidal sinus is produced by a skin condition, such as a problem with the skin around the buttocks, or by pressure or friction. Pilonidal sinuses are often filled with hair that has been lost from the buttocks or elsewhere and has collected in the buttock cleft.
When compared to other anorectal operations, surgery on the pilonidal sinus is quite painless. There is a chance of discomfort. In addition to using painkillers, there are other ways to alleviate discomfort. When you no longer believe they are necessary for healing, you may stop using them.
If you want to get rid of the infected sinus area’s extra hair and prevent it from coming back, there are two methods. Recurrence of pilonidal illness may be prevented with the use of either a razor (shaving) or a depilatory lotion.
Pain is less in laser surgery for pilonidal sinus.