Hair getting embedded in the natal cleft caused the pilonidal sinus to become chronic due to its opening in the cleft. An abscess may result from an infection resulting in a simple opening or a partially discharging sinus (the usual feature that brings the patient to the surgeon), increasing the need for pilonidal surgery.
How does pilonidal sinus cause complications?
As a result of pilonidal cyst infection, an abscess develops, which eventually drains pus through a sinus. Abscesses are painful, foul-smelling, and drained. There is no need to worry about this condition. Infections can enlarge and become uncomfortable, but they can also enlarge and become painful. Death may eventually result from it.
The prognosis for cancer that arises inside a pilonidal sinus is complicated, however, since cancer may remain undetected for many years. The symptoms of an infection can easily be mistaken for normal side effects. It is usually an outpatient procedure to treat a pilonidal cyst. As soon as the doctor numbs the area with a local anaesthetic, he or she will make a small cut to open the cyst. A suction device and saline solution will be used to remove pus and debris from the affected area. “Incision and drainage” is a common term used to describe this process.
What is the best time to have sinus or pilonidal surgery?
Pilonidal surgery may be necessary in the case of chronic sinusitis that doesn’t respond to treatment. The polyps in your sinuses are severe. A nasal or sinus structure has an abnormality that needs to be repaired (e.g. deviated septum). Sinus surgery is most commonly used for chronic sinusitis (inflammation of the nose and sinuses) but is also needed for other sinus issues. Air and drainage are allowed to flow through the sinuses by enlarging the openings between them and the inside of the nose.
Antibiotics can treat pilonidal abscesses that burst on their own or be treated by burning the abscess. Abscesses can typically only be treated with surgery to remove all infected tissue and to treat the cause. Excision is another term for this procedure. A pilonidal sinus operation typically does not cause as much pain as other anorectal procedures. Some pain may be experienced. There are other options for treating pain besides medication. You can stop them if you do not think they are beneficial for healing.
In comparison to other anorectal procedures, pilonidal sinus surgery is usually not painful. A certain amount of pain may be experienced. Furthermore, local measures may be helpful in combination with pain medication. If you feel they are not useful, you can stop them. They are not important for healing.
You can surgically remove it if you continue to have problems with pilonidal cysts. The procedure is treated as an outpatient procedure by hospitals, so you won’t need to stay in the hospital overnight. You may be given medicine (general anaesthesia) to keep you asleep and pain-free during surgery.
It is now decided whether to perform surgery based on which of these conditions the patient presents with. To determine what the surgeon is facing, X-rays or MRIs are used to identify the tract using radio-opaque dye. In essence, the surgeon delineates the tract using an MRIor radio-opaque dye to be certain about what he or she is up to.
Taking the above-mentioned scheme in reverse order. The pus and collected material are drained by making an incision above the tract when there is an infection. This opening heals on its own during pilonidal surgery recovery using regular dressings.
The number of openings, the length of the sinus tract, and the severity of infection and pus collection determine the incision. An excised (cut and removed) area can also be performed if necessary. There is usually a longer healing time in these cases, and the wound must be dressed with care and by someone with adequate knowledge and knowledge. In some cases, this treatment may suffice since the tract has now been opened and is healing independently.
Discharging sinuses are evaluated for the nature of discharge, and if necessary, antibiotics are prescribed. As soon as the discharge stops, surgery is preferable. Various pilonidal sinus surgery types and techniques can be used to treat dry sinus tracts. Among the most important are
- Primary and secondary repair after excision
- An excision followed by flap surgery (lateral flap advancement, rhomboid flaps, or other more complicated procedures that do not need to be mentioned here)
During pilonidal surgery primary repair and excision, smaller tracts are cut out to the bone, and the ends are then stitched together.
As mentioned, excision as well as flap involve separating the skin, fat, and muscle lateral to the newly created wound from the underlying bone, then suturing it.