Neo TrueNorth Hospitals
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Neo TrueNorth

Understanding Pilonidal Sinus

A pilonidal sinus is a small cyst or abscess that occurs in the cleft at the top of the buttocks. It usually contains hair, debris, and can cause pain, swelling, and infection. This condition is more common in young men and can be triggered by prolonged sitting, excessive sweating, or poor hygiene. When a pilonidal sinus becomes infected, it requires surgical intervention to prevent further complications.

Signs and Symptoms

Symptoms of a pilonidal sinus may include:

  • Pain and Swelling: Tenderness and swelling in the area above the buttocks.
  • Redness and Warmth: The skin around the sinus may become red and warm to the touch.
  • Drainage: Pus or blood may drain from the cyst, sometimes accompanied by a foul odor.
  • Fever: In cases of infection, a fever may develop.


Diagnosis of Pilonidal Sinus

Diagnosing a pilonidal sinus typically involves:

  • Medical History and Physical Exam: To assess symptoms and identify the presence of a sinus or abscess.
  • Imaging Studies: In some cases, imaging studies such as an ultrasound or MRI may be used to determine the extent of the sinus.

Treatment Options
Treatment for a pilonidal sinus depends on the severity of the condition. Options include:

  • Incision and Drainage: For acute abscesses, a small incision is made to drain the pus and relieve symptoms.
  • Excision: Surgical removal of the entire sinus tract is often necessary to prevent recurrence. This can be performed using different techniques, including:
    • Open Excision: The sinus is removed, and the wound is left open to heal from the inside out.
    • Closed Excision: The sinus is removed, and the wound is closed with sutures.
    • Flap Surgery: In complex or recurrent cases, a flap of skin may be used to cover the wound and promote healing.


The Excision Procedure
Excision of a pilonidal sinus is typically performed as an outpatient procedure under local or general anesthesia. The steps involved include:

  • Preparation: Patients receive pre-operative instructions, including fasting guidelines and medication adjustments.
  • Surgical Technique: The surgeon makes an incision to remove the sinus tract and any surrounding infected tissue. Depending on the chosen technique, the wound may be left open or closed with sutures.
  • Duration: The procedure usually takes about 30 to 60 minutes.
  • Completion: Once the excision is complete, the area is cleaned, and appropriate dressings are applied. The patient is monitored in the recovery area before being discharged.


Recovery and Post-Operative Care
Recovery following excision of a pilonidal sinus is generally straightforward, with most patients able to resume normal activities within a few days to weeks. Our team at Neo TrueNorth provides detailed post-operative care instructions, including:

  • Pain Management: Recommendations for managing any discomfort with over-the-counter or prescribed pain medications.
  • Wound Care: Instructions on keeping the wound clean and dry, changing dressings, and monitoring for signs of infection.
  • Activity Restrictions: Guidance on avoiding strenuous activities, heavy lifting, and prolonged sitting for a specified period.
  • Follow-Up Care: Scheduling follow-up appointments to monitor healing and ensure the wound is recovering properly.


Why Choose Neo TrueNorth for Excision of Pilonidal Sinus?

  • Experienced Surgeons: Our board-certified surgeons specialize in performing excisions of pilonidal sinus with precision and care, ensuring patient safety and effective results.
  • State-of-the-Art Facilities: Neo TrueNorth is equipped with modern surgical facilities and the latest technology to provide safe and successful excision procedures in a comfortable environment.
  • Personalized Care: We provide individualized care and attention throughout the entire process, from consultation to post-operative follow-up, ensuring each patient’s unique needs are met.
  • Comprehensive Support: Our multidisciplinary team offers comprehensive support, including pre-operative counseling, post-operative care, and follow-up consultations, to ensure a positive surgical experience.

Trust Neo TrueNorth for expert care in the excision of pilonidal sinus. Contact us today to schedule a consultation and learn more about your treatment options.

Meet Our Experts

Dr Venkataramana

General Surgeon

Dr Shiva Kumar

General Surgeon,Proctologist,Bariatric Surgeon,Laparoscopic Surgeon

Dr Poornima Parasuraman

General Surgeon

Dr Kiran.K.J

General Surgeon,Laparoscopic Surgeon,Bariatric Surgeon