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Complications after surgeries for pilonidal sinus - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   | have had two surgeries for Pilonidal Sinus. its been a year and 3 months since my first surgery and 8 months since the second. Still the wound has not healed. There is regular discharge of pus and blood. Please help.
Doctor :   Hi,
Doctor :   Dr xx here
Doctor :   are you on any medications now ?
User :   No
User :   The doctors are saying that the wound is reacting to stitches
User :   it flairs up from time to time
User :   I have stopped taking medications (also suggested by my surgeon) as I have become resistant to most antibiotics
Doctor :   If there is pus then i suspect of infection more than any reaction
User :   there is a combination of pus and blood
User :   no pattern for any
Doctor :   how do you say there is antibiotic resistance ?
User :   culture report
User :   some antibiotics are working
User :   but when i take them there is a lot of improvement
Doctor :   there will be some for which the infection be sensitive
User :   but if i stop even for a day the whole thing flairs up
User :   last antibiotic i took was taxim
User :   that was one month back for 10 days
Doctor :   sensitive antibiotics with good hygiene of the wound will be the best way to treat
Doctor :   you can repeat a antibiotic course every month
Doctor :   there is no harm
User :   as of now I am sitting in a tub of warm water + povidone-iodine solution
User :   for 15 mins everyday before bath
User :   but the thing is doc the moment i stop the antibiotics the wound flairs up
Doctor :   thats fine , increase the frequency of cleaning
User :   the next day of stopping the antibiotic there is a flair up of the wound
User :   cleaning is done 2 times a day once in the morning and once in the night after bath
User :   that is apart from the warm water treatment
Doctor :   You can take a combination of two sensitive antibiotics, combinations are very effective
User :   what about the stitches
User :   ?
User :   sometimes there are particals stuture in the discharge
Doctor :   What kind of suture material is used ?
User :   i am not sure
Doctor :   Absorb able or non absorb able ?
User :   absorbale
User :   but they havent been absorbed
Doctor :   if its a absorb ale then need not to worry as they are rarely considered to cause reaaction
User :   but we are finding them in the discharge sometimes
Doctor :   When was the suture put ?
User :   small peices
User :   in feb during the surgury
User :   to hold the fat in place
Doctor :   if its seen in the discharge it is absorbable one
Doctor :   i do not think the sutures are of any risk
Doctor :   let them be there
Doctor :   concentrate on combating the infection , if possible by a combination of sensitive antibiotics
User :   k
Doctor :   Is there anything i can help you with ?
User :   i just am tired of this
User :   want it to heal
User :   also now I am getting boils around the area
Doctor :   do not worry, follow my advice
User :   boils due to hair getting in to the skin
User :   they keep coming and going
Doctor :   Pilonidal sinus do present same in al
Doctor :   only solution would be keeping it clean and see that there is no infection
User :   ok
Doctor :   Is there anything else i can help you ?
User :   no thank you
User :   Dr. Raju
Doctor :   Thanks for consulting , kindly provide your feedback
User :   will do
User :   :)
Doctor :   Bye for now
Doctor :   take care
User :   bye
User :   you too
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