Hi,A pilonidal sinus
is an abscess
or boil. It needs to be drained to help it resolve. Like other boils
, it does not usually improve with antibiotics alone. If any of the following symptoms occur, seek medical advice
Pain at the bottom of the spine.
Swelling at the bottom of the spine.
at the bottom of the spine.
Pus draining from the sinus.
Raised temperature with any of the above symptoms. Antibiotics alone do not heal a pilonidal sinus. Doctors have a number of procedures available, including the following treatments:
The preferred technique for a first pilonidal sinus is incision and drainage
of the sinus, removing the hair follicles, and packing the cavity with gauze.
#Advantage - This is a simple procedure done under local anaesthesia
#Disadvantage - This requires frequent changing of the gauze packing until the sinus heals, which sometimes takes up to three weeks... Marsupialisation - This procedure involves incision and draining, removal of pus and hair, and sewing of the edges of the fibrous tract to the wound edges. This creates an open wound that slowly covers with skin and prevents re-formation of the sinus.
#Advantages - This can be done under local anaesthesia, and minimises the size and depth of the wound without the need to pack gauze in the wound..
#Disadvantages - It requires about six weeks to heal and needs a specialist trained in the technique...
Another option is incision and drainage with immediate closing of the wound.
#Advantages - The wound is completely closed immediately following surgery without the need for gauze.
#Disadvantages - There is a high rate of recurrence. After surgery to drain a pilonidal sinus, follow-up includes the following:
Keep the wound clean and covered while it heals. Wash around the area at least once a day.
The doctor will want to look at the wound frequently to be sure it is healing.
Consult the doctor at once if it appears the sinus is returning.
A complete cure is possible, but a pilonidal sinus may reoccur. Even if surgically removed, the sinus may return... Ok best wishes...