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Pilonidal Sinus

Discussion in 'All Categories' started by Sanmay - Jul 12th, 2024 9:26 am.
Sanmay	I need to undergo surgery for Pilonidal Sinus. What type of surgery will be performed for my pilonidal sinus? What are the benefits of this type of surgery compared to other treatments?
re: Pilonidal Sinus by Dr. B. S. Bhalla - Jul 12th, 2024 9:34 am #1
Dr. B. S. Bhalla	For pilonidal sinus, several surgical options are available depending on the severity and recurrence of the condition. Common types of surgery for pilonidal sinus include: Incision and Drainage: This is typically performed for abscesses associated with pilonidal sinus. The abscess is opened, and the pus is drained. This is usually a temporary solution and often requires further surgical intervention. Excision and Primary Closure: The entire sinus tract is excised, and the wound is closed with sutures. This approach aims to remove the sinus completely and close the wound directly, reducing healing time. Excision with Healing by Secondary Intention: The sinus is excised, but the wound is left open to heal from the bottom up. This can reduce the risk of recurrence but requires more extensive wound care and longer healing time. Flap Surgery (e.g., Limberg Flap, Z-plasty, or Karydakis Flap): The sinus and surrounding tissue are removed, and a flap of skin and tissue from nearby is moved to cover the wound. Flap surgery is often used for recurrent or complicated pilonidal sinuses and has a lower recurrence rate. Benefits of Different Types of Surgery Incision and Drainage: Quick procedure with immediate relief from abscess pain. Minimal downtime. Excision and Primary Closure: Shorter healing time compared to open wound healing. Lower recurrence rate compared to simple drainage. Excision with Healing by Secondary Intention: Reduced risk of recurrence as the wound heals naturally. Lower risk of wound infection compared to closed techniques. Flap Surgery: Very low recurrence rates due to the strategic positioning of the flap. Faster recovery compared to open healing methods for complicated or recurrent cases. Factors to Consider Severity and recurrence: Flap surgeries are often reserved for recurrent or severe cases. Healing time and wound care: Primary closure and flap surgeries usually have faster healing times but may require more surgical skill and resources. Risk of infection: Open healing methods can reduce the risk of infection compared to closed techniques. Recurrence rates: Flap surgeries generally have the lowest recurrence rates, making them a preferred option for complex or recurrent cases.