A pilonidal sinus is a small tunnel or tract that forms under the skin at the base of the spine, just above the buttocks. It is a common condition that can cause:
It typically develops when hair follicles become blocked or infected, but a common cause is ingrown hairs that collect and get pushed into the skin.
You should consult a colorectal surgeon if you have a pilonidal sinus that is:
Diagnosis is typically straightforward and based on a physical examination.
Dr. Sonal Bharat Chavan will examine the area to identify the opening (or openings) of the sinus tract and check for any signs of infection or abscess.
Surgical excision is the most effective treatment for pilonidal sinus. The goal of the surgery is to remove the entire sinus tract and any associated infected tissue to prevent recurrence.
The procedure is performed under general or spinal anesthesia. The surgeon makes an incision to remove the entire sinus tract and any branches. The wound is then either closed with sutures or, more commonly, left open to heal from the inside out (a procedure called an open excision).
An open excision, while it may take longer to heal, has a much lower risk of recurrence because it allows the wound to drain and heal completely. A closed excision, where the wound is stitched shut, allows for a faster initial recovery but has a higher risk of the sinus returning. Dr. Sonal Bharat Chavan will discuss the best option for your specific case.
Recovery can take a few weeks to several months, depending on the type of surgery. Patients will need to manage wound care at home, which involves keeping the area clean and dry.
The main risk of pilonidal sinus surgery is recurrence. By carefully removing the entire tract and using appropriate techniques, Dr. Sonal Bharat Chavan minimizes this risk.
Keeping the area clean, dry, and free of hair is essential for preventing recurrence. Hair removal techniques like shaving or laser hair removal can be very effective.
Dr. Sonal Bharat Chavan is a skilled general and colorectal surgeon who understands the complexities of pilonidal sinus. She is dedicated to providing compassionate care and a definitive surgical solution, ensuring a successful and lasting recovery.
