Pilonidal sinus

Pilonidal sinus is an infectious disease that occurs in some people in the skin area between the sacrum and the anus. It most commonly occurs in men, and often occurs in individuals who have an excess of hair or those who sit for long periods. The disease manifests as inflammation and infection that occurs in the formation of a pit or pouch containing pus and blood. Medical intervention is required to remove the sinus and prevent its recurrence.
Treatment of pilonidal sinus usually begins with conservative management, which includes the use of antibiotics to suppress infection, as well as local application of antiseptics to prevent the spread of infection. If symptoms do not improve or the disease recurs, surgical intervention may be necessary.

HOW IS PILONIDAL SINUS TREATED?

There are several types of surgeries used to treat pilonidal sinus, including:

• Marsupialization: This method is used to create an opening in the skin, which is used to access the sinus and then the sinus is cleaned and removed.
• Sinus excision: This method is used to completely remove the sinus and close the opening in the skin.
• Laser therapy: This method is used to remove the sinus using laser surgery.
• Classical surgery method

Treatment of pilonidal sinus may also include elements of physical therapy, such as massage or ultrasound, which are used to improve circulation and reduce pain. Analgesics may sometimes be needed to reduce pain. It is important to note that recurrences of pilonidal sinus are common, so it is essential for patients to follow the physician's recommendations to prevent the disease from recurring.

HOW TO PREPARE FOR SURGERY?

Preparation for pilonidal sinus surgery involves several steps that must be taken before the procedure itself.

1. Preoperative examination: Before surgery, the patient will be evaluated by an anesthesiologist and a surgeon to determine if the patient is healthy and fit for surgery. This will include reviewing the patient's medical history, physical examination, as well as laboratory tests for blood and urine.
2. Exclusion of food and fluids: The patient will be advised not to eat anything for 6-8 hours before surgery, and not to drink anything for 4-6 hours before surgery.
3. Preparation for the postoperative period: The patient will be informed of what to expect after surgery, including recovery time and postoperative side effects.
4. Information about medications: The patient will be informed about medications to take before and after surgery, as well as any potential side effects.
5. Information about alternative methods: Patients should be informed about alternative treatment methods so that they can make an informed decision about which treatment is best for them.