Understanding Pilonidal Sinus Disease

A pilonidal sinus (PNS) is a small tunnel or cyst that forms at the base of the spine (near the buttocks crease). It is caused by ingrown hairs, skin friction, or prolonged sitting, leading to infection and abscess formation. If left untreated, it can become recurrent and severely painful.

Who Needs Pilonidal Sinus Surgery?

Surgery is recommended for patients with:

• Recurring pilonidal cysts that cause pain and discomfort.
  
  
• Infected or abscessed pilonidal sinus with pus drainage.
  
  
• Chronic non-healing wounds in the sacral region.
  
  
• Failure of antibiotics or home treatments to control symptoms.
  
  

Types of Pilonidal Sinus Surgery

1. Minimally Invasive Laser Surgery (SiLaC – Sinus Laser Closure)

• Uses laser energy to seal the sinus tract without large incisions.
  
  
• Faster healing, less pain, and reduced recurrence risk.
  
  

2. Excision with Primary Closure

• The entire sinus is removed, and the wound is stitched closed.
  
  
• Faster healing but has a slight risk of recurrence.
  
  

3. Excision with Open Healing

• The infected sinus is completely excised, leaving the wound open to heal naturally.
  
  
• Requires regular dressing changes but has a low recurrence rate.
  
  

4. Flap Surgery (Limberg or Karydakis Flap)

• A rotational skin flap is used to close the wound and reduce tension.
  
  
• Ideal for recurrent or large pilonidal sinuses.
  
  

Advantages of Minimally Invasive Pilonidal Sinus Surgery

• Small incision with minimal scarring.
  
  
• Less pain and faster recovery compared to traditional surgery.
  
  
• Lower risk of infection and recurrence.
  
  
• Outpatient or same-day discharge possible.
  
  
• Quick return to normal activities within a few days.
  
  

Step-by-Step Pilonidal Sinus Surgery Procedure

1. Anesthesia Administration – Local or general anesthesia ensures a pain-free procedure.
   
   
2. Small Incision or Laser Treatment – The sinus is either excised or sealed using a laser.
   
   
3. Cleaning and Drainage – Any infection or pus is drained.
   
   
4. Wound Closure – Based on the chosen technique, the wound may be left open or closed with stitches.
   
   
5. Post-Surgery Dressing & Recovery – The area is covered with a sterile dressing for healing.
   
   

Recovery After Pilonidal Sinus Surgery

• Patients can resume normal activities within 2-3 days (for laser surgery).
  
  
• Mild discomfort and swelling are common but improve within a week.
  
  
• Avoid prolonged sitting and maintain good hygiene.
  
  
• Dressing changes may be required for a few weeks (if the wound is left open).
  
  
• Follow-up visits ensure proper healing and prevent recurrence.
  
  

Potential Risks and Side Effects

Minimally invasive pilonidal sinus surgery is safe, but some temporary effects may include:

• Mild pain or swelling at the surgical site.
  
  
• Rare recurrence, especially with improper wound care.
  
  
• Temporary numbness or skin sensitivity in the treated area.
  
  

Preventing Pilonidal Sinus Recurrence

• Maintain proper hygiene and keep the area clean.
  
  
• Avoid prolonged sitting or friction on the lower back.
  
  
• Shave or use hair removal methods to prevent ingrown hairs.
  
  
• Wear loose, breathable clothing to reduce sweating and irritation.
  
  

Get expert pilonidal sinus surgery in Agra with Dr. Shwetank Prakash, specializing in laser treatment and minimally invasive pilonidal cyst removal.

Quick recovery, minimal pain, and low recurrence. Book your consultation today!