Pilonidal sinus surgery
}March 18, 2022
jDr.. Muhannad Al-Khatib

Pilonidal Fistula Operation (Hair Cyst)

}March 18, 2022
jDr.. Muhannad Al-Khatib

Pilonidal Fistula Operation (Hair Cyst)

Table of Contents

     

    Pilonidal fistula appears in young adults in particular, and it often tends to relapse, so its treatment requires highly qualified and experienced hands to perform the pilonidal process, which is what Turkish doctors provide.

    What is a pilonidal sinus Pilonidal Cyst?

    It is called a coccygeal fistula (anal fistula) or pilonidal cyst. It is a sac located in the skin containing hair and skin remnants that appear at the base of the coccyx bone at the top of the fissure between the buttocks (anal).

    Doctors believed that coccygeal fistula was a congenital condition, but with the passage of time it was discovered that it arises as a result of the reversal of some of the hair around the soft tissue and its penetration into the skin. Observed thickening of the skin.

    Pilonidal fistula

    Pilonidal fistula

    Pilonidal fistula usually affects men 2.2 times more often than women and it often appears before the age of 40 (20-30).

    A pilonidal sinus can become infected, become very painful, and may become so severe that it does not respond to antibiotics or other initial treatments.
    High-risk patients are those who sit for long periods of time without moving, such as truck drivers, office workers, cyclists...

    Some patients can develop a coccygeal sinus in different places such as the fingers of the hands of barbers and sheep keepers.

    Symptoms of a pilonidal sinus

    If the fistula does not become infected, then there are usually no symptoms or there may be slight discomfort when sitting on the same place of the fistula or in the case of inflammation of the fistula. In the case of infection, what is known as a pilonidal abscess is formed, and the abscess of the pilonidal fistula manifests with the following symptoms:

    • redness of the skin
    • the pain
    • Pus leaking from the fistula
    • Bad smell due to pus
    • Fever

    Treatment of the pilonidal sinus must be prompt, otherwise the condition will worsen or even develop (even in a small percentage) into a squamous cell carcinoma (SCC).

    Preparations before the operation of the pilonidal sinus

    Patients will undergo a physical examination by the surgeon to discuss symptoms and determine the appropriate surgical treatment method. Preparations vary according to the type of pilonidal sinus operation performed. Routine blood tests are usually not needed but may be requested before surgery based on the age of the patient and the presence of any medical problems he has, and may be requested Some patients stop taking certain medications before surgery.
    The doctor usually asks the patient to stop eating 8 hours before the operation

    What are the common Pilonidal Sinus operations in Turkey?

    There are two common operations for the treatment of pilonidal sinus (hair cyst) in Turkey, but other surgical methods are being studied or not, where the extent of their effectiveness in treating without complications and preventing recurrence of the pilonidal sinus has been studied. Recently, the cure rate of pilonidal sinus has increased in Turkey due to the development of Surgical methods have the efficiency of doctors.

    Pilonidal Fistula Operation (Hair Cyst)

    Pilonidal Fistula Operation (Hair Cyst)

    The process of incision and drainage of the pilonidal sinus

    It is a small operation that is performed in the doctor's office with local anesthesia only (local anesthesia is sufficient here), and it is recommended for patients who have had a first-time pilonidal sinus and the infection is mild.

    The doctor makes an incision in the pilonidal sinus through which the fluid and pus in the fistula are drained, then he puts cotton and gauze in the wound and leaves it open until the stapler shrinks and goes away (the tampon must be changed from gauze or cotton continually) and this is called the open wound method, which is With better results in terms of preventing relapse of the pilonidal sinus.

    The doctor can close the wound and sew it up, and this method is the closed wound, but the recurrence in this method is high.

    After this operation, it is recommended that the patient remove hair either by shaving or by laser around the cyst area (lower back) to reduce the rate of recurrence.

    Pilonidal sinus excision (pilonidal cyst)

    In the event that the patient has problems with the incision and drainage of the pilonidal sinus at an earlier time, or the infection is very bad, or the patient has several pilonidal fistulas accompanied by capillary pockets, then the pilonidal sinus operation becomes a necessity, as we need more effective treatment and a larger surgery, which is Pilonidal fistula excision.

    Pilonidal sinus surgery is an out-of-clinic operation that takes place in the hospital in the operating room, where the operation of the pilonidal sinus is carried out by a specialized surgeon, and the patient often stays for one night in the hospital, where the patient is given general anesthesia or regional anesthesia for the lower part of the body (general anesthesia is better After that, the surgeon makes a surgical incision and removes a specific amount of tissue (depending on the depth of the cyst and the number of fistulas) around the fistula and then removes the fistula itself. As in the previous operation, we can resort to the open or closed method.

    B: Operation of incision and drainage of the pilonidal sinus C: Operation of excision of the pilonidal sinus

    The wound must be carefully taken care of until it heals, otherwise the infection will return after a few days and the fistula will relapse, as the doctor or nurse's instructions must be followed completely for fear of what we mentioned happening.

    Other operations

    Other methods that are less invasive than the previous methods of treating pilonidal sinus are currently being studied and have shown Studies The efficacy of these methods in the treatment of hair loss (hair cyst) K (video-assisted pilonidal sinusectomy or Laparoscopic sinus excision).

    Complications of the Pilonidal Sinus operation

    The process of pilonidal fistula with the methods mentioned is a safe process, as we hardly see complications of the fistula process except perhaps pain, and this is normal and varies for different cases, as the matter is not without some complications.

    Other complications can arise as a result of re-infection in the fistula and lack of good care of the wound, and the symptoms of re-infection in the fistula are the same as mentioned earlier in the article.

    A pilonidal sinus operation is severe if not managed properly, and several operations may be needed to get rid of a pilonidal sinus completely.

    Recovery from the operation

    The recovery time from the operation varies according to the type and method of the operation (ie, whether the wound is left open or closed) and often the healing process takes about a month or two (it was longer in the case of an open wound).

    The doctor may prescribe pain-relieving medications or some special wound baths, and he may prescribe some antibiotics to ensure that the infection is cured and does not recur.

    Most patients can return to work the day after the operation, but some activities must be avoided until the condition fully recovers, and some instructions and doctor's advice must be followed to ensure that there is no recurrence, and these activities and instructions:

    • Do strenuous work.
    • Sitting for long periods.
    • Bike riding.
    • Weight loss in obese patients.
    • Shaving the area constantly, either by shaving or using a laser, and cleaning the area constantly, especially the wound opening.

    Frequently asked questions about pilonidal sinus surgery in Turkey

    Can a pilonidal sinus heal on its own?

    If the case is simple, some cleaning methods (sitz baths) or antibiotics can suffice, but most often patients do not see the doctor until symptoms appear and the fistula develops.

    What can happen if a pilonidal cyst (pilonidal sinus) is left untreated?
    The condition worsens, and the fistula stinks and blood, pus and other secretions come out of it, causing severe pain, and there is even a possibility for the cyst to develop into squamous cell lines.

    How can I avoid the formation of a pilonidal sinus?
    It is advised to avoid sitting for long periods of time unless necessary, otherwise you should choose a comfortable chair and shave the area under the coccyx constantly.

    Why should I choose treatment in Turkey?

    Recently, Turkey has become one of the leading countries in the field of medical tourism in the world.
    The reason for this is due to the presence of advanced medical centers that provide appropriate treatment by the most skilled doctors and the latest medical devices at a low cost.
    and stay Bimaristan Medical Center It is your first choice For treatment in Turkey.
    We guide you to the best expert specialists in all departments.
    We facilitate the language of communication between you and everyone through specialized Arab doctors who will help you communicate with your doctor.
    We help you secure the right treatment and high-end service in the most modern hospitals and medical centers in Turkey.
    We provide our services extensively and precisely.
    We accompany you step by step towards recovery.
    Free consultations around the clock.
    don't hesitate toContact usBimaristan, your family center in Turkey.

    Frequently asked questions about the operation of pilonidal sinus in Turkey 

    Can a pilonidal sinus heal on its own?

    If the case is simple, some cleaning methods (sitz baths) or antibiotics can suffice, but most often patients do not see the doctor until symptoms appear and the fistula develops.

    What can happen if a pilonidal cyst (pilonidal sinus) is left untreated?

    The condition worsens and the fistula stinks and blood, pus and other secretions come out of it, causing severe pain, and there is even a possibility of the condition developing into squamous cell carcinoma.

    How can I avoid the formation of a pilonidal sinus?

    It is advised to avoid sitting for long periods of time unless necessary, otherwise you should choose a comfortable chair and shave the area under the coccyx constantly.

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