What is Pilonidal Abscess Surgery?

Pilonidal sinus disease is a disorder that occurs mostly in men between the ages of 15 to 30. The problem arises when the sex hormones affect the pilosebaceous gland and change the healthy growth of hair. This is generally found in the coccyx area but also affects the armpits,navel and the penis.



This cyst occurs in the cleavage of the buttocks and cause uneasiness to the person.The causes for this pilonidal disease could be due to inactive and more of deskbound job or lifestyle. An occurrence in the family regularly also is a reason that means it could be hereditary.

Excess weight and obesity can also cause pilonidal cyst. Last but not the least, poor hygiene and trauma can cause these cysts.

The patient experiences discomfort and swelling initially. Later sever pain on examination denotes acute pilonidal cysts whereas a chronic one can take upto two years to be detected. By that time, there may be single or multiple sinuses with tuft of hair. Local edema, inflammation, and swelling may be present covering up the sinus.

When the sinus is not inflamed or when it is just like a dimple it does not need any treatment medically. On the other hand, if the sinus is infected and has abscess, an incision helps to drain the fluid. It is done with the help of local anesthesia in the doctor’s chamber itself.

The pus, the fluid, and the other remains are drained out, and then the wound is packed and allowed to heal. Unless the patient has skin infections antibiotics are not necessary. Dressings may be necessary regularly depending on the drainage. The wound heals on its own provide the patient takes proper care and follows hygienic routine.

If the cysts keep reoccurring then the patient may have to opt for surgical methods to get rid of it. The surgeon can discuss the various types of surgery to treat the complicated cyst.

This surgery involves general anesthesia and the surgeon has to operate on the wound, drain the pus and other debris and remove the sinus and the infected tissue. The doctor decides whether to stitch up the wound or leave it to drain depending on the condition of the sinus cyst. In some cases, a tube is inserted which drains the fluid. The stitches and the tubes are removed after two days.

Although the patient leaves the hospital, the day after the surgery the wound takes a long time and the patient is fully recovered by eight weeks time. Sitting and driving need to be avoided after the surgery but the patient can resort to work in two to three weeks time. Regular shaving in the cleavage area is necessary to avoid repetitive sinus cysts.

Though surgery is the solution to this irritating problem, the patient can weigh the pros and cons of the surgery and the future prospects of its reoccurrence before deciding for the operation. With good hygiene, the patient can avert these cysts and keep it at bay.

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