8010977000 || Pilonidal sinus Treatment in Lajpat Nagar
Pilonidal sinus Treatment in Lajpat Nagar || No treatment is necessary in case of a Pilonidal sinus that lies dormant, which means it is not infected. In this silent phase, certain precautions are advised which may abate the chances of infection and thereby, the need for surgery.
The following care should be taken :
Keep the area as clean and dry as possible.
Avoid sitting in one place for too long, avoid driving for long hours.
Remove hair from the area using a razor or hair removal cream. You could see a dermatologist ( skin specialist ) and consider permanent hair removal with Laser.
If there is pain or discharge from the Pilonidal sinus, it spells infection and surgery is likely to be needed.
I. WIDE EXCISION OF PILONIDAL SINUS
In this procedure, the surgeon does a wide bore local excision of the skin containing the sinus tract. The resulting cavity is left open to heal and fill in naturally from the bottom upwards. The wound is kept covered with a dressing.
The disadvantage of wide excision is that the wound size is large and healing may take up to 3 months. The dressing needs to be changed daily making it a tedious process. However, the procedure is safe with a recurrence rate of 10-15%.
Pilonidal sinus Treatment in Lajpat Nagar
II. LASER PILONIDOPLASTY ( LPP )
This is a minimally invasive procedure done using the Leonardo laser. This laser was first introduced in India at Healing Hands Clinic. In LPP, a small cut is made on the skin and all the pus is drained out. The entire sinus tract is then sealed with the laser fiber.
Advantages of LHP
Patient is discharged within 24 hours and can return to routine work by the 5th day.
Wound healing occurs in about 6-8 weeks and thus recovery is much faster as compared to conventional Wide excision.
The recurrence rate is negligible.
III. EXCISION WITH PRIMARY CLOSURE
In this procedure, the abscess and sinus are surgically removed and the wound is closed with stitches/sutures. The stitch line is preferably off the midline, where the tension is less and chances of healing are better.
The advantage of this technique is that the healing is faster and takes about 4-6 weeks. The main drawback is that the infection rate is almost 20-25%. In case of such an infection, a revision procedure is done and the wound is left for open healing anyways.
Pilonidal sinus Treatment in Lajpat Nagar
Z-plasty
In Z-plastic after removing the abscess and sinus, the surgeon loosens triangular flaps on each side of the midline to fill the cavity, with points of flap towards the head and foot. While closing the surgeon crosses the pointed flaps to cross the midline in a horizontal direction, thus converting an N-shaped incision to a Z-shaped closure.
Z-plastic is not a preferred choice of treatment because :
The chances of recurrence are very high.
Flap necrosis may occur in which case the dead portion of the flap also has to be removed.
The postoperative pain and discomfort is very high