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Treatment of Pilonidal sinus at Pune and Mumbai

A pilonidal sinus (PNS) is a small hole or tunnel in the skin. It may fill with fluid or pus, causing the formation of a cyst or abscess. It occurs in the cleft at the top of the buttocks. A pilonidal cyst usually contains hair, dirt, and debris. It can cause severe pain and can often become infected.

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Treatment of Pilonidal sinus at Pune and Mumbai

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  1. Treatment of Pilonidal Sinus at Pune & Mumbai www.healinghandsclinic.com

  2. What is Pilonidal Sinus A pilonidal cyst (also called pilonidal cyst disease, intergluteal pilonidal disease or pilonidal sinus) is a skin condition that happens in the crease of the buttocks — anywhere from the tailbone to the anus. A pilonidal cyst can be extremely painful especially when sitting. These cysts are usually caused by a skin infection and they often have ingrown hairs inside. During World War II, pilonidal cysts were often called "Jeep driver's disease” because they’re more common in people who sit often. www.healinghandsclinic.com

  3. Symptoms of Pilonidal Sinus • Pain which often gets worse when you’re sitting. • A small dimple or large swollen area between your buttocks. This is usually the pilonidal cyst. • You may notice the area is red and feels tender. • An abscess with draining pus or blood. This fluid may be foul-smelling. • Nausea, fever and extreme tiredness (fatigue). www.healinghandsclinic.com

  4. Treatment of Pilonidal Sinus at Healing Hands Clinic Bengaluru I. WIDE EXCISION OF PILONIDAL SINUS Wide excision This operation involves cutting out the sinus but also cutting out a wide margin of skin around the sinus. The wound is not stitched closed – it is left to heal by itself. The wound can take several weeks to heal and the dressings need to be changed regularly. www.healinghandsclinic.com

  5. 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 fibre. www.healinghandsclinic.com

  6. III. EXCISION WITH PRIMARY CLOSURE Excision and primary closure is the standard technique for the management of a pilonidal sinus. Most sinuses are solitary and midline but occasionally can be multiple and off the midline. Even if solitary, the subcutaneous tracks can be multiple and can travel for a variable distance in any direction. The principle is to excise the sinus and all associated subcutaneous tracks, leaving a defect which, on most occasions, can be closed primarily. However it is desirable to leave the suture line off the midline because we know that in doing so the recurrence rate is somewhat less for reasons that are not clear. This is achieved by moving a flap of skin from one buttock over to the other. Deep sutures are placed and closed, effectively eliminating the cavity. Interrupted skin sutures are then placed. Finally the area is injected with long acting local anaesthetic for the purposes of pain relief and a water-tight dressing placed over the wound. www.healinghandsclinic.com

  7. THANK YOU For Pilonidal sinus treatment in Pune & Mumbai visit us on www.healinghandsclinic.com 8800114092

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