Pilonidal Sinus

It is a chronic foreign body reaction caused by hair and hair follicles accumulating in the subcutaneous soft tissue and is a disease that disrupts daily activity and quality of life and causes loss of workforce in the long term.

Symptoms of Pilonidal Sinus

1. Regional swelling and tenderness
2. Redness of the skin
3. Foul-smelling discharge
4. Pain
5. Fire

Causes of Pilonidal Sinus

1. Obesity
2. Poor hygiene
3. Hard, thick and excessive body hair
4. The pit on the coccyx should be narrow and deep
5. Excessive sweating
6. Prolonged sitting

Treatment

Open Release Technique: After the diseased tissue is removed, the wound is left open. It heals spontaneously with dressings. Recurrence rates are quite low.

Primary Repair: After the diseased tissue is removed, the wound is sutured and closed. The repetition rate is high.

Flap Methods: After the diseased tissue is removed, the intact tissue is slid into the cavity and closed. The repetition rate is low.

Phenol injection: 50% phenol is injected through the sinus mouth. This procedure is repeated two or three times and should be exposed to phenol for three minutes.