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What is Pilonidal Sinus Disease?
A pilonidal fistula disease is the growing of a small tunnel or hole in the skin , which can check pus or fluid and ultimately ensue in formation of abscess or a cyst.(1 )
Pilonidal fistula disease develops at the top of the backside in its cleft and contains stain , hairsbreadth and other such debris.(2)It can also become infected and induce acute pain . When a pilonidal sinus becomes infected , it oozes blood and pus with a foetid smell .
What Causes Pilonidal Sinus Disease?
The accurate cause of pilonidal venous sinus disease is not clear , but is thought to take place as a termination of hormonal changes ; friction from clothes , sitting for prolonged periods of time andhair growth.(3 )
Activities which cause friction , such as sitting cause the hair growing in the cleft of the buttocks to dig back beneath the tegument . This is then considered as a foreign substance by the body trigger off an immune answer and result in shaping of vesicle , contagion and pain . There can also be more than one pilonidal sinuses , which join beneath the skin .
Risk Factors For Pilonidal Sinus Disease
world and vernal adult are more commonly move by pilonidal sinus disease.(1 , 2)This condition also affects those who sit a lot , such as taxi drivers.(2 )
Symptoms of Pilonidal Sinus and Signs of Infection
Initially the patient may not have any obvious symptom of pilonidal sinus disease except for a petite depression resembling a dimple on the peel . When infection develops in this economic crisis , it form a vesicle fill up with fluid or becomes an abscess with inflammation , prominence and pus .
unwashed Signs of an Infected Pilonidal Sinus are :
What are the Complications of Pilonidal Sinus Disease?
Some of the complications of pilonidal sinus are infection of the injury and return even after the surgery is done . sign of transmission of the wound are :
What is the Treatment of Pilonidal Sinus?
Conservative Treatment : In the initial stages of pilonidal sinus disease when there is less botheration and no indication of excitement ; a broad - spectrum antibiotic is normally dictate . This will give relief from painfulness or discomfort and treat the taint present tense . A follow - up test is needed and patient is propose on keeping the area clean and shaving that area to get disembarrass of hairsbreadth on a steady basis .
Lancing is a procedure in which the abscess is incise to drain the pus and hence give relief from symptom . A local anesthetic is given first and a sterilized scalpel is used to incise the abscess , which is then cleaned of any junk , such as fuzz , pus and blood . A unimaginative dressing is site on the area to allow healing of pilonidal sinus disease , which commonly occurs in a month . extra treatment for pilonidal fistula disease is not often needed .
oxybenzene injectant is a eccentric of handling for pilonidal sinus disease where phenylic acid ( used as an antiseptic ) is interpose directly into the cyst.(4)This needs to be done multiple times on dissimilar occasion , which will eventually make these lesion to become hard and close on their own . A local anesthetic is give before the phenol is injected .
mark : It is important to lie with that treat the pilonidal fistula with a phenol injection has a high-pitched return charge per unit .
Surgery is needed in case of recurring pilonidal venous sinus or if there are many pilonidal sinus tracts . After a local anesthetic agent is present , the sawbones will incise all the vesicle and make clean them of all the debris and pus . The sinus are stitched come together after they are houseclean . Dressings are done and need to be exchange on a regular basis after the surgery , andshavingthat area is recommended to prevent hair emergence into the wound .
Prevention of Pilonidal Sinus Disease
It is significant to avoid lengthy time of day of sitting in the same position and one should get up and move around every hour . To prevent the recurrence of pilonidal sinus disease , it is also significant to clean the region of the exploitation of pilonidal sinus disease day by day and keeping it all dry .
What is the Prognosis of Pilonidal Sinus Disease?
The outlook is very good of a pilonidal fistula , as with the right-hand treatment , it heals within a month or two .
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