Excision of pilonidal sinus or cyst
Ordering this service voids the discount*
Pilonidal sinus or cyst excision is a surgical procedure used to treat pilonidal disease, a chronic inflammatory condition that most commonly develops in the sacrococcygeal region within the natal cleft. The procedure involves removal of the sinus tract, inflamed tissues, and, when necessary, associated cystic cavities or fistulous openings. The goal of surgery is to eliminate diseased tissue, relieve symptoms, and reduce the risk of recurrent inflammation, infection, or abscess formation.
Indications
- chronic symptomatic pilonidal sinus;
- persistent or recurrent discharge from the sacrococcygeal region;
- repeated episodes of local inflammation or infection;
- recurrent pilonidal abscess following drainage;
- presence of multiple sinus or fistulous openings;
- recurrence after previous treatment;
- pain or discomfort affecting daily activities;
- extensive pilonidal disease, as determined by the surgeon.
Procedure
The surgery is performed under local, regional, or general anesthesia depending on the extent of the disease and the chosen surgical technique. The surgeon identifies and excises the sinus tracts, inflamed tissues, and any associated cystic cavities if present. Depending on the clinical situation, the wound may be left open to heal by secondary intention or closed surgically. At the end of the procedure, a dressing is applied and the patient receives instructions regarding wound care and recovery.
Contraindications
- severe infections requiring initial treatment before definitive surgery;
- medical conditions that significantly increase surgical or anesthetic risk;
- uncontrolled bleeding or coagulation disorders;
- general health conditions that do not allow safe surgical intervention;
- contraindications related to the selected type of anesthesia.
The final decision is made by the surgeon based on an individual clinical assessment.
Benefits
- removal of diseased tissue and sinus tracts;
- reduction in recurrent infections and inflammation;
- relief of pain and local discomfort;
- decreased risk of abscess formation;
- improved quality of life;
- availability of surgical techniques designed to reduce recurrence risk.
Limitations
- recurrence remains possible even after surgery;
- healing time varies depending on the surgical technique used;
- open wound management may require prolonged local care;
- complications such as bleeding, infection, or delayed healing may occur;
- outcomes may be influenced by individual factors, including local hair growth and adherence to postoperative recommendations.
Medical sources:
https://pmc.ncbi.nlm.nih.gov/articles/PMC3140333/
https://pmc.ncbi.nlm.nih.gov/articles/PMC4970560/
https://medlineplus.gov/ency/article/003253.htm
https://pmc.ncbi.nlm.nih.gov/articles/PMC10755991/
https://www.nhs.uk/conditions/pilonidal-sinus/
https://www.apollohospitals.com/ru/procedures/pilonidal-sinus-surgery
https://medlineplus.gov/ency/article/007591.htm
Preparation:
Patients should inform their physician about current medications, allergies, chronic illnesses, previous pilonidal abscesses, and surgeries performed in the same area. Depending on the planned procedure, preoperative testing and anesthetic evaluation may be required.
The surgical area should be kept clean before the procedure. Hair removal should only be performed according to the medical team's instructions. If regional or general anesthesia is planned, fasting requirements must be followed as directed. Regular medications should not be discontinued without the physician’s approval.
