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 a surgery.
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.
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 a surgery.
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.
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 upto 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%.