How up-to-date is this topic? Goals and outcome measures Background information Diagnosis Management Supporting evidence How this topic was developed References. Diagnosis Diagnosis Differential diagnosis Management Scenario: Asymptomatic pilonidal sinus disease Scenario: Acute pilonidal abscess Scenario: Discharging pilonidal sinus disease Background information Definition Pathophysiology Prevalence Risk factors Prognosis Complications Pilonidal sinus disease: Summary Pilonidal sinus disease is an inflammatory skin condition that usually occurs in the midline of the natal cleft although there have been few reported cases involving other parts of the body, such as on the scalp, axilla, groin, and between the fingers.
Opinions differ as to how it develops; the current consensus is that it is an acquired condition in which loose hairs in the natal cleft are driven into the natal skin, creating a chronic sinus tract which may become infected. Talk with your healthcare provider before using these medicines if you have chronic liver or kidney disease, or have ever had a stomach ulcer or digestive bleeding.
Also talk with your provider if you are taking blood-thinner medicines. Take the antibiotics that you were prescribed until they are all gone. To make sure the infection is cured, it's important to finish the antibiotics even if the wound looks better.
You may need surgery to completely remove the cyst if it keeps coming back. The surgery can only be done when the cyst is not infected. Ask your healthcare provider for more information. Follow up with your healthcare provider, or as advised.
Check your wound every day for the signs listed below. Fever of Was this helpful? Yes No Tell us more. Check all that apply. Wrong topic—not what I was looking for. It was hard to understand. Page last reviewed: 11 December Next review due: 11 December Pilonidal sinus.
Check if you have an infected pilonidal sinus Most people with a pilonidal sinus do not notice it unless it becomes infected and causes symptoms. See what an infected pilonidal sinus looks like An infected pilonidal sinus is red, painful and may bleed or leak pus Credit:.
Non-urgent advice: See a GP if:. Minor operation to drain pus from sinus Incision and drainage Hospital procedure for an uncomplicated abscess. Surgery to remove sinus wound left open Wide excision and open healing Surgery for a large or repeatedly infected sinus.
Surgery to remove sinus wound closed Excision and wound closure, often with flattening of the groove between the buttocks Surgery for a large or repeatedly infected sinus. Procedure to clean sinus and encourage healing Endoscopic ablation for a pilonidal sinus An endoscope a thin, flexible tube with a camera on the end is used to give a clear view of the affected area.
Do keep the affected area clean wear comfortable, loose-fitting cotton underwear eat plenty of fibre to make going to the toilet easier and avoid straining. In total, 1, patients were treated surgically and regular hair removal with a razor was recommended for all.
Of the patients followed up, had shaved regularly and patients had not. Recurrence was observed in
0コメント