Sinus Pylonidalis – Ingrown Hairs


     Sinus (cavity or channel) pylonidalis  (with hair) is the existence of narrow, infected channel, which extends from the skin, in depth, the subcutaneous tissue, muscles, sometimes until the coccyx. It generally occurs between 20 and 40 years of age, more often in men.

     There are two theories about the origin of the sinuses. First, the older theory is that a problem arises so that comes to ingrown hairs. Another theory says that even intrauterine been excessive coalescence (in the projection of the center line of the body) or ingrown skin with its appendages in the deeper tissues. After that amplifies ingrowth of epithelium in the place where it is not naturally – under the skin, which leads to the formation of a solid channel is maintained until surgically removed.

     Pilonidal sinus is initially asymptomatic, painless nodules and later pain occurs and discharge. The disease occurs as an acute pilonidal abscess, pilonidal abscess or chronic complicated Pilonydal disease. The only successful way of treating chronic sinus pilonoidal is surgical removal.

     General Surgery in its history had several methods for trying to solve the problem  (open method , gradually healing, the use of fibrin glue or phenol). These methods never gave a favorable effect and complete cure and were linked with the long-term healing, wound leakage and re-emergence of the sinuses.

     Reconstructive surgery has permanent solution

     The operation is performed under general or local anesthesia, depending on how the process is progressing. After marking methylene blue and surgical removal pilonoidal sinuses, resulting defects of the skin and subcutaneous tissue to reconstruct the local fasciocutaneous flap. The wound is sutured in two layers of very fine sutures so that later no scar is not noticeable. The patient leaves the hospital the same day, and the next 15 days should sit carefully and regularly maintained hygiene on the anogenital region. Sutures are removed from the 15th day of the operation when it can return to regular activities. The problem is after this surgery was performed – not refundable.

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