Excision of Pilonidal Sinuses with or without flap cover

Pilonidal sinus is a condition in which a small tunnel or tract forms under the skin, typically at the top of the buttocks, near the tailbone. The sinus can become infected and cause pain, swelling, and drainage of pus. Surgical intervention is often required to treat pilonidal sinus.

There are two main surgical approaches for the treatment of pilonidal sinuses:
  • Excision without flap cover: This approach involves the surgical removal (excision) of the sinus tract and any infected tissue. The surgeon will clean the area and close the wound primarily by suturing it. This method is suitable for smaller pilonidal sinuses and those with minimal tissue involvement. It may be associated with faster recovery times and less complex wound management.
  • Excision with flap cover: This approach involves the excision of the sinus and the surrounding affected tissue, similar to the first method. However, instead of closing the wound primarily with sutures, the surgeon uses a flap of nearby healthy tissue to cover the wound. This flap cover technique helps to reduce the risk of wound breakdown, improve healing, and reduce the chance of the sinus recurring. It is often preferred for larger pilonidal sinuses, those with extensive tissue involvement, or in cases where the risk of wound complications is higher.

The choice between the two methods depends on various factors, including the size and complexity of the pilonidal sinus, the patient's overall health, and the surgeon's experience and preference. Both procedures can be performed under local or general anesthesia, and the specific surgical technique may vary based on the surgeon's expertise.

It's essential to consult with a qualified surgeon to discuss the best treatment option for your specific case. They will evaluate your condition and recommend the most appropriate surgical approach to effectively treat the pilonidal sinus and promote optimal healing.