Treatments for Pilonidal Disease

When it comes to treating pilonidal disease, several options are available. The choice of treatment depends on various factors, including the severity of the condition and individual patient needs.

Non-Surgical Pilonidal Sinus Treatment

For mild cases of pilonidal disease, the primary approach often involves non-surgical treatment methods. These may include antibiotics, pain management, and wound care. These conservative treatments aim to alleviate symptoms and promote healing.

Incision and Drainage

The main technique for treating an infected pilonidal abscess is lancing the cyst and draining the pus within it. This is typically a simple procedure performed in the office under a local anesthetic.

Pilonidal Cyst Excision Surgery

Should an excision of the abscess be necessary, the area will be surgically opened, and a complete debridement will be performed. This technique is often favored by physicians because there is a decreased risk of wound complications. Since the wound is being left open to heal, there is little risk of an actual wound infection.

Flap-Based Treatment for Pilonidal Disease

Complex or recurrent pilonidal diseases are best treated by an operation. The goal of the operation is to remove the entire bed of disease, including the sinus tracts and the cyst, with the extension of the incision all the way to the healthy tissue layer overlying the coccyx (tailbone). Thereafter, the wound is reconstructed and closed with the use of flaps. Thereafter the wound is reconstructed and closed with the use of flaps.

Advantages of Flap-Based Pilonidal Treatment

Flaps allow for mobilization of healthy tissue to allow a more easy and tension free wound closure that has a small chance of coming open. Historically, most proposed flap closure create an off midline scar that is not cosmetically appealing. Additionally other described surgical methods are associated with high complication and recurrence rate and prolonged wound healing and issues with pain control.

Cutting Edge Pilonidal Treatment

Bilateral fasciocutaneous flaps with tie-over sutures and incorporation of extracellular matrix

Our team has perfected a unique flap-based operation with the incorporation of cutting-edge regenerative tissue to address complex pilonidal disease cases. This approach offers several benefits, including very low complication rates such as wound dehiscence (wound coming apart), wound infection, or formation of seroma or hematoma (fluid collections in the wound). It further carries the huge advantage of a very cosmetic scar that is midline and recreates the midline gluteal (buttock) cleft or crease.

Pilonidal Disease Treatment Near Me

Searching for top pilonidal specialists near you? Look no further than the Pilonidal Institute, where our dedicated team of specialists offers cutting-edge solutions for pilonidal disease. Our experts are skilled in the latest surgical techniques and non-surgical approaches to ensure you receive personalized care that suits your unique needs.

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