Pilonidal Surgery

What is Pilonidal Disease?

Pilonidal disease occurs when hair and debris become trapped under the skin in the sacrococcygeal area (near the tailbone). This can lead to the formation of cysts, sinuses, or abscesses. Common symptoms include; pain, swelling, redness, drainage of pus or blood and tenderness.

When is Pilonidal Surgery Needed?

Surgery is the most dependable way to treat Pilonidal disease and is further recommended when:

• Recurrent Infections: Repeated abscesses or cysts that fail to resolve with conservative treatments.

• Chronic Sinus Tracts: Persistent or multiple tracts that do not heal.

• Severe Symptoms: Pain or drainage that affects daily activities.

Preparing for Pilonidal Surgery

• Preoperative Instructions:

  • Avoid eating or drinking for 6-8 hours before surgery.

  • Follow your surgeon’s advice regarding medications, particularly blood thinners.

• Hair Removal: Shaving or laser hair removal may be recommended to reduce the risk of recurrence.

• Hygiene: The area will be cleaned thoroughly before surgery.

Recovery and Postoperative Care

• Pain Management: Mild to moderate pain is common and can be controlled with over-the-counter or prescription painkillers.

• Wound Care:

  • Open wounds require regular cleaning, dressing changes, and sometimes sitz baths to promote healing.

  • Closed wounds require monitoring for signs of infection.

• Hygiene: Keep the area clean and dry. Hair removal may be recommended during healing to reduce recurrence risk.

• Activity:

  • Avoid prolonged sitting, strenuous activities, and heavy lifting for 1-2 weeks.

  • Gradually resume normal activities as advised by your surgeon.

When to Seek Medical Attention

Contact your Doctor if you experience:

• Fever or chills.

• Increased redness, swelling, or pain around the surgical site.

• Persistent or unusual drainage.

• Difficulty sitting or walking due to discomfort.