Excision and Primary Closure of Pilonidal Sinus in Leicester
A surgical procedure to treat a pilonidal sinus.
Understanding Excision and Primary Closure of Pilonidal Sinus
Excision and primary closure of the pilonidal sinus is a surgical procedure to treat a pilonidal sinus by removing it and then closing the wound. Most of these sinuses are solitary and in the middle, but sometimes, there can be more than one or off to the side. Even if there’s just one, the tracks under the skin can be more than one and go a long way in different directions.
The pilonidal sinus usually occurs near the tailbone at the top of the buttocks. When a sinus becomes infected, it can cause pain, swelling, and pus discharge. In pilonidal excision surgery, the sinus tract and any abscess are removed, and the wound is closed with sutures to promote faster healing.
Excision of Pilonidal Sinus Treats:
Chronic pilonidal sinus infectionsRecurrent pilonidal abscessesPain and discomfort from pilonidal sinus
Non-healing sinus tracts
Prevention of future infectionsUnderstanding Excision and Primary Closure of Pilonidal Sinus
Excision and primary closure of the pilonidal sinus is a surgical procedure to treat a pilonidal sinus by removing it and then closing the wound. Most of these sinuses are solitary and in the middle, but sometimes, there can be more than one or off to the side. Even if there’s just one, the tracks under the skin can be more than one and go a long way in different directions.
The pilonidal sinus usually occurs near the tailbone at the top of the buttocks. When a sinus becomes infected, it can cause pain, swelling, and pus discharge. In pilonidal excision surgery, the sinus tract and any abscess are removed, and the wound is closed with sutures to promote faster healing.
Excision of Pilonidal Sinus Treats:
Chronic pilonidal sinus infectionsRecurrent pilonidal abscesses Pain and discomfort from pilonidal sinus
Non-healing sinus tracts
Prevention of future infectionsHow Does the Excision and Primary Closure of Pilonidal Sinus Work?
Pilonidal sinuses are more common in young adults, especially men because they tend to have more hair in the buttock area. Friction, pressure on the skin, prolonged sitting, being overweight, or having a previous skin injury can lead to a pilonidal sinus.
Pilonidal abscess excision surgery is recommended for large or recurrently infected pilonidal sinuses. This procedure involves removing the pilonidal sinus and cutting out an oval-shaped section of skin on both sides of it. The two sides are then sutured (stitched) together. The surgery typically lasts about 45 minutes and can be done with a local or general anaesthetic. It is usually performed in the clinic: most patients can go home the same day. Someone should stay with the patient for at least 24 hours after the operation, and the stitches will be removed around 10 days later.
This surgery offers a quicker recovery time than other surgeries. However, there is a higher risk of infection, which may require the wound to be reopened and dressings to be changed regularly.
Treatment At a Glance
Purpose
Procedure Duration
Anaesthesia
Purpose
Pilonidal Sinus
Pain
Moderate
Procedure Duration
45 Minutes
Recovery Time
6-8 Weeks
Drive
After 2 Weeks
Anaesthesia
Local and General
Recovery Time
Pain
Drive
Benefits of Excision and Primary Closure of Pilonidal Sinus
Low Recurrence Rate
Removing the entire sinus tract and closing the wound significantly reduce the recurrence likelihood.
Improved Quality of Life
It alleviates pain and prevents future infections, leading to a more comfortable and active lifestyle.
Long-Term Solution
Effective removal of the sinus tract provides a permanent solution to chronic pilonidal sinus issues.
Short Hospitalisation
Patients can typically return home the same day as the surgery, minimising hospital stays.
Quick Healing
Primary closure of the wound promotes faster recovery, minimal scarring, and reduced downtime.
Rapid Relief from Symptoms
Many patients experience immediate relief from the discomfort caused by an infected pilonidal sinus.
Excision and Primary Closure of Pilonidal Sinus Cost
Consultations start at £200. Please request a callback by filling out the contact form. We look forward to assisting you!
Why Choose Leicester Bowel Clinic?
At Leicester Bowel Clinic, we focus on bowel health and conditions, digestive issues, and cancer care. Our clinic offers minimally invasive procedures for bowel problems, ensuring effective results and patient comfort. We aim to provide personalised care for our patients and offer the latest treatments for hernias, bowel conditions and rectal disorders
Patient Testimonials
Mr Chaudhri is an excellent surgeon I can’t thank him enough for the operations he performed on me after i was diagnosed with bowel cancer, the care he showed me before and after the operations, his friendly nature and reassurance was a great help to me during a stressful time in my life i owe so much to him and i will always be grateful to him and his colleagues .
Written by an NHS patient
I’ve been under Mr Chaudhri’s care for around 2 years now and he has always shown me the best, personal care I could ask for.
Written by an NHS patient
This doctor spoke to you and made jokes to make you feel at ease. He was also clearly very knowledgable, and his words/advice were comforting and I left feeling uplifted. With regards to the procedure itself, he wasn’t aggressive but nor was he too slow where you had time to consider the slight discomfort; the pace and strength were fine and made for a quick and easy colonoscopy.
Written by an NHS patient
Our Locations
Leicester Bowel Clinic at Spire Hospital
- Wednesdays evenings (Mr Runau) from 6:00 pm until 9:00 pm at: Spire Leicester Hospital Gartree Road Leicester LE2 2FF
- To arrange an appointment directly with the Spire Leicester Hospital, please call the booking line on 0116 2653685
*Free on-site parking is available.
The Health Suite
- CLINICS The Health Suite Thursday evenings (Mr Chaudhri) from 6:00pm until 8:00pm at:The Health Suite, 624a Uppingham Rd, Leicester LE7 9QB
- To arrange an appointment directly with The Health Suit, please call the booking line on 0116 241010
*Free on-site parking is available.
Leicester Bowel Clinic at Nuffield Health Leicester Hospital
- 1st and 3rd Friday of the month (Mr Chaudhri) from 5:30 pm until 8:00 pm at: Nuffield Health Leicester Hospital, Scraptoft Ln, Leicester LE5 1HY
- To arrange an appointment directly with The Nuffield Hospital, please call the booking line on 0300 1311416
*Free on-site parking is available.
FAQs
Frequently Asked Questions about Excision and Primary Closure of Pilonidal Sinus
01. How long does it take for a pilonidal excision to heal?
After the operation, you will wear bandages for 3 days, and then your doctor can give you more bandages. The open wound will heal in 6 to 8 weeks.
02. Can I walk after pilonidal sinus excision surgery?
You can walk on your own the same day after the laser treatment. Doctors recommend resting in bed for 2 days after the surgery.
03. Is pilonidal sinus harmful?
Pilonidal sinuses are not harmful, but recurring infections can be unpleasant and demand many medicines. If not treated, repeatedly infected pilonidal sinuses could very rarely develop into a type of skin cancer called squamous cell carcinoma.
04. Is pilonidal sinus curable without surgery?
Pilonidal sinus can be treated without surgery. Tight clothing and activities that cause rubbing in the area can irritate the skin and cause ingrown hairs.
05. Can a pilonidal sinus come back after surgery?
Surgery is the main treatment, but up to 40% of people have the problem come back. There isn’t an agreed best way of doing surgery to stop it from returning, and there are still disagreements.
06. How do you sleep after PNS excision surgery?
You can sleep on your stomach or your side. Both positions can help reduce the pressure on your back and buttocks. When you sleep on your side, be careful not to stretch your lower back too much.
07. Is pilonidal sinus excision surgery painful?
It’s normal to feel some soreness and pain after pilonidal sinus surgery. The pain may be intense for the first few days, but it should improve as time passes. Pain relief medicines can help with the discomfort, and you’ll typically be given some to take home when you leave the hospital.
08. What's the best way to speed up recovery after pilonidal sinus surgery?
Staying active and maintaining a healthy weight can help with your recovery after pilonidal sinus surgery. Your doctor may suggest some light exercises to help with your healing process.
