[Proctological Surgery] Sinus Pilonidal

Definition of Cyst sacroccygien or Pilonidal Sine

Definition

Cyst sacroccygien or Pilonidal Sine

Definition

It is about a frequent pathology: between 0.5 and 1% of with the population.

This pathology is started by the accumulation of free hairs in the furrow interfessier.

This pathology was calls “jeep disease” for the frequency raised among young American soldiers during the 2nd world war

The migration of the hairs in the derm will cause a reaction to foreign body and will involve the formation of an abscess

This disease remembers after puberty and touches mainly the men.

Symptoms sinus pilonidal

 Symptoms

It appears according to two methods:

  • Acute abscess
  • Violent pain and tumefaction inter remote fessière of the anus and the anal margin
  • The characteristic of the disease is the presence – under the median furrow – of one (or more) sluice which one calls small cavity
  • CHRONIC IGNITION
  • Painful inflammatory pushes or with an equivocal or purulent flow intermittent which relieves the pains
  • The examination of the bottom of the back finds 1 or several small cavities aligned on the furrow interfessier.

Surgical treatment of the Pilonidalis Sine

Surgical treatment
Surgical treatment of the Pilonidalis Sine

The surgical treatment is simple however it can require many post-operative care.

We used the technique of marking to the methylene blue (or Indaco di Carminio) for visualizing all the dents well (way of diffusion of the cyst towards the interior of the body) and all the ramifications of this last.

We generally practised a total ablation of the zone. The duration of cicatrization, and thus of convalescence can be long because he possible, nor is not advised, to close the wound.

Acute phase

Simple drainage of the abscess under general anaesthesia.

Then to reprogram a new intervention cold once the disappeared ignition

TO NOTE

Excision of the whole of the openings and their ways in monobloc

The wound is left open in directed cicatrization

VAC

VAC

VAC Therapy after excision of Pilonidal Sine

Fast cicatrization of the cyst sacrococcygien

The care after excision of the cyst is days laborer, often painful.

The socio-economic repercussions related to the stop of the activity are heavy.

In the event of large excision (repeating sine) we used the VAC THERAPY.

It is about a depression (aspiration) of the wound which is carried out using a nonadherent foam.

It requires the hiring of the engine of aspiration and the installation of the shape of home medical care.

  • The VAC Therapy
  • allows a closed and wet environment suitable for the cicatrization  
  • decrease the volume of the wounds  
  • eliminate excess from secretion  
  • stimulate the fabric formation of granulation

Excision of the cyst sacrococcygien O pilonidal.
“pilonidal”, in other words nest of hairs   “pilo” for hair and “nidal” for nest

Excision Kyste Pilonidal et cicatritation rapide avec pose de VAC dr SALSANO Montpellier

REGAERDEZ LA VIDEO 1 : exérèse kyste pilonidal

REGAERDEZ LA VIDEO 2 : exérèse kyste pilonidal

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