Pilonidal Sinus treatment
Painless and non-surgical treatment, which does not interfere with daily activities, does not require hospitalization, reduces the potential for recurrence and the cost of treatment, and is easily applied and lasts only 15-20 minutes, significantly increases the quality of life reduced by hair rotation.
What is Pilonidal Sinus and who is the most common?
Bristle rotation, which is known in medicine as pilonidal sinus, is the placement of the hairs that should be on the skin under the skin and the body reacts against it. Hair rotation, also described as a chronic infectious disease, is not a congenital but a later disease.
Especially in working people sitting, body structure is very hairy, sitting in skis and wearing tight trousers people develop hair rotation more often. In the breeds with hairy structure, such as the Turkish race, the frequency of hair rotation is higher than in other races. The disease is most commonly seen in men between the ages of 15-40, because hair growth is more intense. In overweight and very sweaty people, the frequency of hair rotation is higher.
In which parts of the body does hairiness occur and how does it occur?
Hair rotation is most commonly seen in the coccyx. Skin thin areas such as the armpit, beard area, and pubic area in both sexes are other areas where hair rotation can be observed. In these areas where the skin is thin, mostly due to incorrect sitting and friction, small channels open on the skin and the hairs passing through the skin accumulate by settling under the skin.
The body forms a cyst by covering these hairs which it perceives as a foreign body with a pouch and tries to dissolve them with the special liquids it produces. These fluids cannot melt the hairs and damage the cyst and disrupt the structure of the cyst. The deformed cyst begins to drain the fluid out of the body. Not all of the fluid in the cyst can flow out, some of them accumulate under the skin, become inflamed and become abscess and cause hair rolling disease.
What are the signs and symptoms of hair rotation?
The lesion in the body can vary from a small pit to a large mass causing pain. In the early period, many people describe hair rolling as a sebaceous gland or acne-like swelling.
The hair rotation in the coccyx, which can present itself with many different symptoms, usually does not give much symptoms until the infection develops. The most common signs and symptoms of hair rotation in the region of the coccyx, where an entry hole of the lesion can also be seen, are:
Stinging sensation, pain and swelling in the coccyx
Bad smell and discharge in the coccyx and anal area
Itching, weakness, nausea and fever due to infection
If you have any such symptoms or complaints, consult a General Surgery specialist!
When hair rotation is abscessed, complaints such as pain and discharge in the coccyx are maximized, and it is difficult to sit and walk due to pain. Abscess hair formation is a condition that requires urgent intervention.
How is hair loss treated and what is sız non-surgical Pilonidal Sinus??
Although the classical treatment of hair rotation is surgical intervention, surgical treatment cannot prevent recurrence. Even after many surgical procedures such as removing the cyst, leaving the wound open, primary closure (surgical closure of the lesion), and repair with flap (taking tissue from a nearby area), the disease recurs in one out of three people. In order to prevent the disease from recurring after hair-turning operations, measures that are difficult to follow are taken such as limitation of sitting and walking with legs spread, standing or standing on one's face. These difficulties also reduce the success of classical surgical treatment.
“Crystalline phenol hair treatment with crystallized phenol bilinen, which is known as non-surgical hair loss treatment and developed in recent years, is very comfortable for both patient and physician, which is easy to apply, which does not prevent the person from his / her work and daily activities, does not require hospitalization, reduces the recurrence potential and treatment cost of the disease. is an application. The treatment, also called sin micro sinusectomy,, provides successful results in any type of hair rotation that may be seen for the first time, recurrent or giant. The treatment under local anesthesia does not require operating room conditions and lasts approximately 15-20 minutes. Depending on the size of the hair rotation, the diseased area is closed with 3-4 applications. In 50% of people with hair rotation, 2 applications are sufficient.
How is non-surgical hair loss treatment applied?
Pilonidal Sinus with crystallized phenol oldukça provides very successful results in the right patient and with the right technique. Non-surgical hair loss treatment consists of the following stages:
Before treatment, the person should epilate the area at home, preferably with a hair removal cream, and preferably wash the area with natural soap and rinse well and dry.
In the treatment that does not require operating room conditions, first of all local anesthesia is applied to the region.
Without the incision, the location of the lesion is expanded and the inside of the lesions created by the hair rotation is cleaned and the hair is removed.
The lesions are filled with “crystallized phenol sağlayan which provides treatment and resembles coarse salt crystals. Crystallized phenol cleanses the lesions and initiates the healing and closing process.
Immediately after the painless application can be returned to social life and the person is recommended to take a bath the next morning.
Follow-up is planned and information is given to the treatment area about the care that should be applied.
With non-surgical Pilonidal Sinus treatment:
Non-surgical hair loss treatment may be administered on the day of diagnosis; does not require pretreatment like classical surgeries, does not lead to loss of labor.
The person should be hospitalized for a few days after hair rotation operations performed under general anesthesia. However, the treatment of hair rotation with crystallized phenol, which does not require operating room conditions under local anesthesia, takes 15-20 minutes and does not require hospitalization.
There is a 15-30 cm long scar in hair rotation, whereas in the non-surgical treatment there is no scar.
After the classical operations, drains are inserted to drain out the blood and fluids accumulated in the operation area.
While at least 10-15 days of rest is required after classical surgery, people who are treated without surgery can return to work and social life on the same day.
Pain is usually felt for 15 days after hair rolling, which does not require pain medication.
It is forbidden to bathe for 10-15 days after classical surgery; people who have been treated without surgery can take a bath after treatment, and may enter the sea and pool.
After classical surgical treatment, the recurrence rate of hair turn up to 35%, the rate of recurrence in non-surgical treatment is much lower and with the importance given to personal hygiene, the risk of recurrence can be eliminated.