Introduction
Pilonidal sinus can turn into a challenging condition, especially when multiple openings complicate the situation. In this case, He addressed the issue with a comprehensive surgical approach, ensuring the patient’s recovery was smooth and effective.
Case Details
A male visited the clinic complaining of pain, swelling, and foul-smelling discharge in the lower back region. He shared that these symptoms had persisted for a year, worsening with time. On examination, Dr. Nayar noticed multiple sinus openings surrounded by significant inflammation. The complexity required immediate attention.
Diagnosis
To confirm the extent of the condition, He ordered an ultrasound. The results showed an extensive sinus tract system with active infection, aligning with the clinical findings.
Treatment
After explaining the situation to the patient, we decided on surgery for a definitive solution. The treatment plan involved several crucial steps:
- Excision of Sinus Tracts: He meticulously removed the entire sinus system, including all visible openings, to eliminate the source of infection.
- Wound Management: To ensure faster recovery, He used a flap closure technique, which also reduced tension in the area.
- Antibiotics: He prescribed a tailored antibiotic course to tackle any residual infection and support healing.
Outcome
The results were encouraging. The patient felt significant relief immediately after surgery. During follow-up visits, He observed complete healing, and the patient was able to return to normal activities within weeks. He expressed satisfaction with the outcome and relief from his long-standing discomfort.
Conclusion
This case highlights how early intervention and a well-executed surgical plan can resolve even complicated pilonidal sinus cases. By addressing all sinus tracts and ensuring proper wound care, the risk of recurrence diminishes, and recovery becomes more efficient.
Dr. Sajeeth Nayar combines expertise and attention to detail to manage even the most complex surgical cases effectively.