What Is Pilonidal Cyst?
Pilonidal Cyst: The disease “Pilonidal cyst” doesn’t directly relate to a large intestine. Though doctors always examine it in the section of proctological illnesses.
The matter is that intrauterine development of epithelial duct connected with the formation of a large intestine. The ducts located near the intestine, and while diagnosing the illnesses connected with the intestine. Epithelial ducts should take into consideration.
After spontaneous or surgical dissection of the festering cavity, fistulas will form. Without treatment, this illness inclined to relapse.
What are the reasons for the occurrence of Pilonidal Cyst?
The majority of scientists think that epithelial coccygeal duct is an inborn defect of skin development that conditioned by partial reduction of muscles and ligaments of a tail.
However, other scientists reject an inborn character of the illness and connect its occurrence with anomalous (incorrect) plantation of growing hair into the hypodermic cellular tissue of the sacral-coccygeal area.
This theory won even more supporters after the disclosure of Pilonidal ducts in other places (in the armpit, in space between fingers, in amputation stump).
In 1887 the neurogenetic theory suggested. The other name of this theory is the theory of coccygeal medullar remnant. According to it, the formation of the epithelial coccygeal duct comes from the part of the spinal cord that undertook a reverse development.
Some scientists hold the opinion that the main reason for this pathology is the reverse development of the coccygeal vertebrae that proved by the existence of rudimentary tail ligament.
An external foramen of an epithelial duct, as a rule, has a rounded form, small size, 0,5-1,5 millimetre in diameter. Brining a thin probe into it, a doctor can determine the direction of a duct.
The later almost always goes forward and upwards, sometimes deflecting to the left. Its depth is usually 0,5-1 cm, sometimes 2 cm. Besides one main external duct of small size, in some cases, several more ducts can be found.
All of them are smaller than the main one, and as a rule, they end blindly not connecting to the main duct.
Pilonidal Cyst Symptoms
- Swelling at the bottom of the spine
- Tenderness to the touch
- Bad smell from the pus
Treatment for the Pilonidal Cyst
There may be several different treatment alternatives concerning a pilonidal cyst. As these cysts are ones that seldom disappear on there own, debating treatment options is a stride in the correct direction for those persons who suffer from this medical condition.
The premiere type of treatment that physicians might advocate attempting to do away with the pilonidal cyst is lancing. Lancing is an operation where the physician will put a modest surgical incision in the cyst to run out the fluid and hair inside the region.
The injury allowed to heal, which requires a couple of weeks. Regrettably, lancing is only successful in permanently getting rid of a pilonidal cyst fewer than one-half of the time.
A more intense surgical alternative when it concerns abolishing the pilonidal cyst is excision. Excision is where the medical health care provider will remove the entire cyst and all of the outermost surrounding tissue as well.
This practice to adequately forbid the cyst from regressing to the individual.
A different method that has newly started applied to address pilonidal cysts is an operation whereby the cyst is brushed away, and the pits extracted, yet the deep tissue area stays intact. This is an extreme type of procedure to a lesser extent than the entire excision operation.
Whenever a person is looking to get rid of a pilonidal cyst and is going to go about it via the surgical path, colon and the rectal operating surgeon will perform most expectantly by the medical professional.
Who executes the operation, along with an anesthesiologist, as drugging, is required for an operation of this type to executed. Some of the potential inquiries one may look at asking their colon and rectal operating surgeon as soon as they’ve confirmed.
They have a pilonidal cyst may be any conservative treatments the operating surgeon may know of that can be debated rather than surgery, conflicts between the healing methods, rate of success concerning return and infection, total recuperation time, and any side effects that may result due to surgery.
Recovering From a Pilonidal Cyst Operation
As soon as the cyst removal operation has been accomplished, there are two alternative mending phases. One phase called the open wound healing, and the other phase called the closed wound healing.
The open healing process is where the wound is not sewn shut. This requires a bit of work by being forced to pack the wound twice a day for the entire 8 weeks of recuperation time. However, this mending process is advantageous in that the likeliness of return or infection is lower.
With the closed healing technique, the wound is sewn shut, and the wound itself mends within about 4 weeks; however, the rate of infection becomes about 20%.
There have been new developments in respect to closed healing, however, which enable the wound to be flushed with an antiseptic to make it more improbable that
Pilonidal Cysts in Children, Babies/Infants.
Many parents of newborn babies arrive in this web site upon uncovering that their infant has a minor role in the natal cleft. This site gives a very concise verbal description of what we know and what the following steps for a nervous parent may be.
Approximately 3% of all infants are born with what addressed as a Sacral Dimple, occasionally this referred to as a Pilonidal Dimple, although this term is inappropriate. Sacral Dimples are NOT Pilonidal Disease.
Sacral Dimples are mostly harmless, although some can indicate a link to the spinal canal or colon. A rare Sacral Dimples also combined with Spina Bifida Occulta. An MRI should be done to exclude any connection.
Different than “pits” and sinus openings, Sacral Dimples are not the beginning of Pilonidal abscesses. If you keep the Sacral Dimple neat & clean, then the subtle pit formed in the depth of a dimple improbable to appear.
Pilonidal Disease comes about only infrequently before pubescence and even less obvious in Sacral Dimples. It’s probable for an infection to form in a Sacral Dimple if faecal matter or junk deeply deposited.
Sacral dimples relate to the divots based on the lower backs of some infants. It approximated that at least 2 per cent of newborns have these pits or dimples, most of which placed in the centre of the back slightly above the buttocks.
Also Read: Tonsil Cancer | Symptoms And Treatment
Pilonidal Cyst Home Care
Having pilonidal cyst and no symptoms of infection or discomfort:
- Wear cotton underclothes and apparel.
- Sitting down on hard surfaces for long periods must avoid.
- Shave the surface area or apply a hair-removing application (depilatory) to remove hair if your physician proposes.
- Maintain the area dry and clean.
- Monitor the surface area for indications of infection, such as irritation, inflammation, swelling up, pain, a murky or bloody discharge, or a fever over 38.1°C (100.5°F).
having a pilonidal cyst with symptoms of infection:
- Shaving of the region if your physician suggests.
- Get hold of your physician.
- Continue to keep the surface area dry and clean.
- Take a warm bathtub multiple times a day and Soak inside.
- Take non-prescription pain medication whenever required.
If had a surgery for a pilonidal cyst:
- – The healing procedure may be painful, so prescription or non-prescription pain medication might be required.
- – Your physician will instruct you on how to care for the region and offer guidelines on physical activity.
- – You’ll typically have to remain at home and restrict physical activity for one or numerous weeks.
Extra Tips & Important Notes
- Always consult a doctor before beginning any course of home treatment yourself.
- Never exceed the stated dosage of anything, as doing so can cause serious problems.
- Invest in a coccyx seat to help you sit down. If you are in the early stages of the disease, you will definitely be glad you spent the money and got one, believe me!
- Never, ever try lancing the cyst yourself – this can be extremely dangerous.
- If the cyst ever pops and the pus doesn’t come straight out, call an emergency service – blood poisoning can occur and can in some cases be fatal. This often occurs with self-lancing, so as mentioned above, don’t even think about it!