PILONIDAL CYST AND FISTULA
WHAT IT IS
It is a chronic wound tissue including skin in the region of the buttock crease and has nothing to do with the anus and anal canal.
More frequent in males (approximately 3:1) and aged between 15 and 30 years, only rarely is complicated and requires surgical care over the age of 30.
There has been a disposition in obese people with a highly developed apparatus follicle and in all patients for work is subjected to continuous trauma in sacred coccygeal region as drivers or drivers
There are two main theories on the emergence of a sacrococcygeal cyst congenital and acquired a. The first could be caused by the persistence of a residual embryonic ectoderm or a combination raphe to rear leading to the formation of cysts sacrococcygeal
The theory acquired provides for the presence of hairs in the area that, as a result of trauma, friction, poor hygiene, but may be incorporated, by determining first the formation of cysts and subsequently the infection with the consequent fistula.
Initially asymptomatic and not considered is then brought to the attention of the physician with the onset of infection: production of pus, pain, fever, malaise.
Following the appearance of an abscess, you need emergency treatment, which includes the incision and drainage after surgery for radical excision of the cyst and / or fistula.
In the case of cysts and / or chronic fistula proceed to planned surgery radical.
There are many techniques used and described in literature, methods open, closed and half-open.
As a result of frequent relapses with the closed method you prefer to perform the open or semi-open.
In the prevention of relapses is important hygiene, ventilation of the wound and the surrounding skin, weekly.