A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the cleft). It does not always cause symptoms and only needs to be treated if it becomes infected.
This presentation gives general overview about different aspects of PILONIDAL DISEASE including pathophysiology, etiology, clinical Presentation, different treatment options available etc
This presentation gives general overview about different aspects of PILONIDAL DISEASE including pathophysiology, etiology, clinical Presentation, different treatment options available etc
OPEN INGUINAL HERNIA REPAIR- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #openinguinalherniarepair #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and open and
Laparoscopic Cholecystectomy
• In this video today, I have discussed Open Inguinal Hernia Repair.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful.
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
• Thank you for watching the videos.
Please find the power point on Hemorrhoids. I tried present it on understandable way and all the contents are reviewed by experts and from very reliable references.
Ventral hernia is protrusion of peritoneal sac through anterior abdominal wall defects except Groin hernias. In this presentation I have discussed Epigastric, Umbilical, Para umbilical, Incisional, Spigelian and Lumbar hernias.
OPEN INGUINAL HERNIA REPAIR- OPERATIVE SURGERY
#surgicaleducator #operativesurgery #openinguinalherniarepair #usmle #babysurgeon #surgicaltutor
Dear viewers,
• Greetings from “Surgical Educator”
• Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries.
• I have already uploaded videos on open and Laparoscopic Appendicectomy, Thyroidectomy, Modified Radical Mastectomy and open and
Laparoscopic Cholecystectomy
• In this video today, I have discussed Open Inguinal Hernia Repair.
• However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery.
• Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as end-cards, which I think will be very useful.
• This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
• surgicaleducator.blogspot.com
• youtube.com/c/surgicaleducator
• Thank you for watching the videos.
Please find the power point on Hemorrhoids. I tried present it on understandable way and all the contents are reviewed by experts and from very reliable references.
Ventral hernia is protrusion of peritoneal sac through anterior abdominal wall defects except Groin hernias. In this presentation I have discussed Epigastric, Umbilical, Para umbilical, Incisional, Spigelian and Lumbar hernias.
Pilonidal sinus is disease commonly affecting young hairy individuals. The disease causes recurring infection and has a high recurrence rate. Understanding the pathophysiology is essential for developing a treatment plan. A variety of techniques have been developed for treating pilonidal sinus. These range from minimally invasive to excisional techniques. However no single procedure can be considered as the gold standard of care. Proper preparation of the area followed by optimum choice of the procedure can help in reducing both local wound complications as well as recurrences.
What is Pilonidal Sinus , Causes , Symptoms And Treatment .pptxHLC Bangalore
Pilonidal sinus is a common condition characterized by the formation of a small tunnel or tract in the skin near the tailbone. It typically affects young adults and can cause discomfort, pain, and recurrent infections.
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2. Definition: Infection of the skin and
subcutaneous tissue at or near the upper part
of the natal cleft of the buttocks.
The term pilonidal is derived from the
Latin pilus (hair) and nidus (nest)
Jeep-bottom because it was very common
in jeep drivers.
3. SITES
Midline over the coccyx
Umbilicus
lnterdigital in barbers
RISK FACTORS
Male gender (3rd decade)
Overweight
Occupational: prolonged
sitting
Excessive body hair (Coarse
or stiff hair)
Previous injury in the area
4.
5. Hairs broken off by
vibration and friction tend
to accumulate in the nates.
Thus, it accumulates in the
gluteal cleft and enters the
opening of the
sudoriferous glands.
Pointed end of the dead
hair is inside (blind end of
the sinus)
The hair follicle is never
demonstrated in the wall
of the pilonidal sinus but
hair is the content of
pilonidal sinus.
6. Low grade fever
Swelling of cyst
Pain during sitting or standing
Soreness and reddish skin around the
depression
Foul smell in the pocket
Hair protruding from the affected area
7. External opening of the sinus
seen just above the anal
verge in the midline over the
coccyx.
These cavities will
often discharge serous
fluid and can periodically
become acutely infected to
form a pilonidal abscess
(when infected it can leak pus
blood and have a foul odour)
A secondary opening may be
present on either side of the
midline often far out on the
buttocks or in the perineum.
8. Inject methylene blue to
demonstrate branches
of the sinus followed by
excision of the sinus.
The patient is
positioned prone with
buttocks elevated (Jack
knife position).
After excision there are
two methods to treat the
wound -Open and
Closed methods
9. The wound is left open
after excision followed
by regular packing
with iodine or eusol
gauze pieces.
10. The wound is closed by
'z' plasty.This method
carries 10-20% chances
of recurrence.
V-Y Advancement Flap
Rhomboid flap
(Limberg flap) can be
raised to close the
defect also.
11. Karydakis believed that hair insertion was the cause for
pilonidal sinus
Low recurrence rates due to wound placed away from mid-
line
Resulting new natal cleft was shallower
PROBLEMS:
Sutures taken over the pre-sacral fascia cause pain
12. Use of shallow cleft
Causes less pain as
presacral fascia not
included
13. Patients with acute pilonidal sinus – I & D
Chronic pilonidal sinus – an excision of the
sinus and all tracts
A primary closure is associated with faster
wound healing – however, a delayed closure
is associated with less recurrence
Patients undergoing primary wound closure –
off midline closure recommended
14. Recurrent pilonidal sinuses.
i. Diverticulum of main channel has been
overlooked at primary operation
ii. New hair may enter through the scar
iii. Tearing of scar resulting in the formed
crevice to get infected
iv. Very, very rarely carcinoma can arise in a
chronic pilonidal sinus.