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Asking for Self, Male, 23 years old, Toronto
I had my first pilonidal abscess formed in 2016 the doctors had to Operate it but since it was too deep they were not able to take it out completely I had 4 surgeries since then from 2016-2017 the last surgery I had was in 2017 doctors had put tubes so the infection does not spread and till date I have the tubes in there and the infection comes and goes now my question is what is the solution I’m tired of going to doctors I have changed several doctors but nobody has a proper cure for it the doctors here in Canada tried to relate pilonidal abscess to crohns which they had a doubt that I maybe a crohns patient but upon checking and doing all the tests they found nothing that proved that I had crohns so what can I do? Or what should I do to get rid of my pilonidal abscess since it won’t go
Plz u need to visit and I believe u ca undergo limberg flap which can cure ur disease
So sad to hear this. We are operating complicated Recurrant cases of pilonidal sinus disease so frequently at the Indus hospital THQ Raiwind if this place is near yur area. Moreover we have such set ups in others THQs like Manawan, Kahna and Sabzazar. All these are managed by the Indus hospital where every treatment, surgery medication, hospital stay, labs are free with meals
i suggest you to consult Plastic and reconstructive surgeon you probably will need reoperation along with excision of terminal segment of your tail bone.
Member
Thank you Dr. Sadaqat Ali khan I will consult that with my family doctor, Thank you all the doctors for your opinions and suggestions.
God bless.
1 month ago
Salam. Sometimes remnant infection leads to recurrence. In your case this might be the cause. And you must stick to your surgeon whom u believe the best and pray from Allah.
In recurrent cases, deeper dissection is needed and the surgeon might remove part of your tail bone. You better visit some plastic surgeon who can cover the defect with some local flap also if there is no infection.
Can u inbox me all the operations done their details i mean their sumries or discharge slipsI think u are confusing pilonidal sinus withperi anal fistula
Recurrence is a common complication of pilonidal sinus. It requires wide excision. After surgery, the wound should be left open for frequent cleaning, dressing and closure by healing. Scans should be done before surgery to rule out bone involvement. Also, rule out chronic infections, especially tuberculosis. This way of treatment takes time and patience. Best wishes.
https://www.semanticscholar.org/paper/Pilonidal-sinus-disease-and-tuberculosis.-Gupta/042-32591427, fcc042-32591427, ddb13b0138b9bea1da0e56b
hi.i don't know how can it be. Canadian drs should have been able to treat ur disease as this disease is more common there than in Pakistan.but I think a rotation flap to cover the defect is the answer in ur case.but before that your wound should be clean by multiple dressings
although it's recurrent rate is high but it's curable disease in the hands of expert surgeon. when you come to Pakistan just visit some consultant
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