gastroenterologist in Bangalore, best gastroenterologist in Bangalore, top gastroenterologist in Bangalore, obesity clinic in Bangalore, bariatric surgery in Bangalore, weight loss surgery in Bangalore, hernia surgery in Bangalore, hernia surgery cost in Bangalore, hernia surgery specialist in Bangalore, best inguinal hernia surgeon in Bangalore, inguinal hernia surgeon in Bangalore, gallbladder surgery bangalore , gallbladder surgery cost in Bangalore, gallbladder stones surgery in bangalore , gallbladder stones surgery cost in Bangalore, gallbladder stones surgery, cancer specialist in Bangalore, cancer surgeons in Bangalore, Cancer Treatment in Bangalore, robotic surgery in Bangalore, appendix operation cost in Bangalore, appendix operation in Bangalore, appendix surgery cost in Bangalore, appendix operation specialist, appendix specialist in Bangalore, piles doctor in Bangalore, piles treatment in Bangalore, fissure treatment in Bangalore, proctologist in Bangalore, fistula treatment in Bangalore, laparoscopic surgeon in Bangalore, laparoscopic surgery cost in Bangalore, laparoscopic gallbladder surgery cost in Bangalore, appendicitis surgery in Bangalore, appendicitis operation cost in Bangalore, appendicitis operation in Bangalore, appendicitis surgery cost in Bangalore, appendicitis operation specialist, appendicitis specialist in Bangalore

gastroenterologist in Bangalore, best gastroenterologist in Bangalore, top gastroenterologist in Bangalore, obesity clinic in Bangalore, bariatric surgery in Bangalore, weight loss surgery in Bangalore, hernia surgery in Bangalore, hernia surgery cost in Bangalore, hernia surgery specialist in Bangalore, best inguinal hernia surgeon in Bangalore, inguinal hernia surgeon in Bangalore, gallbladder surgery bangalore , gallbladder surgery cost in Bangalore, gallbladder stones surgery in bangalore , gallbladder stones surgery cost in Bangalore, gallbladder stones surgery, cancer specialist in Bangalore, cancer surgeons in Bangalore, Cancer Treatment in Bangalore, robotic surgery in Bangalore, appendix operation cost in Bangalore, appendix operation in Bangalore, appendix surgery cost in Bangalore, appendix operation specialist, appendix specialist in Bangalore, piles doctor in Bangalore, piles treatment in Bangalore, fissure treatment in Bangalore, proctologist in Bangalore, fistula treatment in Bangalore, laparoscopic surgeon in Bangalore, laparoscopic surgery cost in Bangalore, laparoscopic gallbladder surgery cost in Bangalore, appendicitis surgery in Bangalore, appendicitis operation cost in Bangalore, appendicitis operation in Bangalore, appendicitis surgery cost in Bangalore, appendicitis operation specialist, appendicitis specialist in Bangalore

Pilonidal Sinus & Abscess


The exact cause of the pilonidal sinus is not known. Some people are born with a pit where hair is trapped between buttocks and with age sinus develops. In some cases the pit may develop with constant pressure.

Some of the conditions which increases the incedence includes

  1. A job involving a lot of sitting (a sedentary occupation)
  2. Being overweight (obesity)
  3. A previous persistent irritation or injury to the affected area
  4. Having a hairy, deep natal cleft
  5. A family history of the condition
  6. Drivers

Treatment options:

I follow a simple alogorithm for traetment of pilonidal condtionss

  1. When the abscess develops in a short span of time (Acute abscess) and pain and infection are not severe then it can be treated with course of antibiotics for 5 days and planned defenitive surgery with in 6 weeks.
  2. When the abscess develops in a short span of time (Acute abscess) and pain and infection are severe then it can be treated with immediate excision
  3. When it's a recurrent chronic condition then planned surgery is done.

I offer the following surgical options depending on the condition

  1. If infection is less and there is no contamination of surgical site then excision and primary closure.
  2. If surgical site is contaminated then excision and healing by seconday intention.


Both above procedures are simple with no other added complications and will be enough to treat about 90% conditions so I would always prefer to perform simple wide excision +/- primary closure for all the pilonidal conditions as a first choice.

If condition reccurs then a advanced procedure which involves mobilising and closure with flap can be performed.

Pilonidal sinus is minor condition but problomatic because of the place it affects.