Pilonidal Sinus appears like a boil on the skin and is mostly found around the tail bone in the upper part of your buttocks. There may be pain and pus coming out from the boil or the small hole as it appears. Pilonidal sinus can also occur in the armpits or on the stomach. This afflicts people in the age bracket of 15-45 years. Pilonidal sinus is mostly found in people who have a hairy body, are overweight and have long sitting to do - like students and office professionals. It is more common in men than women. When a person is overweight, the continuous presence of sweat in the buttock and the armpit area softens the skin. This causes the hair in the region to pierce the skin and start growing inwards. These hair follicles create a tract in which bundles of hair accumulate and cause infection. This forms pus which creates an opening on the skin to come out. This opening is the small hole which is visible to you. Pilonidal sinus can be easily diagnosed by a general surgeon on clinical examination and does not require any investigation. However your doctor might sometimes order an MRI to see the path of the tract and to check whether any fistula has formed.
Most of the surgeons have been taught to perform an incision surgery for the treatment of pilonidal sinus. In this the surgeon gives an incision on the skin along the length of the tract and clears all the hair follicles. The surgeon then scrapes the surface so that scarring takes place which leads to healing. The wound is left open and the patient is asked to lie on the stomach for an extended period of 4-6 weeks. This is extremely uncomfortable for the students or the office goers. Another surgery which is done for pilonidal sinus is flap surgery in which the incision is given and the tract cleared but the wound is not left open. The surgeon creates a flap and covers the wound which is then stitched. The recovery time gets reduced to 2-3 weeks in this surgery but sometimes the stitches come off due to the strain in that area. The best technique for pilonidal sinus surgery which is a recent invention is the `wet to dry technique'. In this technique, no incision is required and therefore the surgery can be done as a day care procedure and the patient can go home within few hours of the surgery. The recovery time is virtually nil and the patient can resume normal routine from the same day itself.
Dr Pramod Prasad is one of the most experienced surgeon for doing all types of the pilonidal sinus surgeries - incision surgery, flap surgery and wet to dry surgery. The cost of the surgery ranges between Rs. 35,000 - 85,000 depending upon the technique used. The higher cost of Rs. 85,000 is incurred when there are multiple sinus tracts. In order to prevent any recurrence of the disease, the patient is advised to undergo Laser Hair Removal after the surgery so that the hair in that area can be removed permanently. This prevents any recurrence of the hair follicles creating another tract in the skin. Most of the insurance policies do not cover this surgery within the first two years of the policy. However if you are holding an insurance policy which has been provided by your company then the surgery is covered from day one. You also have to check the room rent eligibility in your insurance policy to make sure that you get the complete claim amount and there are no deductions. If you opt for a higher category room than what you are eligible for, then you may have to bear some expenses for your treatment.
Sethi Hospital was setup in the year 1996 by the doctor couple of Dr. Ashok Sethi and Dr Pushpa Sethi in the city of Gurgaon. Initially the hospital offered services in the fields of Orthopaedics and Gynaecology but soon developed into a multi-specialty hospital offering complete range of secondary and tertiary level treatments. In the last 24 years, the hospital has treated more than 12 lac patients throught outdoor and indoor facilities. Sethi Hospital has won the trust of the patients on the basis of ethical and cost effective treatment. Middle class patients who have to self finance their medical treatment, find our pricing quite affordable for the quality of treatment given.
The state of art cutting edge medical technology deployed at Sethi hospital makes us a complete hospital for your medical treatment. Most of the patients who come for any kind of treatment normally require the facilities of ultrasound, colour doppler, echocardiography and digital x-ray within the hospital. Sethi hospital has all these facilities inhouse which means that the patient does not have to run from one place to another for getting the complete treatment. Inhouse pharmacy and pathology lab ensures that the attendants of the patients getting admitted at the hospital can have the peace of mind and do not have to run helter skelter.
The team of doctors at Sethi hospital are some of the most experiencd medical professionals in the city of Gurgaon. Almost all our doctors have more than 15-20 years of experience in their respective fields. The doctors at Sethi Hospital are always trying to improve the medical and surgical outcomes and take active part in continous medical education programmes. Our team of doctors are assisted by highly trained paramedics in the diagnostic field. Our Nursing Team efficiently carries out the doctor's instructions and provide compassionate care which speeds up the healing process. The Physiotherapy Team makes sure that your recovery is quick and complete.
Dr A.K.Sethi, Orthopaedic Surgeon at Sethi Hospital is talking about the surgical procedure for replacement of Knee Joints which are worn due to Osteoarthritis. Watch the Video.
Dr Pushpa Sethi, Gynaecologist is talking about the various treatment options available for Polycystic Ovaries - Lifestyle modification, Diet, Medicines and Surgical.