A patient who has had a pilonidal sinus may develop recurrent disease. The risk is affected by a number of factors.
Parameter |
Increased Risk |
Decreased Risk |
excision of lesion |
incomplete, with residual track(s) |
complete |
wound care |
poor |
scrupulous |
post-procedural scar |
raised, in midline |
broad and flat |
hair in region |
regrowth |
kept shaved |
infection in adjacent hair follicles |
recurrent |
absent |
wound healing |
poor |
good |
where:
• Wound healing may be poor with chronic corticosteroid therapy, poorly controlled diabetes, edema, malnutrition and other factors (see section 29.28).
Specialty: Dermatology, Surgery, general