Pilonidal sinus (sacral dermoid)

Pilonidal sinus (sacral dermoid) is a very frequent disease especially among the male population. It is diagnosed and treated by ZweiChirurgen at our centre for proctology in Switzerland in Basel, Zurich und Liestal.

Here, hairs in the anal cleft penetrate the skin and continue to grow subcutaneously. This causes tunnels and cysts under the skin, where tuft of hair can collect. The entrance of the penetrating hair can often be seen as a porus in the anal cleft. Sometimes, hair can be pulled out of the porus. The symptoms of the pilonidal sinus can range from completely asymptomatic sinuses, to fluid discharge and acute inflammation (abscess formation). A surgical treatment is only necessary when symptoms appear. The aim of the therapy consists of the complete excision of the pilonidal sinus in the most minimal invasive way. In many cases the pilonidal sinus can be treated using a laser (Sinus Laser Therapy, SiLaT) or with minimal excision (sinusectomy). In larger, complex cases a complete excision with skin flap reconstruction is necessary.

• Minimally-invasive techniques
• Radical surgical excision and primary closure (Bascom / Karidakys operation)
• Excision and flap techniques (Limberg-flap, V-Y-plastic)
• Incision of pilonidal abscesses

Hospital stay: 2 days for complex cases
Otherwise outpatient treatment in our practice OR