pilonidal sinus excision (Left open to heal)

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just had Pilonidal sinus excision surgery Yesterday, after surgery the wound was left open and packed with dressing. Last night was fine and not a whole lot of blood to be seen seeking through.

This morning I had the dressing changed and a lot more blood is coming through. Went for a walk this evening and again more blood seeking through.

Is this what I have to expect for a while ?

dressings due to be changed again in the morning.

Dr said the incision is about 7cm in length and 1cm in depth not sure how wide as havnt actully looked at it yet.

Any advice appreciated.



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  • Posted

    Hello, I have had this exact procedure twice, roughly 6 years apart, and roughly the same dimensions as you indicate. I found that it just takes time to heal. I changed (actually my wife changed) the dressing far more than once per day, more like 3-4 times per day and used a saline rinse each time. There was some blood initially but it quickly diminished. It did not hurt but felt odd (cold!) with the saline solution. It healed fairly well after about 4 days. I did not go to the gym or run at all during the healing process. I found this procedure to be largely uneventful but was very thankful to my wife for assisting. Pilonidals can come back. I am an example. I have learned that if I have any sense of a return I go to the colorectal surgeon and have it addressed immediately. Waiting does not solve the problem, nor do antibiotics in the long term. Good luck !

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    • Posted

      Hi Jane,

      Thanks for the reply!

      Okay so was relatively normal to see some blood coming through initially, this was a bit of a concern, hopefully after a few dressing changes this will ease up.

      Perfect thanks I'll keep an eye on this as well .

      Thanks for the advice Jane and best of luck also!

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