Neverending Sinus

Discussion in 'Pilonidal Discussions - UK Forum' started by Richh91, Feb 20, 2016.

  1. Richh91

    Richh91 New Member

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    Hello. I found this site after googling it, felt like it might be a good place to talk.

    My pilonidal sinus appeared in late 2013 just as I started my first job from Uni. I went to my dr and was given antibiotics, however it would flare up every few months, bleed and drain. Eventually I was referred on the nhs. I met my consultant in June 2014 and he determined surgery. I really didn't like this man as he was quite rude, abrupt and very firm with his handling of the tender region.

    Anyway I had my surgery Dec 14 and I had incision with primary closure, stitches came out and then the wound reopened and then a tract developed and I had two holes with a skin bridge between.

    Then the packing began, very painful, nothing was happening so I went through my employer on private insurance to a different hospital, the consultant is much nicer and seems to appreciate it is frustrating. He opened the skin bridge as he felt that the pushing was causing distress.

    Fast forward the wound started to improve until around July, since then it stagnated with a sizeable opening that just never healed, the consultant recommended not to pack at this point, I followed the instructions, minimal improvement, he determined that it seemed to be a mechanical issue with the way my anatomy is.

    He said reperforming surgery would be best, I had this done on the 1st Feb 2016. My stitches came out this Tuesday just gone, no pain, no swelling, everything seemed fine. Yesterday afternoon there was some discharge, a small hole has appeared just like before. This hole has now gotten slightly bigger and is towards the base of the wound.

    Anyhow I went back to the hospital yesterday as soon as it occurred, I saw the oncall doctor who squeezed out the fluid and then gave me antibiotics. I cannot see my consultant until friday as he is on holiday. However I just dont know what to do now, I did everything I was told.

    I am 24 years old and I have had an opening for 14 months now with no end in sight. I feel like my life is taken away as I cannot exercise or go anywhere without fear of it discharging or bleeding. I know there are so many worse things a person can have but this is so frustrating.
     
  2. poolking

    poolking Helpful

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    I'd go to Portsmouth to see Dr Senapati, at the Spire Portsmouth hospital, you can then choose to go private with her, or alternatively she can suggest you ask your GP to refer you to her at the Queen Alexandra Hospital in Portsmouth on the NHS. I'm in to see her on the 14th March about my issue, and I really can't wait, so sick of this damn thing.
     
  3. Tonster

    Tonster Very Helpful

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    I got a bit confused with the chain of events and when it was a primary closure and an open wound. Sounds like the open wound is the one which stopped healing... (that happens... people use Silver Nitrate to kick it off again - it could have been because the wound was too wet or dry... and other things I wouldn't know)

    This time they've done a primary closure and just taken out the stitches... so it opening again is a lot different to it never healing as an open wound. Frustrating to have a hole there... but don't give up.

    Primary closures re-opening seem to often open - especially at the bottom. You haven't mentioned a drain with the latest primary closure (Stitches)...Lookup 'Wound Exudate types'... Having serous coming from an opening is normal... it's trying to heal. Interesting the On-Call GP prescribed antibiotics... they are for infections and not often given preventatively... ie ... did he diagnose an infection!?!?! Anyway they hopefully won't hurt and it will get you safely through to friday.

    If the hole is more than 10mm then you want to get it packed with antibacterial ribbon to pull out the ooze onto a combine/pad.

    My surgeon has re-opened the wound a little bit here and there to open up any real undermining... so the followups with your surgeon are really valuable to speed up the recovery.

    I don't know your facilities... but having a professional nursing organisation or wound recovery expert packing it might help keep the wound healing rather than what you tried last time... DIY (I wouldn't have succeeded doing that.. the wound changes many times and needs adjusting to what's being packed etc)
     
  4. Richh91

    Richh91 New Member

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    Thank you for the reply, the original wound was reopened and then this is the one that stopped healing but my consultant was reluctant to use silver nitrate- my previous doctor had every time i saw him and it made little difference.

    Yes the opening is at the bottom, very small- i had 7 stitches and the opening is at the 6th stitch, it looks like there now may also be a smaller hole appearing at the 5th stitch. Leakage is minimal unless it is being examined - the fluid is serous.

    The oncall doctor I didn't feel like he understood and thought there was an infection which is why the wound opened but i dont have any pain or blood or pus coming from the area.

    This is how it happened the previous time, that time i went to my gp who got me in with the nurse, she then packed sorbsan into the small opening, that night there was blood everywhere and it continued to bleed frequently until my new consultant reopened it. I am reluctant to go to my gp this time and so i am waiting for friday to see my consultant.
     

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