You likely need surgical reassessment
Imaging such as ultrasound or MRI of the sinus tract may be required
A definitive procedure (excision, cleft-lift, or flap surgery) may be needed depending on tract depth
Pilonidal sinus issues, like what you’re describing, can sometimes be pretty stubborn even after surgery. It’s not uncommon for the wound to take some time to fully heal, especially if there’s still moisture or drainage. Since you’ve been dealing with persistent discharge and reopening of the area, it’s important to evaluate any factors that might be interfering with healing. There are a few things you could consider to help improve the situation. First, hygiene is key. Keeping the area clean and dry can help prevent infection and promote healing. After gently washing the area with mild soap and water, make sure to pat it dry completely. Consider wearing loose-fitting, breathable clothing to reduce friction and allow air circulation, which can aid healing. Your doctor’s recommendation of antibiotics and ointment is standard, but if you’ve seen little progress, they might need to reassess the infection type or consider different antibiotics based on potential resistance. Another thing to think about is whether sinus tracts have fully closed. Sometimes additional surgical intervention might be necessary to ensure complete closure or remove any persistent tracts. If you’ve been on antibiotics continuously without improvement, it might be worth discussing with your doctor whether imaging or further examination is needed to rule out an undetected abscess or secondary sinus. Additionally, proper nutrition and avoiding prolonged sitting can support your recovery. However, it’s crucial you keep your healthcare provider updated on any changes or lack of healing so they can provide specific advice tailored to your case or refer you to a specialist if needed. If you ever notice increased pain, swelling, redness, or any signs of a more serious infection, reach out to your doctor promptly. Wound healing can sometimes take time and multiple interventions, but ensuring appropriate care and following medical guidance will be essential.
Hello,
If the wound still opens and drains after 6+ months, it usually means: Persistent sinus tract or Recurrent pilonidal disease
Antibiotics/ointments alone won’t cure it because it’s a structural tract.
Please consult your surgeon in person. Need Re-evaluation and cleaning/curettage
I trust this helps Thank you
