The Pilonidal Sinus is most famous with the names “hair bag” and the “coccyx fistula,” and others. As for the coccyx fistula, in English and medically, it is Pilonidal Sinus, as it is called the Pilonidal Sinus.
A hair bag, or as it is called, a Pilonidal Sinus, is formed when a hole is formed in the lower back and the presence of falling hair, where the hair and skin cells collect to form a small cyst-like mass under the skin.
Pilonidal Sinus (hair sac) causes inflammation, pain, secretions, and swelling. It affects men more than females and most often affects people of young ages.
There are a number of theories about the causes of the pilonidal Sinus (hair bag), following which is a mention of the theory with an explanation of it, then a mention of the direct causes of the formation of the hair bag.
The embryonic theory is based on the idea of migratory cells in the coccyx that cause pilonidal sinuses when they grow and get bigger.
There are also other reasons, including:
Sitting for a long period of time may be the cause of the hair cyst due to skin abrasion from repeated pressure on it.
Exercising and activities that reduce the risk of infection increase the chances of developing a pilonidal sinus.
Receiving cuts or bruises at the coccyx area increases the risk of developing a Pilonidal Sinus (hair sac)
Dead cells + falling hair + bacteria lead to the formation of the pilonidal cyst (hair sac).
A person with thick back hair has a higher risk of infection.
The presence of this condition in the family history increases the possibility of developing it.
Blood + pus + severe pain + bad smell + yellow or white discharge
The traditional surgical method: where the entire area is surgically removed up to the coccyx bone, the entire tissue is scraped, and the wound is left open. This method requires bandages and a long period of healing, and a return to work.
The skin slide method: It is the same as the surgical method, but the wound is closed either directly with several stitches, or a skin slice is manufactured, converted, and placed over the wound and sutured. Also, this method is tiring for the patient as the wound is very wide and the pain after surgery is great, and it takes a lot of time to return to work.
Pilonidal Sinus (hair bag) treatment with laser and endoscopy is the latest scientific method in the world currently for treating pilonidal Sinus.