Email: enquiries@pelvichealthandwellbeing.co.uk
Pilonidal Sinus Disease
Pilonidal sinus disease (PD) is most commonly seen in and around the natal cleft. The reported incidence is around 25 per 100,000 with a male to female ratio between 3:1 and 4:1. There can be considerable impact on quality of life due to pain, amended activities and time off work.
Pilonidal disease is thought to be due to the retention of follicular hair or keratin associated with an inflammatory response. The above hypothesis was developed from the widely accepted theories of Bascom and Stelzner. This hypothesis could also explain the late recurrences due to the chronic retention of hair and the long-lasting pressure effect on the terminal saccrococcygeal hair follicles.
Surgery has been in the form of excision and is associated sometimes with unacceptable levels of morbidity in a very physically active young group of patients. Over the past decade newer minimal access approaches have become the mainstay of treatment with laser hair removal
EPSIT Endoscopic treatment of pilonidal disease (EPSiT) was initially described by Meinero in 2013. This minimally invasive technique has both technical and aesthetic advantages. The diagnostic application helps identify the anatomy of the pilonidal disease and the operative phase ablates and cleans the infected cavity. This technique uses the vaaft kit as below diagram shows. I undertake this minimal access technique and happy to discuss your suitability
Flap reconstruction for complex pilonidal disease I currently provide a tertiary referral service with my plastic surgical colleagues where we are able to
OUR OTHER SERVICES
Rectal Prolapse
This can be a debilitating condition. I currently undertake Laparoscopic ventral mesh rectopexy (Lap VMR),
Delormes procedure, Altemeier’s procedure Unfortunately can affect elderly patients who can be frail.
Faecal
Incontinence
Faecal Incontinence affects a significant number of patients with almost 20% of patients thought to be affected. Until recently treatment options were limited. Most patients present following obstetric injury.
Constipation
One of the commonest diagnoses with up to 20% of the population suffering. Primary or secondary to other medical conditions which can include neurological and metabolic conditions.
Obstructive Defecation
Obstructive defection affects a group of patients who normally present with symptoms similar to constipation. We do assess this as a separate group of as the issues tend to be related with opening their bowels.
Haemorrhoidal Treatment
Although haemorrhoids are responsible for considerable economic cost and personal suffering. These account for one of the commonest anorectal diagnoses in outpatients and emergency depts.
Anal Fissures
One of the common conditions that we see but the one that affects patients quite significantly where they are unable to open their bowels and when they do, the muscle spasm causes them significant pain and discomfort.
Anal Fistulas
Anal fistulas can be quite a difficult problem to treat and this generally follows patients who have perianal abscesses which are either drained or sometimes discharge spontaneously or are treated successfully with antibiotics.
Pilonidal Sinus Disease
Pilonidal sinus disease (PD) is most commonly seen in and around the natal cleft. The reported incidence is around 25 per 100,000 with a male to female ratio between 3:1 and 4:1.
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