Manoj Menon

Recovered

PT-10250MRD/2026/215755 yrs · Male+91 70855 37054Kochi

Blood Group

B+

BMI

20.2

Surgeon

Dr. Rajiv Kapoor

Surgery Date

12 Feb 2026

Patient Information

Full Name: Manoj Menon
Age / Gender: 55 yrs · Male
Contact: +91 70855 37054
MRD Number: MRD/2026/2157
Blood Group: B+
City: Kochi
Admission Date: 10 Feb 2026
Anaesthesia: Saddle Block
BMI: 20.2

Clinical Findings

Chief Complaint

Painful swelling in natal cleft with discharge

Symptoms

Recurrent infectionPurulent discharge

Duration of Symptoms

2 months

Diagnosis

Chronic Pilonidal Sinus Disease

Past Medical History

ObesityChronic constipation

Investigations

Test	Result	Status
Complete Blood Count	Hb 11.8 g/dL	Normal
MRI Pelvis / Fistulogram	No abnormal tract	Normal
Proctoscopy	Sinus opening seen	Abnormal
Histopathology	Benign, no malignancy	Normal

Surgery Details

Procedure: Karydakis Flap
Surgeon: Dr. Rajiv Kapoor
Anaesthesia: Saddle Block
Duration: 78 min
Blood Loss: 16 ml
Date: 12 Feb 2026

Operative Note

Karydakis flap with off-midline closure.

Post Operative Notes

Patient tolerated procedure well. Vitals stable. Shifted to ward in satisfactory condition.

Follow Up History

20 Feb 2026Pain score: 7/10
Recovery: GoodMedication: Lactulose syrup
Mild residual discomfort
22 Mar 2026Pain score: 6/10
Recovery: GoodMedication: Diosmin + Hesperidin
Continue sitz baths
11 Mar 2026Pain score: 5/10
Recovery: On trackMedication: Lactulose syrup
Suture line clean
07 May 2026Pain score: 0/10
Recovery: SatisfactoryMedication: Sitz bath advice
Fully healed, discharged from care

Diagnosis & Treatment

Primary Diagnosis

Chronic Pilonidal Sinus Disease

Pilonidal Sinus

Planned Treatment

Karydakis Flap

Next visit: Discharged

Complications

RecurrenceModerate

Managed conservatively with close monitoring. Documented for outcome tracking.

Attached Images

Pre-op Photo

MRI Scan

Histopath

Post-op Photo

Sample attachments · demo placeholders