It is a pocket or sac of tissue around a hair follicle on the skin above the tailbone and can form sinus tracts that can be infected and filled with pus (pilonidal abscess).
Pilonidal Cyst
What is it?
The procedure
An infected pilonidal cyst or abscess requires surgical drainage. In cases of repetitive infections and difficulty in healing surgical excision of the cyst and reconstruction must be considered. I prefer to use Karydakis technique to reconstruct the defect and place sutures in an off-midline fashion. This has been proven to be as successful as the “open approach” that requires uncomfortable and long-term changes until the wound heals.
Anesthesia
Local anesthesia with or without sedation.
Recovery
Drains are placed for 2-4 days. Sitting down is avoided for 1 week. Sutures are removed after 2 weeks.
CONTACT
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