What type of surgeon for pilonidal cyst

Risk factors that may contribute to developing a pilonidal cyst include leading and inactive lifestyle, being obese, and having an occupation that requires long periods of time in a sitting position. If a pilonidal cyst becomes infected, it can be extremely painful, and home remedies or even prescription medications rarely are effective in providing relief. This laser was first introduced in India at Healing Hands Clinic. In LPP, a small cut is made on the skin and all the pus is drained out.

The entire sinus tract is then sealed with the laser fibre. The stitch line is preferably off the midline, where the tension is less and chances of healing are better. The advantage of this technique is that the healing is faster and takes about weeks. In case of such an infection a revision procedure is done and the wound is left for open healing anyways. In Z-plasty after removing the abscess and sinus, the surgeon loosens triangular flaps on each side of the midline to fill the cavity, with points of flap towards the head and foot.

While closing the surgeon crosses the pointed flaps to cross the midline in a horizontal direction, thus converting an N-shaped incision to a Z-shaped closure. Z-plasty is not a preferred choice of treatment because :. In this procedure the surgeon removes all the area of disease and makes sure the wound is healthy. The resultant defect, a football shaped 'ellipse' or cavity, lies parallel to the midline but to one side.

The edges of the skin are then freed up a little and the wound is closed with multi-layered stitches. In cleft lift, the actual shape of the cleft is changed to be more shallow and allow for better healing. By almost flattening the cleft, the gathering of loose hair is less likely, and the less deep cleft does not favour the growth of anaerobic bacteria.

This procedure is done in patients who have extensive Pilonidal disease or who have disease affecting both sides of the buttock. The surgeon removes an oblong shaped plug containing the abscess, skin and fat, thus creating a cavity.

To fill the cavity, a flap of skin and thick fat is mobilised from the buttock beside and below the cavity. The flap is swung into the centre and the edges are sutured. Pilonidal sinus can be a tricky condition. It is of utmost importance that you understand it well, as self care is an important aspect, especially if you have been operated upon.

Following are answers to a few questions that may arise in your mind before you decide to undergo a surgery. These are general guidelines and any final decision about your health lies with your surgeon. Pilonidal sinus or pilonidal cyst contains hair and skin debris. It may lead to infection under the skin and surgery is recommended in that case.

It is not a serious or dangerous problem. If pilonidal sinus is not infected then surgical treatment is not required. Certain precautions can be followed at home for its healing. These precautions include: Keeping area clean and dry.

A cut is made in the cyst to drain fluid and pus. The hole is packed with gauze and left open. Afterward, it can take up to 4 weeks for the cyst to heal. The gauze has to be changed often during this time. You may be given medicine general anesthesia that keeps you asleep and pain-free. Or, you may be given medicine regional anesthesia that numbs you from the waist down.

In rare cases, you may only be given local numbing medicine. A cut is made to remove the skin with the pores and the underlying tissue with the hair follicles. Depending on how much tissue is removed, the area may or may not be packed with gauze. Sometimes a tube is placed to drain fluid that collects after surgery. The tube is removed at a later time when the fluid stops draining. It may be hard to remove the entire cyst, so there is a chance that it will come back.

Why the Procedure is Performed. Surgery is needed to drain and remove a pilonidal cyst that does not heal. Your doctor may recommend this procedure if you have pilonidal disease that is causing pain or infection. A pilonidal cyst that is not causing symptoms does not need treatment. Non-surgical treatment may be used if the area is not infected: Shaving or laser removal of hair around the cyst Injection of surgical glue into the cyst.

Your first step should be to see a doctor. If you need surgery, you and your healthcare provider can discuss the pros and cons of the different options.

But, the risk of recurrence is higher than it is for a cystectomy. A cyst is a sac-like pocket of tissue containing fluid or other substances. It can grow almost anywhere in the body or under skin.

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