What Is Pilonidal Cyst Excision Incision?

pilonidal cyst excision surgery

Pilonidal Cyst excision is an operative procedure that is carried on the cyst as soon as it develops an infection and causes you a lot of pain. This procedure is called the gold standard or the most secure process and one of the best to treat cases of infected pilonidal cysts. Moreover, it also helps in diminishing the possibility of the recurrence of cysts and allows the patient ample time to fully recover from the aftereffects of the treatment process. Thus, for people who are suffering from an infected pilonidal cyst, it is crucial to consult a specialist who can explain to them when they need to start the procedure of its elimination. The following are the other significant attributes of pilonidal cyst excision surgery.

What is a Pilonidal Cyst Excision Incision?

The excision of Pilonidal Cyst Surgery entails cutting out the infected pilonidal cyst. This operation aims to remove this cyst and to avoid the appearance of new cysts or reappearance of the primary cyst. Cyst removal and the shaving of cysts together with infected hair follicles and debris is normally done through a surgical procedure where an incision is made on the skin following the thread line.

Types of Surgical Approaches

There are several surgical approaches to excision surgery pilonidal cyst, each with its benefits and considerations:

1. Simple Excision: During this process, he or she cuts over the cyst and then takes out the sac completely. Surgical debridement may be performed with or without the intention of closing the wound because, instead, it may heal secondarily or it may be closed primarily in a wound that is sutured.

Simple Excision

2. Incision and Drainage (I&D): They said that this is a slightly more conservative method that entails cutting to drain the cysts and removing infected materials. Though this may help to alleviate pressure on the cyst this might not eradicate the cyst and further treatment will be necessary.

 Incision and Drainage

3. Wide Excision: If the cyst is recurring and/or complicated, then a little more elaborate surgery may be required. The surgeon operates and cuts out a large portion of the tissue around the cyst to minimize the opportunity of another outbreak. This approach sometimes takes longer to heal than other approaches of the same level.

Wide Excision

4. Flap Procedures: For cases of recurrent pilonidal cysts or cysts that are very large, the flap procedures that are used include the Limberg flap as well as the Bascom cleft lift. These methodologies consist of removal of the cyst as well as a part of the healthy tissue, shifting another skin flap over the wound to minimize tension on the site, and fast healing.

Flap Procedures

Expectations of the Procedure

Local or general anesthesia is administered for the involvement of the pilonidal cyst excision depending on the size or size and complexity of the cyst. Here’s what you can expect during the surgery:

1. Preparation: The skin surrounding one would be wiped and then the area that would precede the removal of the cyst will be exercised with anesthesia to avoid pain.

2. Incision: The cyst is opened through an incision by the surgeon to get to the infected tissue.

3. Excision: The cyst together with the surrounding tissue which may be infected or inflamed is shaved off.

4. Closure: The closure depends on the type of incision and your doctor will either suture it or cover it with the flap.  

5. Dressing: The doctor will use sterile dressing on the wounded area to dress it properly and let it heal. 

Recovery and Aftercare

Pilonidal cyst excision surgery recovery depends on the method used and the healing process of the person. Here are some general aftercare tips:

• Wound Care: Do not allow dirt to get on the wound area; ensure it dries and adhere to the doctor’s instructions on replacing the dressing. If it was left open it could need dressing changes at least daily and would be packed with sterile gauze.

• Pain Management: It is possible to take medications that contain nonsteroidal, anti-inflammatory drugs when experiencing minor pain. You may also need antibiotics hence it is recommended that you consult your doctor for one.

• Activity Restrictions: Minimize the times one engages in activities that require vigorous movements or a lot of sitting for several weeks to minimize pressure on the wound thus facilitating the healing process.

• Follow-up appointments: Heal fully after your surgery by going for all the follow-up appointments with your surgeon.

Potential Complications

While pilonidal cyst excision incision is generally safe, there are potential risks and complications, including:

• Infection: One of the postoperative complications is wound infection in case the wound has not received proper care.

• Recurrence: The pilonidal cysts may recur after the surgery and this can happen in many cases if the entire growth was not removed or if the patient is likely to develop these cysts.

• Scarring: Debulking may cause scarring which may depend on the scope of the surgery and the skin tone/color of the patient.

Wrapping Up:

Thus, now you have the idea of what is pilonidal cyst excision incision and why it is done. So, if you too are struggling with an infected pilonidal cyst, its time to consult the right colorectal surgeon who can remove it and let you live a normal life again. 

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