Oct 13th 2010, 20:10:54
Pilonidal Cyst Treatment
An infected pilonidal cyst is an abscess that requires incision and drainage in order to improve. This procedure can generally be performed in a physician's office or in the emergency department. After numbing the area with an injection of a local anesthetic, an incision with a scalpel is made over the infected area. The physician will then drain the pus and remove hair and any other debris from the wound. The wound is then packed with gauze and allowed to heal. Antibiotics are generally not necessary unless your physician feels that you have a spreading skin infection (cellulitis). Pain medication will often be prescribed.
For those individuals with recurrent or complicated pilonidal cysts, more invasive surgery may be necessary in an operating room. Several different surgical procedures may be used in this case, and your surgeon will discuss the various options with you. In general, the major difference between the various surgical interventions centers around leaving the surgical wound open after surgery and allowing it to heal versus closing the surgical wound after debridement during the surgery itself.
Follow-up with your physician should be arranged to ensure adequate wound healing and to monitor for any potential complications. The wound packing will also be removed by your physician as necessary, and treatment at home will consist of pain control and proper wound care. Keep the wound area clean and remove any hair from around the sacrococcygeal area to prevent recurrence.
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