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Latest revision as of 23:43, 29 July 2020

Pilonidal cyst Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pilonidal Cyst from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pilonidal cyst surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

[1]

American Roentgen Ray Society Images of Pilonidal cyst surgery

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Echo & Ultrasound
CT Images
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Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA onPilonidal cyst surgery

CDC on Pilonidal cyst surgery

cyst surgery in the news

Blogs on Pilonidal cyst surgery

Directions to Hospitals Treating Pilonidal cyst

Risk calculators and risk factors for Pilonidal cyst surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Surgery

Often the cyst is lanced, and surgery is a method that has met with some success for curing pilonidal cysts. Surgery on a cyst in the natal cleft may involve cutting out the skin and sinus in this area (excision), ormarsupialization. If the wound is packed, the patient or someone close to the patient is trained to replace the gauze packings. They must be replaced daily for 4 to 8 weeks (but healing, and therefore bandage changes, can last up to 1 year). The condition can recur, even after surgery. The chance of recurrence is much greater if the wound is sutured in the midline, compared to excellent results if the resultant scar is away from the midline, thus obliterating the natal cleft and therefore removing the focus of shearing stresses. Some people develop a chronic non-healing pilonidal sinus which must be treated with surgical excision. Rarely do the complications of a pilonidal cyst result in death, however, due to the possibilities of infection from the abscess, the results of an overly untreated case may prove fatal. In recurring or non-healing cases, a Z-plasty may be used to reduce shearing stress on the resulting scar. The end result of the procedure is that the buttocks are effectively merged after the cyst is excised, preventing a relapse.

References

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