Pilonidal Cysts

Pilonidal Cysts

If you have been struggling with pilonidal cyst disease, let our surgeons help guide you to cure.

What Is a Pilonidal Cyst?

Pilonidal Cysts are not true “cysts,” but rather long standing skin infections in the gluteal cleft, or buttock crease, above or near the tailbone. Small holes, or pits, in the skin can develop in the cleft for a number of reasons. Hair then gets trapped in these pits and causes chronic infection which is often accompanied by pain, redness, and drainage. Pus, or an abscess, can develop. This often needs to be initially drained in the office or operating room. Once the pus is addressed, or if there is no pus, a number of procedures can be performed.

Treatments

Antibiotics or medical therapy are not enough to address the problem alone.  The trapped hair and the “sucking action” of the cleft often have to be addressed.  Anyone searching “pilonidal cyst treatment” will find a large number of procedures to address this problem. This means that many of the procedure do not have good long term success.  Our surgeons offer several options, with a focus on small incisions, avoiding open wounds, and definitive closure.  Your surgeon will discuss with you which option is best for your situation.  Two procedures offered by our surgeons are described here.  Both can be done as outpatient surgery without a hospital stay.

Loop Drainage After Debridement (LDAD)

Loop Drainage After Debridement (LDAD) was developed and published by our team out of recognition that far too often patients end up with large painful incisions and still may not heal.  LDAD involves small poke holes and cleaning out hair from the pits under the skin, without removing the skin.  Small thin looped drains are placed through the holes and removed one week later.  Simple dressing care involves covering this with a bandage.  No packing or special care is needed and pain is far better than many of the alternatives.  This is a good option for initial presentation or patients hoping for a less invasive procedure.  View our publication for more information.

Bascom Cleft Lift Procedure

For recurrent disease, patients with a very deep gluteal cleft, and for best long term results, the Bascom Cleft Lift Procedure offers a very successful option that also avoids leaving a large open wound.  It does involve an incision, but that incision is closed at the time of surgery.  Wound packing is avoided and the long term success published for this procedure is among the best.  Many patients have found an end to their suffering with this procedure.  Visit this link for the more information on this great technique.

Publications

Click on our publications below to view more information on these procedures.

Loop Drainage After Debridement (LDAD) 

Bascom Cleft Lift Procedure

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