Traditional surgery for Repeated events proportional hazards regression modeling was performed to identify factors associated with time to recurrence. 2022 Jun 29;38(2):187-195. doi: 10.47717/turkjsurg.2022.5247. WebThe success rate is good. Current proponents of nonoperative management point out that regardless of the therapy used, the pilonidal disease resolves after the age of 40 years. WebCAROLINA PILONIDAL CENTER. Which Doctor To Consult For Pilonidal Sinus? eCollection 2021 Apr. Also Read: Is Pilonidal Sinus or Cyst Dangerous? Hospital stay is short, pain is light and complications are few as well as the number of patients needing post-operative care, allowing a rapid return to Harries RL, Alqallaf A, Torkington J, Harding KG. What Is It Like to Recover from Pilonidal Cyst Surgery? The patient may stay overnight at the hospital or may be discharged the same day after a short observation period in recovery. Pilonidal cyst surgery How effective is ayurvedic treatment for pilonidal sinus? In addition to this, you should keep a check on your diet and maintain proper hygiene to prevent pilonidal sinus. WebHow Long Is Pilonidal Cyst Surgery Recovery? Pilonidal Cyst Method: Pit Picking (also called Bascoms Operation, or Bascom 1) is one of the minimally invasive procedures used to treat pilonidal disease. eCollection 2022 Jul. It is also beneficial because the recovery time is usually shorter and easier. 8600 Rockville Pike This technique could be proposed as a first-line treatment to the majority of patients with a pilonidal sinus disease. Epub 2017 Jun 13. Oxygen-enriched oleic matrix (NovoX) for wound healing in pediatric patients undergoing open surgical treatment for pilonidal disease: Preliminary experience. We describe a new innovative technique consisting in the destruction of the pilonidal cyst with a radial laser probe (FILACTM, Biolitec, Germany). The conclusion of Dr Doll and his colleagues is: And, we agree with their conclusion. doi: 10.1007/s10151-017-1722-9. Therefore I decided to start a specialized practice to provide exceptional, affordable and convenient care to patients with pilonidal disease from all over the US. Pilonidal McCallum IJ, King PM, Bruce J. Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta have seen many failed cleft-lifts performed by other surgeons that do not look anything like the procedure. sharing sensitive information, make sure youre on a federal Studies such as this one suggest laser treatment is a promising newer technology for treating pilonidal cysts, with stats indicating a first time success rates in the 87.5 percent range. Of those patients, the procedure had long-term success for almost all of them. The recurrence rate was only 2.9 percent. Unable to load your collection due to an error, Unable to load your delegates due to an error. Success rate and patient satisfaction are high, making this new therapy an attractive option for the majority of the patients with pilonidal disease. Please enable it to take advantage of the complete set of features! 2018 Aug/Sep;19(6):603-607. doi: 10.1089/sur.2018.020. 6842 Elaine Way San Diego, CA, 92120 USA 877 393 9902 Leaving pilonidal sinus untreated for a prolonged time can aggravate the complications. Pilonidal Although academic medicine and research were exciting, I discovered that patient care is where my passion lies and helping patients and their families provides me with the greatest satisfaction. Although laser treatment for pilonidal cysts has been shown to have a high success rate, there are things that a patient can do to help reduce his or her chance of a recurrence. And in the case of primary closure surgery for pilonidal sinus (conventional procedure), recurrence was observed in 30% of the patients treated with the surgery. Drainage of blood and pus from pilonidal sinus is a common indication of infected pilonidal sinus. WebPilonidal cysts can sometimes be cured with surgery and your skin might heal fully. Outpatient laser treatment of primary pilonidal disease : the PiLaT technique. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Your doctor will numb the area with a local anesthetic and then make a small cut to open the cyst. A pilonidal cyst is an abscess or boil. New Patients Click Here. Excisions in which the wound was left open for healing had a recurrence rate of 17 percent. Sometimes, surgery is needed. official website and that any information you provide is encrypted WebIt affects about 70,000 people in the US annually and is more common in men than women. Patients undergo pilonidal cyst surgery with the expectation that the procedure will remedy their problem for good. Unfortunately, one study showed a recurrence rate of 22 percent with traditional pilonidal cyst surgeries. Doctors are of the opinion that the. WebPilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). It has been seen that pilonidal cyst surgery has a success rate of more than 90% as long as the cyst is big enough or if it has been drained before. It affects about 70,000 people in the US annually and is more common in men than women. Additionally, for long-term hair removal from the site, laser epilation is sometimes recommended, especially if the patient has heavy hair growth. Epub 2018 Jun 27. The patients of, Laser Surgery for Pilonidal Sinus is the most successful and convenient treatment option for pilonidal sinus or cyst. Lpez JJ, Cooper JN, Halleran DR, Deans KJ, Minneci PC. Management of sacrococcygeal pilonidal sinus disease. This follow-up treatment is useful because it reduces the opportunity for hairs to irritate the area and cause the development of a new cyst. Patients undergoing open surgery for pilonidal sinus expect for a solution for the disease. Pilonidal cystectomy is a generally safe procedure. Your doctor will discuss the benefits and risks with you before surgery. Possible risks include: 1 The pain of an infected pilonidal cyst is often excruciating. It feels as if you were to press your tailbone up against the sharp corner of a table and hold it there. The person may suffer from multiple pilonidal cysts or abscess. The Care You Deserve. Terms of Use | Privacy Information | Legal Information. WebThe hole is packed with gauze and left open. and transmitted securely. How Effective Is Ayurvedic Treatment For Pilonidal Sinus, Things To Do After Pilonidal Sinus Surgery, Diets to Intake in Case of Pilonidal Cyst, 16 Effective Home Remedies For Pilonidal Cyst. Expert, compassionate and reliable care for pilonidal disease, We offer the cleft lift procedure for adults and children with 99% success rate. CAUSES Conclusions: Select your treatmentPilesAnal FistulaFissurePilonidal SinusHernia SurgeryGallstones SurgeryCarpal Tunnel SyndromeACL-TearKnee ReplacementHip ReplacementSpine SurgeryShoulder Tendon RepairShoulder Labrum Tear SurgeryShoulder DislocationCataract SurgeryLasik SurgeryHysterectomyHysteroscopyEardrum surgeryDeviated Nasal SeptumAdenoidectomyFESS / SinusTonsillectomy / TonsilKidney StonesProstate EnlargementMale InfertilityVaricoceleLaser CircumcisionZSR CircumcisionVaricose VeinsDiabetic Foot UlcerDeep Vein ThrombosisAV Fistula for DialysisHair TransplantGynecomastiaLiposuction SurgeryBreast SurgeryFace LiftTummy TuckScar RemovalLipomaBreast LiftBreast LumpBreast ReductionBreast AugmentationOvarian CystHymenoplastyVaginal TighteningPCODIrregular PeriodsDilation and curettageVaginal CystHysteroscopyPain during IntercourseUrine infectionHysterectomyFibroids treatmentEctopic PregnancyMedical Termination of Pregnancy (MTP)Abnormal Uterine BleedingVaginal BleachVaginal RejuvenationPap smear problemsRecurrent Vaginal InfectionAbnormal Vaginal DischargeImperforate HymenVaginal wartEctopic pregnancyMolar pregnancyBartholin CystMiscarriageEndometriosisDermoid CystChocolate CystAdenomyosisIVFAxillary BreastThyroidectomy. Avoid swimming or soaking- baths for about three weeks after the surgery. In severe cases, surgery may be required to fully remove the pilonidal cyst, which may decrease the rate of The overall recurrence rate was 33%, with the majority of recurrences (80%) occurring within the first year. During the recovery period, patients must take care to follow their doctor's directions closely. Pilonidal cystectomy -- If you keep having problems with a pilonidal cyst, it can be removed surgically. The laser probe is topped with a glass tip. Pilonidal - Evergreen Surgical Pilonidal Clinic Most often it occurs between puberty and age 40. You can apply castor oil, tea tree oil and coconut oil to subside the inflammation of the pilonidal cyst. It is necessary to seek timely treatment for pilonidal sinus otherwise the condition can get more severe with time. Background: The site is secure. The treatment of pilonidal sinus disease still remains challenging. SiLaC is a safe and minimally invasive technique for the destruction of the pilonidal cyst and sinus. Not all cleft lifts are the same. 2018 Feb;118(1):72. doi: 10.1080/00015458.2017.1337340. .azCDHJ .UXiAup{bottom:0;left:0;position:absolute;right:0;top:0}.gzNVjA{background:rgba(var(--brd,var(--color_15)),var(--alpha-brd,1));box-shadow:var(--shd,0 1px 4px rgba(0,0,0,.6))}.gzNVjA,.gzNVjA .UXiAup{border-radius:var(--rd,0)}.gzNVjA .UXiAup{bottom:var(--brw,0);display:inline-block;left:var(--brw,0);-webkit-mask-image:radial-gradient(circle,#fff,#000);mask-image:radial-gradient(circle,#fff,#000);overflow:hidden;position:absolute;right:var(--brw,0);top:var(--brw,0)}.FiDpOP .UXiAup{bottom:9px;left:9px;position:absolute;right:9px;top:9px}.FiDpOP .vWE6wc{background-image:url(https://static.parastorage.com/services/editor-elements-library/dist/thunderbolt/media/sloppyframe.d2412ec4.png);background-repeat:no-repeat;bottom:0;left:0;position:absolute;right:0;top:0}.FiDpOP .dj3FJn{background-position:0 0;bottom:3px;right:3px}.FiDpOP .W_nooy{background-position:100% 100%;left:3px;top:3px}.e4y5ni{background-color:rgba(var(--brd,var(--color_15)),var(--alpha-brd,1));border-radius:var(--rd,0);box-shadow:var(--shd,0 1px 4px rgba(0,0,0,.6))}.e4y5ni .UXiAup{bottom:var(--brw,0);left:var(--brw,0);overflow:hidden;position:absolute;right:var(--brw,0);top:var(--brw,0)}.e4y5ni .up3Bvs{background-image:url(data:image/png;base64,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);background-repeat:no-repeat;bottom:-26px;height:26px;position:absolute;width:165px}.e4y5ni .h0JKNn{background-position:0 0;left:-20px}.e4y5ni .uaUROu{background-position:100% 0;right:-20px}