7 doctors weighed in:

How is an incision and drainage of a pilonidal cyst performed?

7 doctors weighed in
Dr. Thomas Dowling
Orthopedic Surgery - Spine
2 doctors agree

In brief: The two common ways

Are to cut out the entire cyst along with its lining and close it up directly with stitches after thoroughly washing it out or to cut it out entirely but leave it open with packing that needs to be changed and then washed out several times letting it heal from the floor of where the cyst was or use a device known as a woundvac to force it to heal quicker with similar wound care.

In brief: The two common ways

Are to cut out the entire cyst along with its lining and close it up directly with stitches after thoroughly washing it out or to cut it out entirely but leave it open with packing that needs to be changed and then washed out several times letting it heal from the floor of where the cyst was or use a device known as a woundvac to force it to heal quicker with similar wound care.
Dr. Thomas Dowling
Dr. Thomas Dowling
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2 doctors agree

In brief: See below.

In performing this procedure, dr. Zadeh will make an incision over the area of infection under local anesthesia.
The pus is drained and the hair and skin debris are removed from the cyst cavity. The cyst itself is not removed at this stage. The wound is left open and packed with gauze. Wound healing occurs over the course of 4 to 8 weeks.

In brief: See below.

In performing this procedure, dr. Zadeh will make an incision over the area of infection under local anesthesia.
The pus is drained and the hair and skin debris are removed from the cyst cavity. The cyst itself is not removed at this stage. The wound is left open and packed with gauze. Wound healing occurs over the course of 4 to 8 weeks.
Dr. Michael Zadeh
Dr. Michael Zadeh
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Dr. Allen Kamrava
Surgery - Colorectal

In brief: Off Midline

It's best to do your I&D a little off midline, in the cephalo-caudal direction.
Treat like any other abscess i&d.

In brief: Off Midline

It's best to do your I&D a little off midline, in the cephalo-caudal direction.
Treat like any other abscess i&d.
Dr. Allen Kamrava
Dr. Allen Kamrava
Thank
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