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I got his at amazon, I can send you the link if you'd like. Pilonidal cysts are a common condition, with more than 70,000 cases reported in the U.S. every year. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. 2003. In open wounds, it is critical to carefully examine the wound and wound edge at each visit to identify and remove hairs or foreign bodies. If your incision is left open, it may take from a few weeks to several months to heal. Now, about 3 or 4 months after surgery my scar area is a bit swollen, red, warm and hurts a little. The success of this strategy lies in providing consistent information to the patient and consistent care practice within the team. Effectiveness of the Sitz bath in managing adult patients with anorectal disorders. If your incision was stitched closed: Keep the site dry and clean for 4 days after surgery. Please enable scripts and reload this page. Poster presentation at the World Union of Wound Healing Societies Conference, Paris, France, July 8-13, 2004. It's a really soft sore spot though. The only way to get rid of a pilonidal cyst is through a minor surgical procedure. to maintaining your privacy and will not share your personal information without Woo KY, Sibbald RG. If you have a draining Pilonidal cyst it can probably drain for some time. Marks J, Hughes LE, Harding KG, Campbell H, Ribeiro CD. Youre also more likely to get one of these cysts if you have thick, stiff body hair. But there are a few things you can do at home to ease pain and discomfort in the meantime. In some cases it may take up to 6 months to heal. Having had one experience two years ago, I thought I was done. For a better experience, please enable JavaScript in your browser before proceeding. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Anal Abscess: Symptoms, Causes, and Treatments. Pilonidal Support Alliance. Advantage -- Its a simple procedure done under local anesthesia, meaning just the area around the cyst is numbed. 19. Thank you Hound for welcoming. I has this packed with 10 lengths of bandage a day for around 6 months. Bacteriology and complications of chronic pilonidal sinus treatment with excision and primary suture. Embedded hair and debris should be removed at each wound inspection, because of the chronic inflammation that they induce. If you need surgery, your health care provider numbs the area and removes the cyst through an incision. I've got a pilonidal cyst that's been bleeding for a few days, i'm on a very long wait list to see a specialist, how can i at least slow the bleeding. pilonidal sinus wounds; pilonidal cyst; sacrococcygeal fistula. This minor procedure is typically performed by a colorectal surgeon. J Wound Care 1994; 3 (1): 4234. Pilonidal disease: long-term results of follicle removal. The patient agreed to limit his activities that would stress the wound and to alter his diet to include foods rich in protein. Keep the area above your buttocks clean, dry, and free from hair. Local wound dressings for PSWs should be flexible and adherent and avoid interface friction and shear. These lumps are usually harmless and often require no treatment, though they may, Learn how fluid-filled lumps known as cysts can form around an ingrown hair. You can also try taking a sitz bath. Friction and pressure from rubbed skin, tight clothing, cycling or long periods of sitting can force hair into the skin. Usually from sitting for too long, but it hasn't had any recurrences. You have hair growing in the area of the scar. BSI Glossary. Avoid fried and spicy foods, alcohol and smoking. Is the ketogenic diet right for autoimmune conditions? Pilonidal cyst surgery is typically a minor outpatient procedure. Your doctor will numb the area with a local anesthetic and then make a small cut to open the cyst. Signs of surface bacterial damage are included in the NERDS mnemonic: Pain in PSWs can be a factor in reducing the individuals ability to attend school or continue working, or refusing to have the wound packed. Treatment of chronic pilonidal disease. We avoid using tertiary references. A pilonidal cystectomy is more complex, but may be more effective at preventing, A pilonidal sinus (PNS) is a small cyst or abscess that occurs in the cleft at the top of the buttocks. The Karydakis flap procedure involves surgically removing affected sinus tissue and creating a vertical incision to one side of the original opening. Pilonidal cysts are treated with a simple in-office procedure. Oftentimes, wound-associated pain is a combination of both types of pain. This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. Br J Surg 1985; 72: 63740. avoid wound contamination and match the contours of the natal cleft, sealed at all edges. Email : [email protected] HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Advantages -- This is outpatient surgery under local anesthesia. WhatsApp : +91-9844229888 Standard excision methods typically remove the affected sinus but do not pull skin folds over the wound area for healing. What should I sit on that'll help relieve the pressure so I may be able to sit for a fair amount of time if I'm at college and I'm. Treatment may include antibiotics, hot compresses and topical treatment with depilatory creams. Its usually done in an operating room with a specially trained surgeon.'. The symptoms of a pilonidal cyst include: They can vary in size. You are using an out of date browser. Pilonidal cysts and sinuses are both parts of the broader term pilonidal disease. Ovarian cysts generally go away over a few weeks without intervention. This article contains an evidence-based literature review supplemented by the clinical expert opinion of the authors. It takes the pressure off your tailbone. 24. This procedure is done as an outpatient procedure, so you will not need to spend the night in the hospital. Current Therapy in Colon and Rectal Surgery [online]. The doctor may also choose to seal the area with stitches. You might also try soaking the area in a warm, shallow bath. what can i do? He also began taking a multivitamin. Discover how to lessen their appearance or get rid of them permanently. Stop swimming or soaking-baths for about 2 to 3 weeks after pilonidal sinus surgery. This cut is called an incision. this cycle keeps repeating every few weeks now.? If you or your family members have a history of bleeding disorders, or if there is a tendency to bleed more than normal; If you have diabetes, high blood pressure, chest pains, or have previously suffered from a heart attack . They will clean out the area and remove any pus and debris using suctioning and saline. Can poor sleep impact your weight loss goals? Carrying extra weight can also make you more prone to developing pilonidal cysts. It sounds like a dissolving stitch that has not yet dissolved due to hydrolysis (natural body process after surgery and stitching). Another consideration that may contribute to excessive friction activity is the impact of care access, thus the clinic setting versus in-home treatment. The Surgeon did a cleft lift and stitched my wound up after the operation. If the exudate is excessive and not handled with topical dressings changed daily, deep or surrounding skin infection should be suspected, diagnosed, and treated. Wow, what a uncomfortable journey.I would like to try anything to avoid surgery. Spivak H, Brooks V, Nussbaum M, Friedman I. Clinicians need to remember that persons with chronic wounds for more than 1 month often have Gram-positive, Gram-negative, and anaerobic organisms playing a role in the bacterial damage. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. In this procedure, a doctor will remove any hair or hair follicles from the cyst and . Fierheller M, Sibbald RG. the wound was not fully healed and one day later it won't stop bleeding. It typically occurs between the ages of 13 and 26 years. Many patients are reluctant to take pain medication predressing change because they need to drive to their care site, activities after dressing change are affected if pain medication is taken, or the pain medication is ineffective. Silver has been combined with foams, hydrofibers, alginates, or hydrogels to select the level of silver release and the moisture balance required but is ineffective in a dry environment. Treatment A pilonidal cyst is usually treated in your health care provider's office. I never had a bump btw just a lot of painful swelling. If possible, the goal is to change the dressings 2 to 3 times per week, but this may not be appropriate for all patients or wounds. Might be an undissolved stitch! Dancer SJ, Noble WC. Please try after some time. Once this happens, the patient is reluctant to take any medication for fear of adverse effects. Traditional surgery for pilonidal cysts involves excising the wound then packing it with gauze. Dont worry. It's NOT a donut, as the hole is not in the middle, but in the back. Last medically reviewed on October 29, 2018, Pilonidal cyst incision and drainage is a relatively simple procedure. Many U.S. soldiers were diagnosed with . Laparoscopic Hernia Surgery Costs In Bangalore? The doc told me that it was normal - called serius fluid, which can happen after surgery. Br J Surg 1955; 43 (177): 628. People who sit a lot, such as truck drivers, have a higher chance of getting one. I did this and was fine within a day. I would think after surgery the normal thing would be that it should go away entirely! Access from your area has been temporarily limited for security reasons. If this is happening see your surgeon for eval and possible re-excision of the. Wolters Kluwer Health It removes a cyst at the top of the crease of your rear end (buttocks). Its called a pilonidal cyst, and it can become infected and filled with pus. This can relieve pain and itching. Lippincott CME Institute has identified and resolved all conflicts of interest concerning this educational activity. 31. If there are any new bumps or something is draining then it might be a recurrence. When pilonidal sinus gets infected it creates it swells and becomes sore. Pain can be managed with gentle wound care and preparation of the patient along with local dressings to minimize pain at dressing change. Along with the causes of dark, Split nails are often caused by an injury such as a stubbed toe or receiving a severe blow to a finger or thumb. The pilonidal cyst can be removed surgically but the cyst mostly comes back and would require surgery again to get rid of it. What these cysts look like and the other symptoms that accompany them can differ among individuals. A 15-year-old boy had an elective excision of an extensive pilonidal sinus, left to heal by secondary intention. Minor bleeding of various degree is expected at this stage of healing. A medical professional will typically treat all forms of pilonidal disease, including pilonidal cysts, through surgery. But if the area just gets sore once in a while then it might just be the scar tissue getting irritated some way. Another early reference of the disease, with a description of management, followed shortly after by A.W. 1. During the initial history and assessment, it is important to know the patients activities and to fit the dressings to meet the need. You must log in or register to reply here. Might it be that a a pilonidal cyst bleed from withing the rectum? So I looked at my wound.. Arch Surg 1994; 129: 9148. If that is the case, you should look at my page Help! Advances in Skin & Wound Care25(7):324-332, July 2012. As a result, epithelial cell migration improved with reduced hypergranulation present in the wound base. Mr Bishop has disclosed that he was a consultant/advisor to Hill-Romand ConvaTec, and was a member of the speakers bureau for ConvaTec. A couple months ago, my pilonidal cyst scar got inflamed & started bleeding but healed in a week. It is necessary to seek timely treatment for pilonidal sinus otherwise the condition can get more severe with time. In the authors experience, razors specifically designed for the bikini area that includes a swivel razor head work most effectively. Abstract Painful acute cysts in the natal cleft or lower back, known as pilonidal sinus disease, are a severe burden to many younger patients. But to get rid of it for good, youll need to see a doctor. If is red,swolen and worm..pls keep an eye on it.Also check your body temperature if is high ( then is posible infection ) . 4 0 obj Avoid sexual intercourse until the cyst is completely recovered. Mayo Clinic Staff. SMILES is here to assist you to understand more aboutpilonidal cystsand how to manage it after surgery? It may not display this or other websites correctly. Your doctor can give you a better idea of whether your weight may be playing a role in your cysts. The hospital healthcare team met throughout the process with the patient and family to create and carry out the plan of care for this young man. Unfortunately it can back. A pilonidal cyst is a sac filled with hair, skin, and other debris. I had my pilonidal sinus surgery 4 years ago. It usually happens more often in younger people. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://pubmed.ncbi.nlm.nih.gov/26094093/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292120/, https://wjso.biomedcentral.com/articles/10.1186/s12957-017-1129-0, https://www.ncbi.nlm.nih.gov/books/NBK557770/, https://fascrs.org/patients/diseases-and-conditions/a-z/pilonidal-disease, https://www.nhs.uk/conditions/pilonidal-sinus/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6536872/. Said it helped. This procedure typically takes place under general anesthesia and is one of the most effective surgical interventions for pilonidal disease. 25. What is the latest research on the form of cancer Jimmy Carter has? De Vos W. Fistual-in-ano, abscess, pilonidal and hydradenitis suppurativa. Can diet help improve depression symptoms? In this article, learn about ingrown, Pilar cysts are fluid-filled lumps that tend to appear on the scalp. Although the evidence does not support the use of Sitz baths for wound healing or pain relief, a systematic review23 identified that they do improve patients overall satisfaction. In other words if these remedies work why dont they advise it as an alternative for surgery? Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). For a better experience, please enable JavaScript in your browser before proceeding. Although surgical intervention is the preferred first line treatment, postsurgical wound healing disturbances are frequently reported due to infection or other complications. Its harder to remove the entire cyst with this method. If your incision is left open, it may take from a few weeks to several months to heal. J Clin Pathol [online]. endobj I agree with Connie777. <> Lord P. Anorectal problems: etiology of pilonidal sinus. now it bleeds almost daily? Now, about 3 or 4 months after surgery my scar area is a bit swollen, red, warm and hurts a little. The bacterial damage on the surface of a wound is also known as increased bacterial burden, localized infection, or covert infection. Cleft lift surgery is an outpatient surgery that only requires about 1 hour to perform. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, mayoclinic.org/diseases-conditions/pilonidal-cyst/symptoms-causes/syc-20376329, uvahealth.com/services/dermatology/pilonidal-cyst, healthyhorns.utexas.edu/HT/HT_pilonidalcyst.html, fascrs.org/patients/disease-condition/pilonidal-disease, Pilonidal Cyst Surgery Procedures and Recovery, 5 Recommended Stretches to Soothe a Sore Tailbone, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, Overview of Purpuric Rash, a Symptom of Some Conditions, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, How to Get Rid of Dark Circles Permanently. Generally, the healing process takes about 6-8 weeks to complete (for traditional surgery of pilonidal sinus). Simply by walking, a rolling or drilling effect occurs; the buttocks move against each other, complicated by suction in a deep cleft. Self-management education regarding frequent and regular local hygiene is a key element in improving wound healing rates as well as decreasing recurrences. As with any form of surgery, it is important that people take note of all instructions relating to at-home care, especially if gauze needs removing and repacking. In this article, learn about removal, causes, treatment options, and associated, Ingrowing hairs can be painful and irritating, and they can occur as a result of shaving or clogged follicles. Many surgeons continue to pack the wound cavity with saline-soaked gauze that dries out and subsequently associated with pain caused by this suboptimal treatment.24 Dressings selected need to hold the wound mirror image surfaces apart to prevent superficial bridging or dead spaces forming in the wound base.25 In the absence of tunneling or deep wounds where the base is not visualized, calcium alginates that are gel-forming or hydrofibers keep the wound moist and the wound edges apart. Patients are suggested to take bed rest for two days and can go back to their normal activities after 2 to 4 weeks. Most cysts are on the lower lip, but can occur anywhere inside your, Tailbone pain is centered at the very bottom of your spine, right above your buttocks. 9. J Wound Care 1999; 8: 30910. I'm adding my pilonidal cyst story. From this cut, the surgeon then pulls the skin over the original sinus area and sews it down. Apply research-based information to educating patients about self-care for pilonidal sinus wounds. In this article, we detail the causes and symptoms of pilonidal cysts and explain what a person can do to treat and prevent them. The body creates a cyst around the hair to try to push it out. Steps that people can take to reduce the risk of pilonidal cysts developing include: People who are overweight may also find that weight loss reduces the risk of cysts developing or recurring. American Society of Colon and Rectal Surgeons [online]. Postoperative PSWs include simple incision and drainage sites, open excisions healing by secondary intention, or primary closures that have opened because of infection and dehiscence. Demonstrate knowledge of pilonidal sinus care and the 12 common mistakes associated with this care. Skin reddening. viable choices that fit within his/her lifestyle and current situation. How should you treat an ingrown hair cyst? What is a pilonidal cyst? Dr. Michael Zadeh answered General Surgery 19 years experience Cyst on tailbone: A pilonidal cyst is a cyst that develops in the midline of the tailbone near the cleft of the buttocks. Is it a recurrance or is the scar tissue just irritated? The only way to get rid of a pilonidal cyst is through a minor surgical procedure. Part one: the literature review. Dis Colon Rectum 1975; 18: 6614. Best thing to do if there's any doubt and it's bothering you tho would be to see your doctor. However, after the incision has healed, you will notice a scar where the cyst was removed. Cheers. 10. For a while, the condition was called "Jeep disease.". The pain was horrible. However, after the incision has healed, you will notice a scar where the cyst was removed. Adv Skin Wound Care 2010; 23: 36979. 26. This will fade and become softer with time. Marks J, Harding KG, Hughes LE, Ribeiro CD. It has the softness as if when you get a blister that then hardens into a callus on say your feet/hands That's what the scab is on my wound. Instructions were written as physician orders for conventional dressing using a silver alginate as a contact layer, and adhesive foam as the secondary dressing with hydrocolloid paste to secure the distal dressing edge was applied. Your doctor makes a cut into the cyst and drains it. The symptoms of a pilonidal cyst include: Pain, redness, and swelling at the bottom of the spine. To enhance the learners competence with knowledge of 12 common mistakes in pilonidal sinus care. A pilonidal sinus tunnels under the skin often with more than 1 tract or direction.2 Pilonidal sinus wound is a chronic acquired condition caused by 1 or more factors as listed in Table 1.36. Adv Skin Wound Care 2006; 19: 44761. Sometimes, a pilonidal cyst will reappear in the same area, even if you recently had one drained. ional activity, the participant should be better able to: 1. Iodine has the ability to penetrate biofilms because of its small molecular size, but it may be proinflammatory. A pilonidal cyst can look similar to a pimple, tempting some to pop them with their fingers. After confirming that there was no bleeding, the surgical area should be repeatedly flushed with iodophor and normal saline . Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. As mentioned previously, activities involving sitting, excessive walking, or movement cause further damage and delayed wound healing due to frictional forces. I had the same. You are using an out of date browser. This tissue had to be repeatedly separated using both mechanical force and sharp instruments when the patient was seen in the hospital clinic weekly. Patients who must travel long distances by car, public transit, or walking may be negatively impacted as compared with those who have in-home care provided. You must log in or register to reply here. A common treatment method for pilonidal cysts and abscesses is incision and drainage. If you think you have been blocked in error, contact the owner of this site for assistance. The wound will need 1 to 2 months to heal. This article will help clinicians to identify 12 common mistakes that the authors believe are key barriers to the success in healing PSW, according to their observations over a 2-year period while using the protocol interventions (Figure 1). Take nonprescription pain medicine, but followthe dosing instructions. If the cyst hurts, you can take a nonsteroidal anti-inflammatory, such as ibuprofen (Advil). Get new journal Tables of Contents sent right to your email inbox, http://www.pilonidal.org/education/whatisit.php, www.worldwidewounds.com/2003/december/Miller/Pilonidal-sinus.html, http://www.fascrs.org/physicians/education/core_subjects/2000/fistula_in_ano, www.pilonidal.org/pdfs/bascom_1990_ps.pdf, http://www.bsi-global.com/en/Standards-and-Publications/About-standards/Glossary, http://www.who.int/cancer/palliative/painladder, Twelve Common Mistakes in Pilonidal Sinus Care, Articles in PubMed by Connie L. Harris, MSc, RN, ET, IIWCC, Articles in Google Scholar by Connie L. Harris, MSc, RN, ET, IIWCC, Other articles in this journal by Connie L. Harris, MSc, RN, ET, IIWCC, Pilonidal Sinus Disease: 10 Steps to Optimize Care, Decreased Pain in Patients Undergoing Pilonidal Sinus Surgery Treated with Platelet-Rich Plasma Therapy: The Role of Angiogenesis, Smart Dressings for Wound Healing: A Review, ABCDEFGHI Systematic Approach to Wound Assessment and Management, Privacy Policy (Updated December 15, 2022). Disadvantages -- It takes about 6 weeks to heal, and you need a doctor specially trained in the technique. Canadian Association of Gastroenterology, 3rd edition,1997. After reading this article, clinicians should be better able to identify areas that may contribute to optimal healing conditions or that may delay healing in PSW healing by secondary intention. Anderson, in 1847. Minimal post-surgery bleeding or drainage is normal After the surgery, it is common to experience a little bleeding or drainage from the wound. However if you pace some clean gauze or sterile gauze on the area and plac A pilonidal cyst is a cyst that develops in the midline of the tailbone near the cleft of the buttocks. Like other boils, it does not get better with antibiotics. 28. You may be trying to access this site from a secured browser on the server. Doctors typically provide answers within 24 hours. Pilonidal cysts tend to occur on a persons lower back, just above the cleft of the buttocks. modify the keyword list to augment your search. Brearley R. Pilonidal sinus a new theory of origin. Prediction of healing times as an aid to the management of open granulating wounds. prevent wound bed cooling and disruption. There is no problem in getting the area wet, but do not soak the wound. Dis Colon Rectum 1996; 39: 11369. 4. Mayo. Ever since then I haven't had any pain or what seems to be a recurrence. Your doctor can diagnose a pilonidal cyst with a physical exam and by asking you questions about it. Staphylococcal infections of open granulating wounds. Despite multiple reminders and enablers for personal care to aid healing, it is incredible how often basic hygiene steps are ignored. PHMB foam and gauze may also provide moisture balance for PSWs, with the foam having a longer wear time. Antibiotics that messed up my stomach, cream that seemed to help. Unfortunately, pilonidal cysts can come back after surgery. Risk Factors. Thus, the patients are suggested to choose the right treatment for pilonidal sinusfor a minimal chance of recurrence. Several studies show the recurrence rate is as high as 30 per cent. A pilonidal sinus (PNS) is a small hole or tunnel in the skin. Ms Laforet has disclosed that she is/was a consultant/advisor to Hollister; was a consultant/advisor to Systagenix; was a member of the speakers bureau for 3M and Systagenix; and is a stock shareholder in 3M. Closed wounds with incisions off the midline are the best surgical procedures for pilonidal disease. Topical antimicrobials can consist of silver, iodine preparations, polyhexamethylbiguanide (PHMB), honey, or other miscellaneous agents with antimicrobial properties. 27. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least 13 of the 18 questions correctly. It will fade away and become softer with time. Choosing the right dressing for each patient involves evaluation and reassessment, based on the patient comfort, acceptability, and economic sustainability. Remember pilonidal cysts are filled with hair and other debris in addition to pus, and you wont be able to get it all out by squeezing. It is important that patients know the difference between the two. Nursing 2005; 35 (8): 24. The location of pilonidal cysts can make it hard to see what youre doing. Bascom J. Pilonidal sinus. The intention was to aid the epithelium to migrate across the wound bed down into the deep fold of the natal cleft, while preventing fecal or other contamination of the wound. 5. I soften up the dried spot of the scab and clean it now all the time. The authors spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interests in, any commercial organizations pertaining to this educational activity. Histology of chronic pilonidal sinus. I can understand what you are going through right now as I went through exactly the same 2 years ago. If the area is red, oozing or swollen, consult your doctor. Still, ask your surgeon or healthcare provider. Superficial critical colonization is due to damage caused by bacteria on the surface of the wound that leads to delayed or stalled healing of a PSW. Twelve leading mistakes in assessment and treatment have been identified with appropriate solutions to optimize patient outcomes. You are not alone, stay strong and remember there is light at the end of the tunnel. A recently published article by Harris and Holloway16 featured a literature review to identify areas that may contribute to optimal healing conditions or to delay healing in PSW healing by secondary intention. You mentioned that sometimes it can just be "paranoia, that every pain or swelling in the area is a new pilo forming." It affects about 70,000 people in the US annually and is more common in men than women. Hi all! After almost two weeks my dr told me the beat thing to do was bring it to a head. Also, I got my son something called a coccyx cushion. People are also most likely to develop pilonidal cysts between puberty and 40 years old. Pilonidal cysts typically develop above the cleft of the buttocks. Johns Hopkins All Childrens Hospital: A to Z: Pilonidal Cyst., University of Texas at Austin: Pilonidal Cyst.. A doctor will typically treat pilonidal cysts with minor surgical procedures. I guess a tiny bit of pain but nothing too bad. Ok so I know this post I kind of old but my story goes like this. Yawn123, sounds like you got very lucky to get away with this without even going for surgary. Pilonidal cyst surgery, also called pilonidal cystectomy, is a procedure used to remove a pilonidal cyst or abscess (boil) and the surrounding infection. Apply research-based information to educating patients about self-care for pilonidal sinus wounds. For this dressing frequency, the more expensive moisture retentive dressings can be consideredfor example, adhesive foams, absorbent composite dressings, or semipermeable films with nonwoven soft gauze. The results of these actions allowed the wound tissue from both sides of the buttock to touch and begin to heal together (premature bridging, altering the contour of the natal cleft).