Pilonidal cyst (sinus) surgery

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This is an inflammation of subcutaneous tissues of the intergluteal cleft. The condition is caused by broken hairs which grow into the skin, causing inflammation and abscesses. About 0.7% of the population is affected. It affects mostly young people, between 20 and 40, most often men (men to women ratio is 3-4:1).

Treatment options:

The treatment involves the resection of the lesion within healthy tissue and leaving the wound to heal through granulation. An alternative procedure is the Limberg flap method. Patients benefit from a significantly shorter recovery time and a reduction of pain to minimum.

Eligibility for the procedure:

The decision on your surgery is taken during a pre-operative visit when a doctor assesses your eligibility, selects the optimum procedure and orders necessary tests.  The decision is made on the basis of test results and your general condition. Then a convenient date is selected.

Before the procedure

  • One week before the procedure you should have the following blood tests done: full blood count, electrolyte test, coagulation test, blood type, glucose, creatinine, Hbs antigen, ANTI-HCV.
  • If you have other medical conditions, please consult your attending doctors and bring a certificate that there are no contraindications to the surgical procedure.
  • If you are on anticoagulant treatment, you should switch to subcutaneous medications 7 days before the procedure.
  • Consult with the attending doctor whether to take any medications on the day of the procedure.
  • On the day of the surgery you should come to hospital on an empty stomach.

Procedure:

  • The procedure is performed under general anaesthesia.
  • During the procedure a skin flap is moved from the gluteus maximum muscle using Limberg method.
  • A Redon drain may be left in the wound for one day.
  • The procedure lasts from 45 to 80 minutes.

After the procedure:

After the removal of the pilonidal cyst by Limberg method you can return to normal activity within one week, but you should follow these guidelines:

  • Physical exercise should be limited for up to 2 weeks after the surgery.
  • The wound should be rinsed with Octenisept solution every day.
  • Sutures are removed on the 7th and 14th day after the procedure,
  • Histopathology results should be collected 14 days after the surgery.

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+48 61 62 33 111

Wielkopolskie Centrum Medyczne
Sp z o.o. S.K.A

st. Bolesława Krzywoustego 114
61-144 Poznań, POLAND

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