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What is the most successful pilonidal cyst surgery?

Of all the treatment options available to treat pilonidal cysts, the success depends upon various factors. There are non-invasive and surgical treatment options available to remove the cyst. For more chronic and severe cases, pilonidal surgery is the most sought-after. Here is a quick insight into the various surgical techniques available and the most successful and widely recommended procedure:

A Look Into Different Surgical Options

In the initial interactions with a colorectal surgeon, the expert will assess and evaluate your case and propose one of the following treatment options for pilonidal cyst removal:

Incision And Drainage

This is the primary course of action. It is also the first-in-line treatment for acute cases of pilonidal cysts. It is primarily a non-invasive cyst removal surgery that is performed under local anesthesia. The cyst is cut open with a small incision. The pus, fluid, and accumulated debris are drained away and the area is carefully sanitized. The colorectal surgeon will prescribe oral antibiotics for infection control and analgesics for pain management. This is accompanied by post-procedure instruction guidelines for do’s and don’ts. It enjoys a success rate as high as 60% and patients recover completely and permanently within four weeks. 

Marsupialization

For patients who fail to find relief from the incision and drainage procedure or cases wherein the size of the incision is too big to be left open, the surgeon will seal it with sutures. The procedure is termed as marsupialization. The edges of the cyst are neatly stitched to close the wound cavity. Thus, the healing takes longer, and following after-care instructions is crucial to avoid relapse. 

Rhomboid Flap Technique

The rhomboid flap technique is one of the promising pilonidal cyst removal surgery methods. It is an invasive surgery to remove the entire portion of the infected skin. The wound cavity is cleaned, sterilized, and packed with a patch of healthy skin taken from another part of the body. The skin grafting ensures that the wound cavity is properly filled. The wound pouch is then neatly sutured to seal the wound. As the procedure effectively closes the wound, the risk of recurrence is low. But it takes much longer than other surgical methods until one enjoys complete recovery. Also, the downtime after the rhomboid flap technique is substantial and it takes much longer to get back to daily business. 

Final Thoughts

Patients suffering from pilonidal cysts know how painful and irritating the condition can be. Its awkward location makes it all the more uncomfortable and difficult to manage and monitor. But expert colorectal surgeons like Dr. Allen Kamrava MD MBA offer ways that ensure quick and effective recovery. As pilonidal cyst surgery is touted as the most effective way to eliminate the cyst permanently, the skill and expertise of Dr. Kamrava come in handy. He not only recommends the most appropriate case-specific surgical treatment option but also has the latest infrastructure to execute the procedure. With a well-structured follow-up schedule, one is likely to enjoy a successful treatment outcome. 

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