It also lets the doctor make a smaller, shallower cut so that you dont need to take out and repack gauze daily. 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. Nasal, axillary, and perineal carriage of. The community wound care specialist and visiting nurse came to the hospital prior to discharge to discuss and view the dressing change to ensure the continuity of care. A couple months ago, my pilonidal cyst scar got inflamed & started bleeding but healed in a week. Closed wounds with incisions off the midline are the best surgical procedures for pilonidal disease. A problem called complex or recurrent pilonidal disease is a complication of a pilonidal cyst. As mentioned, dressing stability is critical. I had surgery done to remove my Pilonidal cyst about 4 months ago, after having several flare ups within the 4 months prior. 2 0 obj Best Hospital For Fistula Treatment In Bangalore? The area gets sweaty and rubbed a . <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Email : wecare@smileshospitals.com But what does happen now is every 3 months or so the area gets red and sometimes swollen and not really painful but uncomfortable. I had my pilonidal sinus surgery 4 years ago. Is the laser surgery for pilonidal sinus painful? Now, about 3 or 4 months after surgery my scar area is a bit swollen, red, warm and hurts a little. 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. You can also try taking a sitz bath. Anderson, in 1847. I emailed some pics to my surgeon and he suggested I take 5 days of antibiotics (Augmentin 625 mg twice a day) with an anti inflammatory (I took serrapeptase which is a natural anti inflammatory and 10 times stronger and safer than Advil/Ibuprofen) alongside and probiotics (to counteract the antibiotics). It is necessary to seek timely treatment for pilonidal sinus otherwise the condition can get more severe with time. It will fade away and become softer with time. Several studies show the recurrence rate is as high as 30 per cent. The Surgeon did a cleft lift and stitched my wound up after the operation. It usually happens more often in younger people. A pilonidal cyst is an ingrown hair of the skin over the midline at the coccyx bone. Cleft Lift Healing Pictures. However, in some cases, the recovery period can stretch to about 3 months. This patient, however, remained in the hospital for 16 days, primarily for the complicated dressing changes. Pilonidal cysts are more common in men and people who sit for long periods of time, such as office workers are truck drivers. Couldn't walk right Couldn't lay on my side or sit properly. Dis Colon Rectum 1975; 18: 6614. Treatment may include antibiotics, hot compresses and topical treatment with depilatory creams. Many clinicians have had anecdotal success with negative-pressure wound therapy for highly exudative wounds in this region if the cause and secondary infection have been adequately treated. Healing of pilonidal sinus wounds (PSWs) by secondary intention requires an average of 2 to 6 months, but delayed healing may require . Other signs of infection are a fever and a bad odor that comes from the wound. Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). Spivak H, Brooks V, Nussbaum M, Friedman I. Demonstrate knowledge of pilonidal sinus care and the 12 common mistakes associated with this care. It is important that patients know the difference between the two. Lippincott CME Institute has identified and resolved all conflicts of interest concerning this educational activity. Wow, what a uncomfortable journey.I would like to try anything to avoid surgery. 8. In addition, persistent inflammation with or without infection that may be caused by the hair follicle, hair tip, or foreign-body reaction can delay healing. This was followed by a modified Delphi procedure to develop consensus for an evidence-based protocol for treatment.16,17 The protocol was presented at 4 national wound care conferences and implemented in several healthcare organizations, including those affiliated with the 4 authors. Banerjee D. The aetiology and management of pilonidal sinus. This minor procedure is typically performed by a colorectal surgeon. 4. The patient expressed a feeling of discomfort when the dressing was done quickly, stating that it felt loose and as if the dressing material was falling out as soon as he stood up. Best food forward: Are algae the future of sustainable nutrition? Last medically reviewed on July 28, 2021, Skin cysts, or sebaceous cysts, are fluid-filled lumps on the skin. Dr Sibbald has disclosed that he is/was a recipient of grant/research funding from BSN Medical, 3M, Mlnycke, Coloplast, Gaymar, Johnson & Johnson (Systagenix), and KCI; is/was a consultant/advisor to BSN Medical, 3M, Gaymar, Mlnycke, Coloplast, Gaymar, Johnson & Johnson (Systagenix), KCI, Covidien, and the Registered Nurses Association of Ontario; is /was a member of the speakers bureau for BSN Medical, 3M, Mlnycke, Coloplast, Gaymar, Johnson & Johnson (Systagenix), and KCI. As explained by Dr Parameshwara, thetop pilonidal cyst treatment doctor, people who have recurrent pilonidal cysts often develop chronic wounds and draining sinuses. For about 7 years I'd get really bad swelling in the tailbone area and any little touch or movement would hurt. Theres a type of cyst you can get at the bottom of your tailbone, or coccyx. First Principles of Gastroenterology: The Basis of Disease and an Approach to Management, [Online] 1997. The doc told me that it was normal - called serius fluid, which can happen after surgery. Pilonidal sinus excisionhealed by open granulation. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Some error has occurred while processing your request. Your appointment should be _____ week(s) following surgery. For more information, please refer to our Privacy Policy. Self-management education regarding frequent and regular local hygiene is a key element in improving wound healing rates as well as decreasing recurrences. A clinical investigation into the relationship between increased periwound skin temperature and local wound infection in patients with chronic leg ulcers. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Looking for ways to manage pilonidal sinus after surgery? Pilonidal derives its name from Latin- pilus meaning "hair," and nidus meaning "nest." The name "pilonidal disease" has been attributed to R.M. These PSWs have costly financial consequences to the healthcare system and negatively affect the quality of life of the individual with the wound. World Wide Wounds [online]. (HTTP response code 503). Next, theyll use a surgical knife to make a small incision to help drain the pus and debris from the cyst. It looks like a large pimple at the bottom of your tailbone. 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. Your doctor will determine how often to . To learn more, please visit our, like an emergency, but I would recommend you call the doctor who is seeing you for the. As mentioned previously, activities involving sitting, excessive walking, or movement cause further damage and delayed wound healing due to frictional forces. Pain can be managed with gentle wound care and preparation of the patient along with local dressings to minimize pain at dressing change. I'll make it short. The symptoms of a pilonidal cyst include: They can vary in size. It may happen if: The area of the first abscess keeps getting infected again. Marks J, Harding KG, Hughes LE, Ribeiro CD. They can perform these under local or general anesthetic. There is no problem in getting the area wet, but do not soak the wound. Canadian Association of Gastroenterology, 3rd edition,1997. Once this happens, the patient is reluctant to take any medication for fear of adverse effects. JavaScript is disabled. You have hair growing in the area of the scar. Dont worry. Patients are taught how to remove dressings, cleanse the area, and redress the wound. The peak onset is at 19 years of age in women and 22 years in men, with new lesions seldom occurring after the age of 40 years.7,8 Pilonidal sinus disease may be related to the greater production in sex hormones in this age group, causing increased sweat production in the pilosebaceous glands. I was wondering how normal this really is? Your doctor makes a cut into the cyst and drains it. Fever. This is a minimally invasive procedure & a permanent cure for pilonidal cysts. A case study is included to illustrate the common clinical challenges with strategies to optimize healing. This marsupialization procedure allows fluid to drain easily from the area and can make cysts less likely to return. Typically, this procedure is performed as a same-day surgery, with the patient discharged following the procedure. BTW - im 29. Pilonidal cysts are the result of an infection. 17. ional activity, the participant should be better able to: 1. It affects about 70,000 people in the US annually and is more common in men than women. A cyst is a sac filled with fluid. I had the same. Adv Skin Wound Care 2010; 23: 36979. Hi all! It removes a cyst at the top of the crease of your rear end (buttocks). Minor bleeding of various degree is expected at this stage of healing. 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. You can learn more about how we ensure our content is accurate and current by reading our. However, after the incision has healed, you will notice a scar where the cyst was removed. If your incision is left open, it may take from a few weeks to several months to heal. And if it isnt a good alternative why should i do it after surgery? Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Draining of pus or blood (sometimes with a foul smell) Sometimes, a pilonidal sinus develops. Elements of the protocol that were consistently used throughout his healing included weekly periwound shaving, removal of hypergranulation tissue using curette or silver nitrate sticks, and chlorhexidine compresses with each dressing change. viable choices that fit within his/her lifestyle and current situation. Keep the cyst and area around it clean and dry. WhatsApp : +91-9844229888 . Sndenaa K, Nesvik I, Andersen E, Nata O, Soreide JA. It's red because of the skin rebuilding itself. 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. It can be caused by conditions that range from mild, Learn all about dark circles under your eyes. Most doctors think that ingrown hairs are the reason for many of them. The patient agreed to limit his activities that would stress the wound and to alter his diet to include foods rich in protein. 21. Sitting in classes all day from like 8am-4/5pm? Excess moisture on the wound surface can contribute to hyperproduction of inflammatory metalloproteases, causing the development of friable granulation tissue. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. All rights reserved. All rights reserved. The Best 8 Home Remedies for Cysts: Do They Work. <> it healed and i didn't have any problems until about 2 years ago. Keep the area above your buttocks clean, dry, and free from hair. Unfortunately the area involved is sensitive. 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. The most accepted theory for the cause of thes Uncomplicated cysts can often be managed with shaving the area. A . Advantages -- This is outpatient surgery under local anesthesia. IsPilonidal Sinushindering normal life & your daily activities? Thus, the patients are suggested to choose the right treatment for pilonidal sinusfor a minimal chance of recurrence. Theyll sew the edges of the cut to the wound edges to make a pouch. Pus or blood draining out of it. It may not display this or other websites correctly. No patient wants to go through multiple surgeries. You might be more likely to get one if you were born with a small dimple in the skin between your buttocks. Best Doctor For Fistula Surgery In Bangalore? Cardiovascular health: Insomnia linked to greater risk of heart attack. 2005-2023 Healthline Media a Red Ventures Company. I has this packed with 10 lengths of bandage a day for around 6 months. Other risk factors includeobesity, large amounts of hair, not enough exercise, prolonged sitting, and excessive sweating. It seemed to heal nicely and closed up entirely about 7 to 8 weeks after surgery. I agree with Connie777. 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. Within five years of a procedure, recurrence rates ranged from 13.8 percent to 32 percent, depending on the type of surgical. Weekdays from 8 a.m. to 4 p.m., call the Surgical Specialties Nurse Advice Line at 206-598-4549. Embedded hair and debris should be removed at each wound inspection, because of the chronic inflammation that they induce. The clinician needs to assess how each dressing manages moisture (absorbs, donates), along with its moisture vapor transmission rate. The most reliable way to remove a cyst is to have your doctor do it. Most pilonidal cysts form on the tailbone. stream During the initial history and assessment, it is important to know the patients activities and to fit the dressings to meet the need. 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. Armstrong JH, Barcia PJ. Loosely secured dressings roll or bunch and will cause excessive trauma to the wound and periwound area, unless the patient is able to perform self-care as per No. Hair is coarse or curly. Antibiotics that messed up my stomach, cream that seemed to help. American Society of Colon and Rectal Surgeons [online]. This helps prevent the development of pilonidal disease, as well as its recurrence if it does occur. Your doctor will numb the area with a local anesthetic and then make a small cut to open the cyst. But to get rid of it for good, youll need to see a doctor. I can understand what you are going through right now as I went through exactly the same 2 years ago. 1989;42:1140-2. A pilonidal cyst may also cause complications, including the following: In rare instances, pilonidal disease can progress into squamous cell carcinoma, a type of cancer. Many patients with PSW are young and do not have the same perspective on illness, morbidity, and mortality as do more mature individuals. Phone : +91-8081998800 I got his at amazon, I can send you the link if you'd like. All rights reserved. Minimal post-surgery bleeding or drainage is normal After the surgery, it is common to experience a little bleeding or drainage from the wound. at first it would bleed for a week stop for a few. During World War II, more than 80,000 soldiers got pilonidal cysts that put them in the hospital. Harris CL, Holloway S. Development of an evidence-based protocol for care of pilonidal sinus wounds healing by secondary intent using a modified reactive Delphi procedure. All what you have to do is flush the wound for cleansing, paint it with betadin was with in a year or so, make sure it is not recurrence.Go back to your operating surgeon for a check up. A pilonidal cyst is a sac filled with hair, skin, and other debris. 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. 18. Went to the ER and they drained it. Anecdotally, the authors have seen improved client outcomes from regularly shaving the periwound area. These dressings are easy for individuals to apply and cost-effective if frequent home dressing changes are required between healthcare provider visits, enabling the client to keep the area dry and reduce friction, and local dressinginduced external pressure. 19. Ovarian cysts generally go away over a few weeks without intervention. 23. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Ovington L. Hanging wet-to-dry dressings out to dry. Pilonidal disease affects more males than females. Outpatient pilonidal sinotomy complemented with good wound care and surrounding skin care. I can understand that! This procedure is done as an outpatient procedure, so you will not need to spend the night in the hospital. 22. For deep and surrounding infection, consider the wound margin and base as a soup bowl with a continuous compartment between the wound edge and base. The most common treatment is watchful waiting, unless the cyst is found to be large or is causing symptoms. Apply research-based information to educating patients about self-care for pilonidal sinus wounds. We avoid using tertiary references. People who are overweight and who have thick, stiff body hair are more likely to develop pilonidal disease. Harris, Connie L. MSc, RN, ET, IIWCC; Laforet, Karen MClSc, BA, RN, IIWCC; Sibbald, R. Gary BSc, MD, MEd, FRCPC(Med Derm), MACP, FAAD, MAPWCA; Bishop, Richard BScN, RN, IIWCC, Connie L. Harris, MSc, RN, ET, IIWCC Canadian Association of Wound Care Conference Chair 2012 Senior Clinical Specialist Wound & Ostomy CarePartners ET NOW Project Lead South West Regional Wound Care Framework Initiative London, Ontario, Karen Laforet, MClSc, BA, RN, IIWCC Director of Clinical Services Calea Home Care Mississauga, Ontario, Canada, R. Gary Sibbald, BSc, MD, MEd, FRCPC(Med, Derm), MACP, FAAD, MAPWCA Professor of Public Health and Medicine University of Toronto Ontario Canada Director International Interprofessional Wound Care Course & Masters of Science in Community Health (Prevention & Wound Care) Dalla Lana School of Public Health University of Toronto President World Union of Wound Healing Societies Clinical Editor Advances in Skin & Wound Care Ambler, Pennsylvania, Richard Bishop, BScN, RN, IIWCC Skin and Wound Care Clinician Halton Healthcare Services Oakville, Ontario Canada. A lot of body hair surrounds the sinus. 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. It is more common in men than in women. What causes them, and what you can do about them. 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. 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. Dis Colon Rectum 1996; 39: 11369. Recovery from this type of surgery can take weeks or months to heal, is extremely painful, and often results in a recurrence. <>>> The presence of 3 or more signs is an indication to include topical antimicrobial agents as part of the local wound care. Also, get some tips on treatment for this type of cyst and learn how to, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Try applying a hot . Having had one experience two years ago, I thought I was done. This procedure typically takes place under general anesthesia and is one of the most effective surgical interventions for pilonidal disease. Measuring quality of life in patients with granulating wounds. Data is temporarily unavailable. 27. I'm adding my pilonidal cyst story. Adv Skin Wound Care 2006; 19: 44761. Symptoms of a pilonidal cyst include: (1) Pain or tenderness. To enhance the learners competence with knowledge of 12 common mistakes in pilonidal sinus care. People thought they were because of irritation from riding in bumpy Jeeps. BSI Glossary. Fecal contamination of the dressing and the wound contributes to delayed PSW healing. Highlight selected keywords in the article text. I had my second surgery to deal with a sinus on April 14th. Hodges in 1880. I think it's only scar tissue and a raised bump. 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/. 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. Hydrogels should be selected for dry or thick-slough areas, keeping in mind that the whole cavity is not to be filleda small amount in the base of the wound is sufficient to provide needed moisture with the secondary dressing maintaining wound contact. Pilonidal Cyst Surgery Showering Questions? a systemic infection that spreads through the body, keeping the area free of hair by shaving or using depilatory creams. Well I only had the pit picking done (relatively minor), but once in a while the area will get kind of sore. Read More Created for people with ongoing healthcare needs but benefits everyone. Pilonidal sinus disease: the conservative approach. Here are the tips explained by theexperts of pilonidal sinus treatment at SMILES. Pilonidal cysts, also known as pilonidal sinuses, are often removed through surgical excision procedures. Communication was required between the surgeon and the community nurses to emphasize the importance of ensuring this intimate contact between the dressing material and wound throughout the wear time of the dressing (Figure 4). Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Choosing the right dressing for each patient involves evaluation and reassessment, based on the patient comfort, acceptability, and economic sustainability. For a better experience, please enable JavaScript in your browser before proceeding. Dis Colon and Rectum 1983; 26: 8007. Dancer SJ, Noble WC. And here are the Dos: All rights reserved. The only way to get rid of a pilonidal cyst is through a minor surgical procedure. This dimple can tend to get infected, though doctors arent exactly sure why. The location of pilonidal cysts can make it hard to see what youre doing. what needs to be done to stop it? Although surgical intervention is the preferred first line treatment, postsurgical wound healing disturbances are frequently reported due to infection or other complications. may email you for journal alerts and information, but is committed There is disagreement over whether the wound that results from removing a pilonidal cyst should be closed during surgery or left open to heal with . If this is happening see your surgeon for eval and possible re-excision of the. In the authors experience, PSW patients self-management abilities are facilitated with the use of soft nonwoven gauze as the secondary dressing, changing it as needed throughout the day. Marks J, Hughes LE, Harding KG, Campbell H, Ribeiro CD. My pilonidal cyst was the size of a baseball, which left me with an enormous open wound. so what I've been doing is this As soon as I start to feel any discomfort I begin to take hot(not to hot) bath with Epsom salt(it reduces swelling and kills bacteria) after about a 30 to 40 minute soak I shower normally and then put vitacilina(petroleum based antibiotic cream it's OTC) and withing a few days it's all gone. I'm confused. Apply research-based information to educating patients about self-care for pilonidal sinus wounds. 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. Another consideration that may contribute to excessive friction activity is the impact of care access, thus the clinic setting versus in-home treatment. Pilonidal cysts are a common condition, with more than 70,000 cases reported in the U.S. every year. And I'm walking up and down 4 floors of stairs too. Silver also has a local anti-inflammatory action. You might also try soaking the area in a warm, shallow bath. The doctor may also choose to seal the area with stitches. They may use general or regional anesthesia to manage your pain. Follow all of your doctors instructions about at-home care, especially if you need to remove and pack gauze. Search for Similar Articles For abetter pilonidal sinus treatment in Bangalore,Visit SMILES for painless and permanent cure. 9. You will then receive an email that helps you regain access. Usually from sitting for too long, but it hasn't had any recurrences. The doctor may close this incision with stitches or he or she may leave it open to heal. Local wound care management is a critical element in reducing frictional forces. 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. I did this and was fine within a day. Sometimes, these cysts become infected and a pocket of pus called an abscess forms. Patients are suggested to take bed rest for two days and can go back to their normal activities after 2 to 4 weeks. Engaging clients early in their care can be quite challenging. If the exudate is excessive and not handled with topical dressings changed daily, deep or surrounding skin infection should be suspected, diagnosed, and treated. When pilonidal sinus gets infected it creates it swells and becomes sore. Fierheller M, Sibbald RG. Characteristically, these midline wounds are in the natal cleft of the buttocks or sacrococcygeal area of the back. Part one: the literature review. Once infected, the technical term is pilonidal abscess, and it can be painful. A doctor will typically treat pilonidal cysts with minor surgical procedures. 26. Keep the follow-up appointments with your doctor. They will clean out the area and remove any pus and debris using suctioning and saline. |HsU# >|_]> E\S HCo@LC| _\~_S`YT(]Eo` ?n/ QQ`?jR,@Z`, i3* '!U_-m;vjEb;kyGES. Avoid strenuous exercise and activities(for about two weeks after surgery) that require long periods of sitting. Low-profile, bordered adhesive dressings keep the buttocks separate, reduce friction, and eliminate a nidus for pressure. After participating in this educational activity, the participant should be better able to: 1. 9319-488-973 Book Free Appointment Shower after pilonidal cyst drainage You can shower the day after surgery. MNT is the registered trade mark of Healthline Media. The only way to get rid of a pilonidal cyst is through a minor surgical procedure. After the incision has healed, you will have a scar where the cyst was removed. As a result, epithelial cell migration improved with reduced hypergranulation present in the wound base. Removing body hair through shaving or creams can also help. Also is it true that the only reason for it to recur after surgery is because the surgeon did not remove every piece of infected tissue? Once everything has been removed from the cyst, theyll pack the wound with sterile gauze or close it with stitches, depending on the location. The cause of most pilonidal cysts is loose hairs that puncture the skin. It typically occurs between the ages of 13 and 26 years. Most often it occurs between puberty and age 40. Johns Hopkins All Childrens Hospital: A to Z: Pilonidal Cyst., University of Texas at Austin: Pilonidal Cyst.. Its harder to remove the entire cyst with this method. Generally, the healing process takes about 6-8 weeks to complete (for traditional surgery of pilonidal sinus). Pilonidal Sinus Post-Operative Care . If you have any of the symptoms, call your doctor.