A pilonidal cyst is a sac filled with hair and skin debris that forms at the bottom of your tailbone. Infected hair follicles usually cause these cysts to develop. A pilonidal cystectomy is surgery to completely remove the cyst, along with the pilonidal sinus tracts. While this procedure is more complex than an incision and drainage, it’s also more likely to be successful.
Follow a healthy diet: You can help healing by eating healthy. Follow a diet high in vitamin C, protein and zinc. Vitamin C is found in citrus fruits such as oranges and grapefruits. Vitamin C is also in vegetables such as broccoli and brussel sprouts. Meat, fish and milk products are high in protein and zinc. Choose low fat protein. Your health care provider may want you to take multivitamins or nutritional supplements as well.
Follow your activity guidelines: After some types of surgery you will be advised to avoid heavy lifting. This means you cannot lift anything over 10 pounds or 4 ½ kilograms Heavy lifting can cause problems with healing. Follow the instructions you were given in the hospital.
Exercise and Activity: Exercise and activity helps healing by improving blood flow. Blood brings oxygen and healthy nutrients to the cells in your body to help them heal. Follow the instructions you have been given about the amount and type of exercise to do. You may need to avoid straining and heavy lifting so your wound can heal.
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Healing depends on your general health and the type of surgery you had. Large or deep surgery incisions can take 6 to 8 weeks to heal. People with medical problems or prescribed certain medications may take longer.
You will leave the hospital with a cotton gauze dressing (also called a 3×3 or 4×4) tucked into the surgical wound. It is important that you continue to tuck a gauze into the wound. This is important for proper wound healing. It prevents the wound from healing superficially before the deep portion heals, which would result in essentially a recurrence. Also, some wounds stagnate and stop healing if the skin edges contact each other. The reason for this is not known with certainty, but probably is due to local mechanisms by which skin contracts and skin cells divide and migrate into wounds. The wound will not appear to be healing for two weeks. The process of healing is actually occurring, but at a tissue level that is difficult to see. The wound will then heal in a visible way, and then will accelerate healing. You may feel the wound is healed before it actually has.
It is important that you continue wound care beyond when the wound seems to have healed. It can be difficult to perfectly keep a gauze in the wound as it may dislodge with motion. It is not important that you are perfect with wound care. Even if you try to be perfect you will not be. The gauze will dislodge anyway. It is more important that you are persistent, replacing the gauze when you can. If you are persistent the wound will heal. Some people find it easier if they wear tighter underwear. Though you will initially have tape keeping gauze in the wound after surgery, tape after this initial period is not an advantage, and can actually be counter-productive, pulling gauze out of the wound with motion. Patients who do this also find the tape irritates the skin around the wound. Tape is not worth the pain or even necessary.
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Follow the directions you were given in the hospital.
Keep the wound clean and dry for the first 72 hours.
Your health care provider will tell you when you can shower.
When having a shower, do not let the spray go directly onto any incision until it is well healed.
Avoid baths, swimming pools and hot tubs until your incision is well healed.
Your incision may also be covered with a dressing made of gauze pads.
In the hospital, your health care provider may look at your incision and change the dressing.
You will learn what to look for and how to do it if you are going home with a dressing.
When you go home with a dressing: Change the dressing as you were advised in the hospital. Wash your hands well with soap and warm water before and after touching the dressing. Then clean and apply the dressing as you were taught in the hospital.
If the cut (incision) was closed with stitches, it will probably take about 4 weeks to completely heal. If your incision is left open, it may take from a few weeks to several months to heal. After the incision has healed, you will have a scar where the cyst was removed.
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As with all surgery, you should expect some discomfort. It can be quite painful for the first couple of days and it may seem like it gets worse before it starts to feel more comfortable again, but the pain will ease. Pilonidal sinus surgery is not typically painful. There can be some pain. In addition, given medicine (general anesthesia) that keeps you asleep and pain-free.
You may experience some pain or tenderness during the recovery process. In general, it'll probably take anywhere from one to three months to completely heal. Most people can resume their regular activities two to four weeks after surgery.
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Surgical treatment for pilonidal sinus is generally very safe with few risks but, as with any surgical procedure, complications can occur occasionally:
You can take a shower 36 hours after the procedure. Just place a dry dressing to the area after your shower. It is OK to get the area wet, but no soaking of the wound. No swimming or baths for three weeks after the procedure.
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It is important to keep the area of the operation clean. We recommend that you gently bathe your wound in a warm bath every day, if you can link this in with removal of the dressings and replacing new ones. This may also help with your pain. The main limitation with surgery to treat your pilonidal sinus is that the sinus and your symptoms may return. Therefore, you may need another operation if this happens. Do not use soap or put salt or any perfumed Leaving hospital products in the water until your wound has healed, as these can irritate the wound site. Do not be alarmed if you notice blood in the bath, as this is quite normal and will reduce in time.
Most people take about a week to 10 days off work. Will I have a dressing? However, this depends on how you feel, how active your job is, and which operation you have had.
Can you poop after pilonidal cyst surgery?
Constipation after pilonidal surgery is due to pain medication. Because pilonidal surgery is not as painful as many procedures, this is not usually a problem. However, constipation is still possible. It is important that you eat regularly and for a while consume enough fiber. If after a few days you haven’t had a bowel movement you can take 1-2 ounces of milk of magnesia.
Most people can go back to work and most activities after 2 to 4 weeks. Until you have completely healed, you will need to avoid strenuous exercise and activities that require long periods of sitting. Do not exercise, run or workout for at least 3-4 weeks. If your wound is closed (sutured), then be very careful while bending, sitting or going to the bathroom.