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Pilonidal Cyst Excision


What do I need to know about pilonidal cyst excision?

A pilonidal cyst excision is the removal of a cyst on your lower back that has become infected or abscessed (collection of pus).

How do I prepare for pilonidal cyst excision?

Your healthcare provider will talk to you about how to prepare for this procedure. You may be asked to not to eat or drink anything after midnight on the day of your procedure. You will be told what medicines to take or not take on the day of your procedure. Your healthcare provider may tell you to stop taking medicines such as blood thinners or NSAIDs a few days before surgery. You may need a ride to and from your surgery if you do not need to stay in the hospital.

What will happen during pilonidal cyst excision?

You may be given general anesthesia to keep you asleep and free from pain during surgery. You may instead be given local or spinal anesthesia to numb the surgery area. With local or spinal anesthesia, you may still feel pressure or pushing but you should not feel any pain. You will be placed on your stomach during surgery. Your surgeon will make one or more incisions on your lower back on or around your cyst to remove it. Your surgeon may put dye in the incision to help them see the cyst clearly. The incision may be closed with stitches or left open to heal. A bandage or wound vacuum will be placed over your incision to keep it clean and dry, and to prevent infection.

What are the risks of pilonidal cyst excision?

You may bleed more than expected or get an infection. You may have pain after the procedure. A scar may develop as the incision heals. The scar may become large and raised. Your stitches may come apart. The cyst or abscess may develop again.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.