surgeon performing a surgery

Navigating Your Recovery from Pilonidal Cyst Surgery

A pilonidal cyst is a pocket of skin that forms near a hair follicle. This type of cyst usually forms near the tailbone. Pilonidal cysts look like a small indentions in the skin, and they may contain dark spots or hair. A pilonidal cyst usually develops because hair becomes embedded in the skin. When this type of cyst becomes infected, it can become painful and require surgery. This article will cover pilonidal cyst surgery and the recovery process.

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Types of Pilonidal Cyst Surgery

There are two main approaches to pilonidal cyst surgery:

Incision and Drainage

An incision and drainage is the most common approach to treating an infected cyst. This simple procedure can be performed in your doctor’s office. Your doctor will use a local anesthetic to numb the skin on and around the cyst. They will then make a small cut and drain the fluid from the cyst. The hole will then be packed with gauze and left to heal. It may take a few weeks for the cyst to heal, and you’ll need to change the gauze out regularly as it heals.

surgeon performing a surgery

Pilonidal Cystectomy

If an incision and drainage are ineffective, then a pilonidal cystectomy may be recommended. This surgical procedure is usually done as an outpatient procedure, meaning you won’t have to spend the night at the hospital after. Your doctor will likely use general anesthesia, meaning you’ll be asleep during the surgery. They will make a cut to remove the cyst, and the area may or may not be packed with gauze, depending on the size. In some cases, a tube will be placed to help with draining fluids after surgery.

What to Expect Immediately After Pilonidal Cyst Surgery

After surgery, you can expect some mild pain which can be managed using pain medication. Your surgical team will recommend medications for pain management, and they will make sure your pain is under control before sending you home. You should be able to return home immediately after the surgery. Your surgical incision will be covered by a bandage, and you’ll be given pain medications.

Discharge instructions will be given to you by your provider. They will instruct you on how to best care for your surgical wound. As with any infection, there are some risks associated with pilonidal cyst surgery.
Common risks include:

  • Bleeding
  • Infection
  • Bleeding
  • Infection

The Recovery Timeline for Pilonidal Cyst Surgery

Recovering from pilonidal cyst surgery will go through different phases, including the initial recovery, intermediate recovery, and long-term recovery.

The Initial Recovery Phase

In the initial recovery phase, your main concerns will be pain management and infection prevention. You can take pain medications to manage any pain associated with surgery. To prevent an infection, keep the surgical wound clean and dry. Follow the instructions given to you by your provider to best care for the incision. Look out for signs of infection, such as increased pain, redness, or fever.

patient consulting with a doctor

The Intermediate Recovery Phase

Once you’ve surpassed the initial recovery phase, you can start focusing on getting back to your normal activity level. You should be able to quickly return back to your daily activities, such as work and exercise. Take it slow as you ease back into your day-to-day in order to give your body the time it needs to fully heal.

Long-term Recovery and Outlook

It is common for pilonidal cysts to return after surgery. About half of the people who have them removed will have their cysts returned. Even if you get a second surgery, there is still a possibility that the cyst could return.

Post-Surgery Care and Rehabilitation

As you ease back into your daily life, you’ll need to take certain steps to help make your recovery a smooth process.

  • Wound Care and Hygiene. You’ll need to make a routine out of caring for your wound and keeping the area clean and dry to prevent infection. You’ll likely need to clean the site multiple times a day, and you’ll want to check it frequently to ensure that it stays clean and isn’t showing signs of infection.
  • Lifestyle Adjustments for Healing. You may need extra rest to help promote healing. This could mean taking time off work or canceling other life obligations in order to give your body time to fully recover.
  • Recovery IV and Potential Benefits. IV therapy can help to boost certain vitamins and minerals that will promote your body’s healing. A recovery IV can provide your body with fluids and vitamins to help best encourage the healing process.
  • Regular Follow-up Visits and Checks. You’ll need to follow up with your provider so that they can check in on how your body is healing.

Living Life After Pilonidal Cyst Surgery

After you’ve recovered from your surgery, it may take some time to cope with any physical changes the surgery has caused. You may have a scar from surgery that could take some getting used to. Remember to be patient with yourself and take it one day at a time. It is important to continue taking steps to stay healthy such as making healthy lifestyle choices and following up with your doctor regularly.

elderly woman drinking water

Returning to Daily Life

It may take some time to get back to feeling like your full self again. You may have to take it slow when returning to work and other daily activities, as you may still be experiencing pain and some discomfort.

Managing Potential Setbacks

It is important to be aware of certain signs of complications. Common signs of infection include pain, redness, fever, and chills. Seek medical attention immediately if you notice signs of infection or if you have excess bleeding. Your doctor may go over additional risks with you, make sure that you know when to contact them and how to get in contact with them if needed.

Summary

Taking care of yourself is the best way to ensure a smooth recovery process. Make sure to see your doctor regularly and make healthy lifestyle choices to ensure that your body makes a full and speedy recovery.

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