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Specialized care for the treatment of pilonidal diseases

A general surgery procedure indicated to eliminate chronic or recurrent infections near the coccyx. The procedure restores the health of the area and alleviates the discomfort caused by the pilonidal disease.

How is this procedure performed? 

The procedure begins with local or regional anesthesia for greater comfort. The surgeon makes a precise incision to drain and completely remove the cyst or fistula tract. In complex cases, the wound may be left open to heal naturally or closed with sutures, depending on the extent of the condition. Post-operative care includes hygiene instructions and regular dressing changes to promote healing and prevent recurrence. 

Why is this procedure important? 

Treating pilonidal cysts or fistulas is crucial to prevent recurrent infections, pain, and complications such as abscess formation. Early intervention ensures better results and reduces the risk of chronic problems or scarring. For patients who experience frequent discomfort, the procedure significantly improves quality of life.

The condition

What is pilonidal disease

This condition often develops due to the incorporation of hair follicles under the skin, leading to the formation of abscesses or sinus tracts in the coccyx area. 

Without treatment, it tends to recur: infections resolve temporarily and return, because the cause remains.
Why not delay

Delaying treatment can allow recurrent infections, persistent pain, and complications such as the formation of new abscesses.

Warning signs

Signs that you may have a pilonidal cyst

  • ✔
    Pain or sensitivity in the coccyx area, especially when sitting
  • ✔
    A small opening or depression in the skin near the base of the spine
  • ✔
    Swelling or redness in the area
  • ✔
    Drainage of pus or fluid, sometimes with odor
  • ✔
    Fever associated with active infection
  • ✔
    Recurrent episodes of pain or swelling in the same area
Do not wait for infection

It is not necessary to wait for an active infection to seek evaluation. 

If you recognize one or more of these signs, a general surgery consultation can confirm the diagnosis and indicate the most appropriate treatment.

The procedure

How removal is performed

The procedure begins with local or regional anesthesia, for greater comfort during the intervention. The surgeon makes a precise incision to drain and completely remove the cyst or fistula tract. 

In more complex cases, the wound may be left open to heal naturally, or closed with sutures, depending on the extent of the condition.
After surgery

Post-operative care includes hygiene instructions and regular dressing changes, to promote healing and reduce the risk of recurrence.

Why it is important

Benefits of early intervention

Clinical evaluation

What is evaluated before the procedure

01

Extent of the condition

Evaluation of the size and depth of the cyst or fistula.

02

Surgical approach

Definition of whether complete excision or only drainage is necessary, depending on the case.

03

Wound treatment

Planning of healing based on the complexity of the condition.

04

Post-surgical care

Continuous support to ensure recovery and minimize complications.

Frequently asked questions

Common questions about this procedure

Can the pilonidal cyst come back after removal?

There is a risk of recurrence, especially if the cause (such as ingrown hairs) is not adequately controlled. Complete removal and proper post-operative care significantly reduce this risk.

Does the surgery hurt?

It is performed under local or regional anesthesia, so there is no pain during the procedure. After surgery, some discomfort is normal, controlled with medication and proper care.

How long does healing take?

It depends on the approach used, whether the wound is closed with sutures or left open to heal naturally. The doctor provides a specific follow-up plan for each case.

Can I prevent the appearance of a pilonidal cyst?

Maintaining good hygiene in the area and avoiding prolonged pressure on the coccyx can help reduce the risk, but in predisposed patients, the condition can still occur.

What is evaluated during the procedure?

01.

Extent of the condition:

Evaluates the size and depth of the cyst or fistula.

02.

Surgical approach:

Determines whether excision or drainage is necessary.

03.

Wound treatment:

Plans healing based on the complexity of the disease.

04.

Post-surgical care:

Provides continuous support to ensure recovery and minimize complications.

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