The sacro-coxigeal cyst or pilonidal cyst ("hair nest") is a fistulized cyst that usually forms in the intergluteal fold, although it can also occur in other locations. It is more common in men than in women, in the white race and between 15 and 30 years of age. The causes could be congenital and acquired but not proven. The pilonidal abscess, the infection, produces pain, swelling, reddening of the skin and sometimes fever.
Pilonidal cyst treatment
The abscess of the cyst should be treated by an incision on the area to facilitate the evacuation of the infected fluid. On occasion, when the symptoms are incipient it can be treated with antibiotic. This drainage resolves the infection but not the pilonidal cyst, a surgical treatment is necessary.
Pilonidal cyst, operation
The purpose of the surgery is to remove the pilonidal cyst and all existing fistulous trajectories. Then the wound will be closed with drainage or it will be left totally or partially open, depending on the state, size and existence or not of infection. Anesthesia is usually regional or saddle: the patient is awake with the waist and anesthetized lower extremities. The duration of the surgery ranges from 20 to 40 minutes.
There are no proven prevention measures. A good hygiene and hydration of the area is usually advised without being able to demonstrate that these measures contribute to avoid the appearance of the cyst.
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