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Pilonidal Cyst Causes, Symptoms, Treatment, Diagnosis Pilonidal disease is a chronic inflammatory condition of the sacrococcygeal region, typically involving the gluteal cleft. It results from a foreign body reaction to loose hairs penetrating the skin, leading to cyst formation, sinus tracts, or abscesses., Clinically, pilonidal disease can manifest in acute or chronic forms. Acute presentations often involve a painful, fluctuant mass with erythema and signs of abscess formation. Chronic disease is characterized by persistent drainage from midline pits and sinus tracts, often with recurrent infections. On examination, midline pits in the gluteal cleft are typical, and subcutaneous tracts may extend cephalad or caudally, sometimes mimicking anorectal fistulas. Management strategies vary depending on disease severity and presentation. For acute abscesses, incision and drainage (I&D) is the first-line treatment. However, recurrence is common if underlying sinus tracts are not addressed. Antibiotics are generally not required unless systemic infection is present. Nonoperative treatments are suitable for mild or chronic cases without abscess. These include: Hair removal: Regular shaving or laser epilation of the gluteal cleft reduces recurrence. Phenol injection: A chemical ablation technique with success rates up to 80%. Fibrin glue: Used to seal sinus tracts and promote healing. Surgical options are considered for chronic or recurrent disease. Techniques include: Excision with secondary intention healing: Lower recurrence but longer recovery. Primary closure: Faster healing but slightly higher recurrence. Off-midline flap procedures: Such as the Karydakis, Limberg, or Bascom cleft lift, which reduce tension and recurrence by flattening the natal cleft. Minimally invasive approaches: Including sinusectomy (e.g., Gips procedure) and endoscopic techniques, which offer reduced morbidity and faster recovery. #PilonidalCyst, #AbscessDrainage, #EmergencyMedicine, #SurgicalProcedure, #WoundCare, #MedicalEducation, #LarryMellick, #IncisionAndDrainage, #KetamineSedation, #SkinInfection Subscribe for 0$ 💰🤑 This button helps our community, thank you so much 2$ only: / @dailydoseofmedicinee #medical #medicine #what #doctor #health #whatis #healthy #medication #nurse #whatis #disease #physician #medicalinformation #medicines #doctors Don't forget to watch these popular videos: Detox pancreas fast: • HOW TO DETOX THE PANCREAS? Clean, Healthy ... Folate deficiency signs: • Folate Deficiency Signs & Symptoms, Folate... Ways to boost growth hormone: • 5 Ways To Boost Human Growth Hormone Natur... IRON RICH FOODS, How to increase iron naturally? • IRON RICH FOODS, How to increase iron natu... PROMOTION&DEALS&EVERYTHING: [email protected] (with 2 e) £$€