Pilonidal cyst is an extremely painful disease, the patient experiences recurring abscesses in the gluteal area, below the coccyx. It is usually caused by hairs that grow inward or dirt. That gets lodged in the skin; this causes inflammation and a cyst springs out. In some cases, the condition turns into a chronic one, and the cyst reappears after the primary treatment. So, the patient needs a more extensive surgical procedure, referred to as excision of an extensive recurrent pilonidal cyst.
In this process, the cyst is removed by the process of excision. But do you know how it’s done or do you have any idea about.What this process is all about and what are its benefits? If not, let’s try to find out the facts related to the Pilonidal Cyst Surgery Video and know everything about this process.
Pilonidal Cyst – Signs & Symptoms?
The Signs and symptoms of a Pilonidal Cyst can include tenderness, warmth in the affected area, redness, and sometimes it may get filled with pus that has blood or even foul smell. Pilonidal cysts are more frequent among young people, especially men, and are related to long-term sitting, body hair, and personal hygiene. Despite early management, the condition is known to relapse and some patients may experience multiple relapses in their lifetime.
When is Excision Required?
In relapsing cases of pilonidal cysts, simple procedures such as puncturing or administering antibiotics may not work as before. In other words, if the cyst has become substantive, that is, if it has increased in size, has grown into deeper tissue layers. or has multiple openings to the skin surface called sinus tracts then one requires a more radical procedure.
Total tissue excision of a large recurrent pilonidal cyst entails the removal of the cyst and all related tissue, including the multiple sinus tracts that have developed. It is commonly the only curative intervention in patients with chronic or recurrent pilonidal cysts to avoid further manifestations. You may see the same in the pilonidal cyst removal surgery video.

The Excision Procedure
1. Incision and Removal: The cyst is removed by the surgeon making an incision around it sometimes including the sinus tracts and the affected tissue. This is very essential to avoid further recurrence.
2. Cleaning and Debridement: After the cyst and tracts have been evacuated it is now necessary to cleanse the wound and to debride. It in a bid to clear off the remaining dead tissue.
3. Wound Closure: After surgery, the wound can be closed with sutures or left open, either inward or outward, covered with sterile gauze to promote healing and prevent infection, depending on the excision size.
4. Drain Placement: Sometimes a tube called ‘drain’ is inserted in the wound to suck out the extra fluid and the danger of sickness that may occur in the course of the healing period.

Recovery After Excision
The healing time after pilonidal cyst excision, particularly for large, recurrent cysts, depends on the wound’s size and whether it is closed or left to heal by secondary intention.
• Wound Care: Open wounds require daily dressing changes, cleaning, and infection observation, while closed wounds heal faster and require fewer dressing changes, but still require observation for infection.To clear your doubts, check the laser surgery pilonidal cyst removal videos.
• Pain Management: Soreness is normal after a procedure is done on the body, especially in the initial days following surgery. In the first days after surgery, your doctor may give you an opioid drug to control the pain.
• Limited Activity: Often it is recommended that patients restrict themselves in movements. Similar to prolonged sitting, which brings pressure on the region operated on.
• Follow-Up Visits: It is thus important to organize follow-up visits with the surgeon. To assess how the wound is healing and to check that the cyst has not returned.
Preventing Future Recurrences
They also reveal that despite excision, a pilonidal cyst can recur at some point in the future. However, following proper wound care and preventive measures can significantly reduce the risk of recurrence:
1. Maintain Good Hygiene: The area of the body, where itching occurs and cysts develop, should be always clean and dry in order not to develop other cysts.
2. Avoid Prolonged Sitting: If possible, attempt not to sit for long hours, this puts much pressure to the region. Contributes to recurrence when sitting on hard surfaces.
3. Weight Management: To prevent the formation of more cysts in the future, it is important not to be overweight.
Wrapping Up
Surgical removal of a large and recurrent pilonidal cyst is a more invasive procedure. But a viable one for people with persistent and recurrent cysts. The procedure needs meticulous postoperative care and follow-up management. However, it effectively relieves the pain and discomfort associated with this disease and minimizes the likelihood of relapse. Thus, with adherence to post-surgical care measures and being active in the management of their condition. Pilonidal cyst patients do not have to undergo the ailment forever.