Pilonidal cyst excision

Pilonidal disease is a chronic infection of a cyst (pilonidal cyst) that develops near the top of the crease between the buttocks. When the infected cyst—also called a pilonidal abscess—in the skin does not heal, it is called pilonidal disease.

In an excision, the infected material is drained and the entire pilonidal cyst is removed. Because an excision is a complex procedure that requires a deeper cut than an incision and drainage, it is usually done at an outpatient surgical center or hospital under general anesthesia.

After the cyst and infected tissue are removed, the wound may be closed with stitches or sutures (closed method) or left open and packed with surgical gauze (open method). If the wound is packed with gauze, the gauze is changed daily until the wound heals.

Excision of the cyst heals within 10 days to 6 weeks or more, depending on the type of surgery