Pilonidal Cystectomy

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SAMPLE EXCERPT
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PRE-PROCEDURE
INDICATIONS
  • Recurrent pilonidal disease
  • Failure of conservative management of pilonidal cyst
CONTRAINDICATIONS
  • Severe perianal suppuration
  • Bleeding diathesis
EQUIPMENT
  • Standard general surgery tray
  • Anal retractor per surgeon preference
  • Electrocautery
  • Curettes
ANATOMY
  • Sacrococcygeal skin sinuses
  • Gluteal artery and nerve
  • Sacrum
  • Coccyx
  • Rectum
  • Anus
  • Levator ani
  • Gluteal cleft

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • As described.
  • Wound management can be challenging.
COMPLICATIONS
  • Pain
  • Bleeding
  • Poor wound healing
  • Ulcer formation
RESULT ANALYSIS
  • Recurrence rates
    • Opening sinus tract—1% to 20%
    • Wide excision with primary closure—11% to 29%
    • Wide excision left open—2% to 3%
    • Wide excision marsupialized—1% to 4%
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