Pilonidal

Please Note:

A fee of $100 will be charged for all notes that are to be completed by Dr. L. Green.

A fee of $75 will be charged for all return to work/school forms that are to be completed by Dr. L. Green.

Missed minor procedure appointments will be charged a fee of $150.

Missed scheduled surgery appointments and endoscopy (colonoscopy / EDG) will be charged a fee of $250.

About

Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone).

The primary treatment for an acute abscess is drainage. An incision is made that allows pus to drain, reducing inflammation and pain. This procedure can usually be done in a physician’s office under local anesthesia.

Complex or recurring infections must be treated surgically, either through excision or unroofing the sinuses. Unroofing the sinuses involves opening up the abscess and tracts and trimming the edges of skin.

Preparation

Take a bath or shower before you come in for your surgery.

Follow the instructions exactly about when to stop eating and drinking.

Do not shave the surgical site yourself.

Be sure you arrange to have someone drive you home. Anesthesia and pain medicine make it unsafe for you to drive.

Recovery

When the wound is closed, it must be kept clean and dry until the skin is fully healed.

After healing, the skin in the buttocks crease must be kept clean and free of hair. It is necessary to shave or use a hair removal agent every 2 or 3 weeks.

This page is a small summary of the information needed when you are having this procedure. Please click the link below to download a more in-depth pamphlet.