The question is a good one. The majority of pilonidal surgeons in the US have completed a 5 year general surgery residency. Some have gone on to perform colorectal surgery, pediatric surgery, and plastic surgery fellowships. These fellowships are generally 2 years in duration. No pilonidal fellowship currently exists in the Western world. Regardless of…
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Pilonidal cysts are not well understood, even by many surgeons treating them! As we will explain, this lack of understanding contributes to some of the surgical mismanagement that we see. It is thus important for us to define exactly what human tissue comprises a pilonidal cyst, and its mechanism of formation. By extension, we will…
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There are several surgical options for refractory pilonidal disease. Multiple such options are offered at Pilonidal Treatment Center of NJ. Before listing them, let us define what “refractory” pilonidal disease is. First, any pilonidal patient who has recurrent (>1) pilonidal abscesses has refractory disease. These abscess episodes may require surgical drainage, antibiotic therapy, or both.…
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The period before any surgery can be scary and nerve-wracking. It is a fearful period full of “what if’s”. If you are a Pilonidal Treatment Center of NJ patient who has chosen and awaits the cleft-lift procedure, let me, the Medical Director, allay your fears. First, bleeding risk is neglible in pilonidal cystectomy. This is…
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The pilonidal surgeon is a general surgeon with extensive experience treating pilonidal disease. Because of this experience, the pilonidal surgeon gains unique skills in treating the disease. Primarily, this skill set includes curative surgical removal. The so-called cleft-lift procedure is a highly successful such operation. With it, wounds heal fast. Pilonidal disease rarely returns. The…
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The pilonidal cyst symptoms are multiple and come in different combinations. In the acute form, pilonidal disease presents with the symptoms of an abscess in or around the buttock crease. These include skin redness, swelling, warmth, and pain. The pain may be throbbing, burning, sharp, or dull. In severe cases, fever and chills may be…
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