The main technique for treating an infected pilonidal abscess is lancing the cyst and draining the pus within it. This is typically a simple procedure performed in the office under a local anesthetic.

Should an excision of the abscess be necessary, the area will be surgically opened and a complete debridement will be performed. This technique is often favored by physicians because there is a decreased risk in wound complications. Since the wound is being left open to heal, there is little risk of an actual wound infection.

A more advanced technique is complete cyst excision using rotational skin flaps for the closure of the wound. These techniques allow for complete cyst excision followed by closure using a patient’s tissue. Although this technique can be technically more challenging, the outcomes for these pilonidal cyst treatments have demonstrated the shortest recoveries with the lowest recurrence and wound infection rates.

If you are experiencing pain due to pilonidal disease, you should contact our office for an immediate evaluation. Our state of the art facility provides the highest quality treatment for patients. We have a team of world-class surgeons, led by Dr. Yosef Nasseri and Dr. Moshe Barnajian. Combined our team of physicians has over 30 years of experience in treating patients with this common ailment. so you can rest assured that you are in the best hands possible.

That being said, some complications can be dangerous. When the intestines get trapped inside a hernia, it’s called strangulation, and it could lead to loss of blood supply to the area. To prevent the possibility of strangulation, doctors recommend hernia surgery for most patients. The question usually isn’t if a patient needs surgery, but when. Some can wait. Others can’t.