Consulting Surgeons

POST OPERATIVE INSTRUCTIONS
PILONIDAL CYSTECTOMY

  1. Pain medication. Long acting local anesthetic is usually used at the time of surgery. It can last 8 to 12 hours. There may be a prescription for pain medication for you. It is not necessary to take pain medication unless you have pain, and most patients will be able to switch to Extra Strength Tylenol. Do not drive until you can sit comfortably and are no longer taking prescription pain medications.

  2. Activity. You need not restrict your activities except for your comfort. Walking stairs is OK. In general, you may return to work as soon as you feel able. You will feel most comfortable laying on your side or stomach for the first 1-2 days.

  3. Wound care. Your wound was left open. Beginning the day after surgery, shower or take a sitz bath two to three times a day. Remove the outer bandage, get in the shower, bend over, and let the water run over, onto, and into the incision. You may use soap and shampoo. After showering, pat the area dry and replace the bandage. You don't need gloves, just wash your hands well first.

    After a few days, you may wish to stop using gauze and tape, and switch to a pad. A feminine "pad" works well.

    It is normal to have some bloody drainage from the wound which might last 2-3 days. It is okay to change the bandages if they become saturated. Try to keep the incision clean of hair, lint, and clothing fibers. Someone should examine the incision carefully once daily. Make sure to cleanse yourself well after bowel movements.

  4. Followup. The doctor will need to see you again in about 14 days after surgery to check the wound. You may of course call at anytime with additional questions.

Updated 10-17-06 Id

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