A very common question Here is the scenario: a patient has a pilonidal cyst and sees a board certified general surgeon in whom the patient has faith in their skills. The surgeon recommends a wide excision,…
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Why might a cleft lift need to be revised? There are times when even a properly performed cleft lift will need another operation to adjust the shape of the cleft. The reasons for this fall into two categories:…
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With permission, I thought I’d share a recent correspondence from a patient’s father, who is a physician who has retired from surgery and now works in a wound care clinic. He has been trying…
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We encourage sitting immediately after surgery. When I perform a cleft lift, the incision is not in the midline – so when you are sitting there is no force pulling the incision apart. In addition,…
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Why does it happen? Unfortunately, recurrence of pilonidal disease after surgery is a common problem. This article discusses the reasons why this happens, and presents a good solution. In order to understand…
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Am I doomed? The short answer is, “no”. But, what should you do now? When a cleft lift fails – meaning that either the incision came apart and isn’t healing, or a new cyst, sinus, or wound has…
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