
Suture Reactions
When I perform a cleft-lift, there are dozens and dozens of sutures holding the flap in place. Sutures hold tissues in position until the body’s natural healing process takes over and normal scar tissue…
Read moreWhen I perform a cleft-lift, there are dozens and dozens of sutures holding the flap in place. Sutures hold tissues in position until the body’s natural healing process takes over and normal scar tissue…
Read moreA 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,…
Read moreWhy 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:…
Read moreWith 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…
Read moreWe 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,…
Read moreWhy 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…
Read moreWe routinely take care of patients with pilonidal cysts, non-healing pilonidal wounds, and pilonidal abscesses with great success in the pediatric, teen, and adult age groups.