Is hyperbaric therapy a good solution for pilonidal wounds that won't heal? We often see patients who have spent a great amount of time, expense and effort in trying to get wounds to heal after failed pilonidal surgery. One of the treatment modalities that is used at times is hyperbaric oxygen therapy. Hyperbaric oxygen therapyRead more
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 takes their place. This healing process takes six weeks in a well nourished patient. In general, we want suture material thatRead more
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, with or without primary closure (sewing it back together) and possibly with a post op wound VAC (wound vacuumRead more