Is there really such a thing as a "pilonidal specialist"? In many conversations on social media the term "pilonidal specialist" is used to describe a certain category of surgeon. The American College of Surgeons does not recognize this as a "specialty", yet there are surgeons who take this disease process very seriously, and devote aRead more
For surgeons, defining and removing pilonidal disease during an operation is not a mysterious hunt, but rather a very straight-forward process. Is is because all the pilonidal disease was not removed? A very common question is why a pilonidal operation failed, and one of the answers often given is that some of the disease wasRead more
Sometimes wound from pilonidal surgery seem to heal, but then open up again, and this happens multiple times. This is a common problem, and usually means that there is still a residual cleft, that the scar from previous surgery is in the cleft, and the skin is fragile and intermittently breaks down, and then seemsRead more
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 developed – it is usually because the cleft-lift failed to flatten the entire cleft, a new foldRead more