Fibrin Glue. Kshar Sutra, Phenol, RFA, and Seton Treatment of Pilonidal Disease In a previous post I discussed several “minimally invasive” pilonidal treatments, and you can read about them here. However, there are a few other kinds of minimally invasive therapies that are worth discussion. They are: Fibrin Glue Kshar Sutra Phenol Injection RFA (Radio
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My surgeon said he never heard of it because it was a new, specialized procedure. It depends on your definition of “new”. The cleft-lift is a procedure that has had several modifications, within the category of operations for pilonidal disease collectively called “off midline closures”: In 1973 Dr. George Karydakis, a Greek surgeon, published his
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Will this go away by itself? Is it manageable with non-surgical care? This is a commonly asked question. Although I am a surgeon, I realize that surgery is not for everyone, and nobody is really excited about having an operation if there is another option. Drainage of a painful, infected, abscess (lancing, I&D) is often
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The sacroiliac joint (SI Joint) is right underneath the cleft lift scar, and it is not uncommon for there to be some confusion regarding pain from the cleft lift surgery and irritation of that joint (sacroiliitis). Pain that develops in the sacral area, in the absence of any pilonidal openings, wounds, bleeding or drainage very well may have some other cause than pilonidal disease or cleft lift surgery. Here is some more detail about sacroiliitis.
If this doesn’t sound like it applies to your situation, you may want to read this more generalized discussion of post operative pain after pilonidal surgery.
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