Are they really that important? After a cleft-lift procedure many surgeons place a drain. There are two different basic kinds in popular use. One type is a “passive drain” and consists of a flat rubber strip that enters one area and exits another, and allows any fluid buildup to find a way out along the
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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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