The decision to operate on those with pilonidal disease depends on the state of the affected area. If there is an acute infection, the first step will be to address the infection with antibiotics as well as a first stage drainage. As the infection clears, a more definitive treatment will be pursued. In order to properly treat the pilonidal disease a wide excision may be necessary to remove the disease bearing tissue followed by reconstruction using plastic surgery reconstructive techniques.
In our experience there have never been recurrence of the cyst. Dr. Som uses a special technique to mark the entire cyst sinus tract to ensure complete resection. Therefore, minimizing recurrence.
