What is a cleft closure?
Bascom operation. This procedure, may also be called “cleft closure” or “cleft lift” This procedure is usually performed if a pilonidal abscess has failed to heal. The operation involves removing the infected tissue which is often more extensive than it appears on the surface.
What is cleft lift surgery for pilonidal cyst?
The procedure involves the removal of scarred or pitted midline skin and skin from one side of the natal cleft. Skin and fat on the opposite side of the cleft is freed from the underlying tissue out past the edge of the natal cleft and shifted to the other side.
What is a pilonidal cleft?
A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the cleft). It does not always cause symptoms and only needs to be treated if it becomes infected.
Can pilonidal cyst come back after cleft lift?
Cleft lift surgery has only a 5% recurrence rate for cysts, whereas traditional pilonidal cyst surgery has a recurrence rate of more than 50%. Traditional surgery for pilonidal cysts involves excising the wound then packing it with gauze.
How long does pilonidal sinus surgery take?
Pilonidal cyst surgeries are done under general anesthesia at an outpatient surgical center. The surgery itself takes about 45 minutes to perform.
Is a cleft lift major surgery?
The cleft lift operation takes an hour to perform. It is outpatient surgery, the patient goes home the same day, and most of the recovery is complete in two weeks. The operation removes the infected cyst and surrounding tissue. The scar is moved off the midline to reduce recurrence risk and pain.
How long is recovery for a cleft lift?
Patients experience minimal discomfort. The wound is completely closed, except for a drain cord, and no packing is required. Most patients are allowed to return to daily activities including athletics after the drain is removed about 10 days later, and patients can return to full activity in about a month.
How can I permanently remove a pilonidal cyst?
The two primary procedures used to treat pilonidal cysts include:
- Incision and drainage. During this procedure, a doctor will make a cut and drain the cyst.
- Surgical cyst removal. During this procedure, also called a cystectomy, a doctor will remove the entire cyst and the tissues around it.
How long does cleft lift surgery take to heal?
How long after pilonidal surgery can I sit?
Avoid sitting for a long time or sitting on hard surfaces until your incision has healed. Most people are able to return to work within 2 to 4 weeks after surgery.
Is pilonidal surgery risky?
Potential risks of these procedures Pain is the most common complication. Pilonidal cyst surgical removal generally causes scarring. The scar will become less noticeable over time. Like all surgical procedures, incision and drainage and pilonidal cyst surgical removal can lead to infection.
How do you poop after pilonidal sinus surgery?
Bowel Movements: It is important that you eat regularly and for a while consume enough fiber. If after a few days you haven’t had a bowel movement you can take 1-2 ounces of milk of magnesia. If you don’t have a bowel movement within another day or two you can take a more powerful laxative.
Is pilonidal sinus serious?
While the cyst is not serious, it can become an infection and should therefore be treated. When a pilonidal cyst gets infected, it forms an abscess, eventually draining pus through a sinus. The abscess causes pain, a foul smell, and drainage. This condition is not serious.
What happens if you don’t get a pilonidal cyst removed?
If it’s not treated, a pilonidal cyst can possibly lead to an abscess or a sinus cavity. Those are both signs that the skin infection is getting worse.