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Pre-Op Info >> Excision Pilonidal Cyst (open)

Excision Pilonidal Cyst (open)

Posted On: 2011-12-19


  • Return to normal preoperative diet as soon as possible after the effects of anesthesia are gone.


  • Return to any regular medications unless otherwise instructed.
  • If needed, a prescription for pain will be provided.


  • Resume normal activity as tolerable.
  • Avoid driving for a few days until you are able to sit comfortably. 
  • Avoid heavy lifting and intense physical activity for 2 weeks, but may perform light housework and light yard work.
  • The doctor will discuss return to work/school dates. 
  • No swimming, hot tubs or soaking in bathtubs until wound is healed! 


  • Call the office for follow-up as directed by the doctor.
  • Remove outer dressing as instructed (usually after 24 – 48 hours) and replace as needed with dry gauze dressing.
  • DO NOT disturb packing. The doctor will remove it in the office. After packing is removed, shower as directed. 
  • CLEANSE as vigorously as tolerable with soapy washcloth. Allow shower steam to thoroughly flush the incision.
  • Gently pack dry gauze dressing into the wound cavity and cover with an additional dry gauze.
  • Change the tape site frequently to avoid skin irritation.
  • Keep wound edges shaved, if instructed by the doctor, to prevent hair growth and accumulation of bacteria in the wound.


  • Expect some bleeding to occur during the first few dressing changes and showers.
  • Mild discomfort to moderate pain is expected, yet if pain is intolerable an oral medications can be provided. 
  • Blood tinged drainage. 


  • Excessive bleeding or presence of infected drainage.
  • Excessive pain, redness or swelling.
  • Temperature over 101 degrees.

IF OFFICE IS CLOSED and an EMERGENCY arises, please call 911 or go to the Emergency Department.  

A MISA surgeon can be reached by calling the office answering service at (309) 677-6019

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