Notes

Slide Show

Outline

1	Failed Pilonidal Surgery
2	PILONIDAL DISEASE Many forms
3	The “PIT“ is the source of ALL trouble.
4	Options for Simple Home Treatment of Early Pits
5	When I am asked how to deal with simple pilonidals,
6	List 2 points to remember on pilos
7	PICK ALL PITS!
8	When this pit walks into your office -
9	Do the right thing………
10	Clamp Down…
11	Cut Around It -
12	All Around….
13	Unroofing the follicle -
14
15	When this Acute Abscess Walks into Your Office….
16	This is the Right Thing to Do -
17	Drain laterally --
18	Once the Abscess is Open -
19	When this drained abscess RETURNS to your office --
20	Edema has cleared;
21	Insight!
22
23	If a cavity is present it is a CHRONIC ABSCESS:
24	Prevent Early Abscesses
25	What is this Opening we call a Pit?
26	The “Pit” Nursery
27	The Pilonidal Pistol
28	Growing a Pilonidal Pistol -
29	The Pit – a Loaded Pistol
30	The Pilonidal Pistol “Fires”
31	Earliest Infected Follicle
32	Start of an Acute Abscess
33	Summary: Pick (Clean) ALL Pits!
34	…And Pick (Out) Early Pits
35	2 Points to Remember on Pilos
36	Curing Complex Problems
37	A Small Tragedy
38	623 Patients
39	Cleft Lift--Result
40	Failure to heal-reasons in our 31 patients
41	When Clefts Will Not Heal -
42	Clues from a Case That Failed to Heal….
43
44	Processes that keep wounds open for years….
45
46	Technique
47	Incise
48	Flaps Turned Back, Red is exposed abscess cavity--
49	What to Save
50	Cut Away
51	Check for Coverage
52	Control Shearing Forces
53	Cleft Lift--Result
54	3 points to remember on Pilonidals
55	Failed Pilonidal Surgery