Pilonidal Pit Picking Log 11/17/13

mylifeforAuir

New Member
Hi All,

Having my Pilonidal Pit Picking surgery this week. I have created this topic as a log for all people that will have to read this in the future when they research the various surgical techniques.

Background:

I fortunately caught this problem early. I noticed discharge back in 2012, but nothing major at all. Then, in late 2012/early 2013, I woke up one morning with nasty discharge and found myself with severe pain in my gluteal cleft region. I had no idea what it was, but it was terribly painful. Two weeks later, I went to the doctor and he said it was a Pilonidal Cyst. I learned to manage it on my own from that point on, with extremely good hygiene and hair removal techniques (Nair). However, after doing my own research and talking about it with my doctor, I figured that I might as well have the surgery performed now, rather than wait X number of years and deal with a potentially bigger cyst issue in the future. So, here I am, with my surgery scheduled on 11/19. I am on Day 2 of antibiotics (of 10). Currently taking Augmentin. Will update this daily, starting on the day of my surgery. Just reserving the topic now.

Any questions regarding the surgery or the recovery process, just ask.
 

COGirl

New Member
Hey mylife! How did the procedure go yesterday? Did Dr. Audet put you on antibiotics pre-procedure as a standard precaution or were you experiencing another flare up? Did you decide to go with general anesthesia/conscience sedation or local anesthesia for the procedure?

Hope all is well! :)
 

mylifeforAuir

New Member
Day 0

Surgery was pushed back to 11/22/13.

Just got back from the hospital earlier today. Was very straight forward. Was put under general anesthesia for about an hour. Doctor mentioned that there were 2 pits, with plenty of hair inside the pits. Again, I performed the pit picking procedure, and I am in very slight pain. On a scale of 1-10, I'd give it about a 2 for right now. However, they did say they gave me pain medicine during the operation, so tomorrow I will have a better gauge on the pain. Worst part was the nausea associated with anesthesia, after the operation, but that has gone away. All in all, solid so far (knock on wood!). Currently have a big bandage back there, where the two pits were excised, and an open wound to the side for drainage. Will update tomorrow.
 

mylifeforAuir

New Member
Hey mylife! How did the procedure go yesterday? Did Dr. Audet put you on antibiotics pre-procedure as a standard precaution or were you experiencing another flare up? Did you decide to go with general anesthesia/conscience sedation or local anesthesia for the procedure?

Hope all is well! :)
Hi COGirl,

Sorry for the late reply. My surgery was pushed back at the last minute to 11/22. I would strongly recommend that when you schedule your procedure with Dr. Audet's office, allow some flexibility in your timing because she has a very busy schedule and the date can sometimes change. The antibiotics were precautionary -- I was experiencing mild flare ups, but I confirmed with Dr. Audet that the antibiotics are to prevent infections (not flare ups). And I was under general for about an hour...I was not given a choice for local. Hope this helps!
 

mylifeforAuir

New Member
Day 1

Day after surgery was good. I slept great last night as I usually am a stomach/side sleeper..I did wake up a little sore in my back and hips though because I'm trying extra hard to relieve the pressure from that area. In addition there has been a little bit of drainage from the side wound today. Pain is 4 out of 10 today. Not bad at all. Not much to report here, as I have taken it quite easy today. I've gotten up and walked around quite a bit today without any problems, and can sit just fine. However, I am choosing not to, as to prevent any sort of complications early on. Diet's been great post op -- eaten a great deal of high quality protein, fruits, vegetables, etc. I have 4 days left of Augmentin. Will update again tomorrow!
 

mylifeforAuir

New Member
General anesthesia for Pit Picking seems a little extreme. If you read this: http://www.ncbi.nlm.nih.gov/pubmed/21424286 it says that all 153 patients had it performed under Local. Regardless, I hope all is well and wish you a full recovery!
Hi nickmono,

While it may be extreme, it was actually quite nice since I do remember a single thing after I went into the operating room. Took a little to recover from the anesthesia, but hey, at least I didn't consciously know that the nurses/doctor were operating on my butt.
 

nickmono

Very Helpful
Hi nickmono,

While it may be extreme, it was actually quite nice since I do remember a single thing after I went into the operating room. Took a little to recover from the anesthesia, but hey, at least I didn't consciously know that the nurses/doctor were operating on my butt.
I totally understand, you are entitled to do whatever is most comfortable for you. Personally, I have a fear of being put to sleep so this is why I describe it as 'extreme' when in actual fact it is 'less extreme' to others.

Starting this log was a great idea, there aren't enough personal stories online about Pit Picking. Im sure many people will use it is a point of reference in the future.

Al the best,
Nick
 

mylifeforAuir

New Member
Day 2

Pain 3-4/10. Again, pretty smooth day. I've had some drainage over the last couple days, and I am able to sit down for short periods of time...not too much to report. Still healing. The side incision is healing quite quickly. If I wanted to, I could probably return to upper body exercises by tomorrow, but of course I want to baby this as much as possible over the next few days, so I won't do that. Overall, doing well.
 

mylifeforAuir

New Member
I totally understand, you are entitled to do whatever is most comfortable for you. Personally, I have a fear of being put to sleep so this is why I describe it as 'extreme' when in actual fact it is 'less extreme' to others.

Starting this log was a great idea, there aren't enough personal stories online about Pit Picking. Im sure many people will use it is a point of reference in the future.

Al the best,
Nick
Nick,

How long until your pits healed over? And how many did you have?
 

mylifeforAuir

New Member
Day 4

Pain 2/10. Able to move around much more. My side incision is almost healed. The glue is still in the midline...I'm hoping this heals fast as well, but that is where I had 2 pits, so I know it will take a while. That's all for now!
 

mylifeforAuir

New Member
Hi,

Honestly I cant remember exactly. I think it was about 6 weeks. I had one pit.
Thanks for the reply Nick. Do you happen to know what it looked like during those 6 weeks? Did they close where your pit used to be using a stitch or glue? Is it supposed to heal from the inside out? Just trying to understand this better. Also, you you don't have any pits leftover, correct? I.e. no sinuses
 

nickmono

Very Helpful
My pit was closed with one stitch. I remember it was slightly open for a while, I could see some redness on the inside (probably dry blood) until it fully healed and closed up. I actually kept it covered for quite some time after the operation because I was super paranoid that something would go inside before it fully healed which might cause problems. I guess it's like a very very minor open wound type of procedure, where it is stays open and heals from the inside out, but this wasn't a big deal for me because the incision was only about 1.5 cm's.

At the moment I have no pits, However, I do have a 'dent' in the skin where the pit was excised. It is completely closed and it looks like it is actually 'filling' up more and more, meaning the 'dent' is starting to get flatter and 'fill in' more and look like normal skin around the area.... if that makes sense...
 

COGirl

New Member
Seriously late in catching up on your log and replying, mylife! Been so busy! I'm so glad you started this thread, because as Nick mentioned (and as we'd discussed before) there isn't much on this forum or anywhere else on pit picking experiences.

How did everything turn out? Are you all healed up and no complications? Hoping all is well!!
 

mylifeforAuir

New Member
Seriously late in catching up on your log and replying, mylife! Been so busy! I'm so glad you started this thread, because as Nick mentioned (and as we'd discussed before) there isn't much on this forum or anywhere else on pit picking experiences.

How did everything turn out? Are you all healed up and no complications? Hoping all is well!!
Hey COGirl,

Sorry, I was updating this and nobody was asking any questions so I kind of just let it slip! Everything is going well, thankfully! I had my follow up on the 11th, and the side wound was nearly completely closed, and same with the midline pits that were excised. Still experiencing very minor discomfort, but to put things in perspective, I had the surgery on the 22nd of November, and I had a 3 hour flight on the 27th, which went just fine. I was able to physically return to the office on 12/2 and have just been getting better ever since. The tricky part was getting back in the gym and doing things that would involve stretching that area, but I did a series of sprints yesterday without any problems and have been doing upper body exercises since 12/9. All is well, COGirl! I highly recommend you get this done, and I highly recommend Dr. Audet! She is very knowledgeable and helpful with these (as you already know!). I can't say enough good things about her and how glad I am to have undergone this procedure!! Any other questions, just ask! Let me know when you go through your surgery as well -- I will follow your healing experience. Your cyst will be something of the past very soon :)
 

mylifeforAuir

New Member
My pit was closed with one stitch. I remember it was slightly open for a while, I could see some redness on the inside (probably dry blood) until it fully healed and closed up. I actually kept it covered for quite some time after the operation because I was super paranoid that something would go inside before it fully healed which might cause problems. I guess it's like a very very minor open wound type of procedure, where it is stays open and heals from the inside out, but this wasn't a big deal for me because the incision was only about 1.5 cm's.

At the moment I have no pits, However, I do have a 'dent' in the skin where the pit was excised. It is completely closed and it looks like it is actually 'filling' up more and more, meaning the 'dent' is starting to get flatter and 'fill in' more and look like normal skin around the area.... if that makes sense...
Hey Nick,

Quick question for you -- how long did you have drainage for from your sinus (after it was excised)? My side incision has pretty much healed completely, and same with the two pits, but there is still a tiny opening where I notice clear fluid draining every now and again. Wanted to see if you had a similar experience. Ps, I am pretty much 4 weeks post surgery, if that helps.
 

nickmono

Very Helpful
Hi. I really had no drainage at all. I could see redness where the sinus was excised but no blood or fluid ever came out. I remember looking at the bandage that was covering the wound and thinking "why is this clean"...weird.
 

mylifeforAuir

New Member
Hi. I really had no drainage at all. I could see redness where the sinus was excised but no blood or fluid ever came out. I remember looking at the bandage that was covering the wound and thinking "why is this clean"...weird.
Interesting! Thanks for the response Nick, I appreciate it. My drainage has subsided and they're nearly closed. This issue was moisture in the area (it's not an area that receives a lot of oxygen).

COGirl, After you have the surgery and then your post op (a couple of weeks later), I would say look into sleeping without any clothes below your torso, so air/oxygen can get to the area, and it won't remain moist all the time.
 
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