Resorting to surgery

Discussion in 'Pilonidal Discussions' started by Cheeky, Feb 17, 2016.

  1. Cheeky

    Cheeky New Member

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    I'm new to this forum and stumbled upon it because I am absolutely terrified to have surgery. I got my first cyst back in October, had to go to the E.R. and get it lanced. Last Thursday I started getting that pain of a bruised tailbone every time I sat down or laid on my back. I went back to the specialist I originally saw in October and he said that he would need to perform an excision of pilonidal cyst with the wound primarily closed. I read some stories on this forum about the different procedures, recovery times and complications and it seems to me that the cleft lift is the better option. I made an appointment with Dr. Marc Brand in Chicago for next Tuesday to get a second opinion. Any suggestions on questions I should ask him? Is he a good specialist to see for this surgery?
     
  2. krisrenee

    krisrenee Very Helpful

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    The surgery depends on your unique case. Usually people don't "qualify" for a cleft lift unless they've had problem after problem after problem. Several flare ups.

    The type of excision one has depends on how much infected tissue needs to be removed. I had a closed excision but my surgeon told me in prep there may be a chance they leave it left open. They don't know how much will be removed until they go in. If a lot of tissue is removed, they can't shut the edges. If it's a small cyst and little tissue is removed, if they can close it, they will.

    You do not have to fear surgery. For most people, the surgery is a lot less painful than the lancing. The lancing for me was horrific. The surgery was like I fell asleep and that was it. I didn't have any pain after surgery at all!! It was nothing. Do not be afraid.
     
  3. Cheeky

    Cheeky New Member

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    I hope getting it two times qualifies me! I would really prefer the cleft lift, the doctor I am seeing now informed me that with the excision it does not guarantee that the cysts will completely go away :/
    So far I've been reading that with the cleft lift this is not the case. Preferably if I would like to avoid multiple surgeries, but if that's not the case then I guess I'll have to roll with the punches.
    I would agree about the lancing part, I think the part that hurt the most for me in the emergency room was getting the numbing shot. Also having two physician aids in there looking at my behind was not so fun either.

    Thank you for your encouraging words! I will try not to be so nervous about the surgery :)
     
  4. LILLY

    LILLY Very Helpful

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    One misconception is that cleft lift surgery is only for chronic sufferers. It is increasingly becoming the surgery of choice for first timers. You don't need to "qualify". A surgeon who is experienced in the surgery is always your best bet. Dr. Brand is one of only 8 or 9 surgeons in the country that I feel I can recommend without hesitation. You are in good hands.
     
    Dr Immerman and Cheeky found this helpful.
  5. Cheeky

    Cheeky New Member

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    That's good to know! I hope my visit with him next Tuesday goes well. I'm hoping to have the surgery relatively soon while the Chicago weather is still cold. I definitely don't want to be in pain/ cooped up at home once the weather becomes nice.
     
  6. krisrenee

    krisrenee Very Helpful

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    Yeah. Hopefully he'll give it to you since you've had a couple flare ups already. The cleft lift simply changes the appearance of the natal cleft. making it shallower and more exposed to oxygen. I'm glad the numbing worked for you when you got lanced. It didn't work for me at all. So I felt the cutting and squeezing on my abscess that was already very painful. That's why I say the surgery is nothing. I didn't have any pain with the surgery.
     
  7. Cheeky

    Cheeky New Member

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    Oh my gosh that sounds horrible! I'm sorry you had to go through that pain :(
     

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