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#lasertreatment abscess advice after care antibiotics anxiety bascom bleeding blood canada cleft lift closed excision constipation cure cyst cyst draining cyst pilonidal discharge dr bascom dr immerman dr. sternberg drain drainage draining exudate failed female first time flap flare up fresh surgery gauze healed healing healing time help help please hole immerman incision incision and drainage infection karydakis lancing limberg flap new nhs open open excision open healing open wound open wound healing packing pain painful painless pillonidal pilodinal pilondial pilondial cyst pilonidal pilonidal abscess pilonidal cyst pilonidal excision pilonidal sinus pit picking pitpicking polinidal post healing post op post op cleft lift post surgery post surgery healing post-op primary closure puss questions reccurence recent surgery recovery recurrence reoccurance reoccurring scar scar tissue scared seattle sinus sinus removed sinus tract stitches surgeon surgeons surgery tailbone treatment wound wound care wound packing wound vac