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