How long does it take after a open wound Pilonidal Cyst Excision take to heal?

Discussion in 'Pilonidal Discussions' started by freakingout, Nov 24, 2016.

  1. freakingout

    freakingout New Member

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    I mean, I have a job where I'm pushing carts so I'll be working that area during work. My doctor said that could get back to work right away but people are over here saying it takes a lot longer.
     
  2. Tageslicht

    Tageslicht New Member

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    I've read on here people saying it can take up to 9+ months and some saying it never heals. I'm doing everything I can to avoid an excision.
     
  3. George_D

    George_D New Member

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    Assuming there aren't any complications like infection, it takes usually 2-3 months. These 9+ months Tageslicht is talking about are the worst case scenario. Some people keep getting infection after infection. Maybe your doctor means that you can work before the wound has fully healed, maybe even what he had said - straightaway. You should ask him.
     
  4. freakingout

    freakingout New Member

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    I actually have a pretty strong immune system. It took 10 years for the cyst to get infected. Should that mean that I should heal fairly fast?
     
  5. George_D

    George_D New Member

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    If that is really the case, then maybe a bit faster, but it's not that simple. No matter how strong it is, bacteria have evolved their own ways of overcoming its defenses, because they need to survive too. If the immune system is not familiar with the invader, an infection will happen and how fast it's contained depends on how "strong" it is, as well as how badass the microorganisms are. Skin is a natural barrier which in the case of an open wound is compromised and there is a wide open entrance. Another thing to consider is the size of the wound - the bigger it is, the more scar tissue will need to be formed, the longer it will take to heal. Last, but not least the location is tricky. Incisions, located in skin folds, take longer to heal plus in our case, it's close to the anus which puts it at a higher risk of contamination. Therefore, you need to be absolutely meticulous when it comes to hygiene and wound dressings.
     
  6. Jessie K

    Jessie K New Member

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    It's been over 7 months and my daughters wound is still not completely closed. She had her pilonidal cyst excised. It was a fairly large open wound. The wound is healing very slowly. We just saw a wound care specialist this past Friday. We were using hydrogen peroxide on it daily, but the wound care specialist told us that actually impedes the healing process, and not to use it. He applied a silver nitrate stick to the wound claiming that it would reactivate the healing process. Looking at the wound 2 days after applying the silver nitrate, the wound actually is larger not smaller. Does anyone know if this is normal? Should the wound look larger after using silver nitrate?
     
  7. danilosgg

    danilosgg New Member

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    freakingout,
    I had my surgery on September, 19th. My wound closed 8 weeks after surgery, about 2 weeks ago. After it closed, a little scab formed over the new skin and fell off some days later and some blood came out, but just from the skin. I went back to work after 3 weeks.
    Now, after almost 10 weeks, I'm still not 100%, I still have to take care and avoid some seats and exercises.


    Jessie K,
    I think it's normal that the wound looks larger, the silver nitrate "burns" the tissue. It's like making a "new wound", so your body can begin healing again. It'll take some days to notice the healing, just like after surgery.
    My doctor told me not to put anything in my wound, no peroxide, no soap, nothing. Just change the gauze daily.
     
    Jessie K found this helpful.
  8. Jessie K

    Jessie K New Member

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    Hi danilosgg,
    Thanks for replying; your comment is reassuring. I'm so concerned about my daughter's wound. Thank God she isn't. I worry enough for the both of us. LOL. Yes, the doctor at the wound care facility told me not to use peroxide. Unfortunately the general surgeon that did the procedure directed us to use it twice daily prior to dressing the wound w/ gauze. Hopefully now that we stopped using it the wound will heal quickly. I just wish we new that bit of helpful info 7 months ago. :(
     
  9. danilosgg

    danilosgg New Member

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    I'm sure it will heal a lot quicker now.
    Wish your daughter a good recovery, it's good that she is taking it lightly, I think anxiety is the worst part of this surgery.
     
  10. Jessie K

    Jessie K New Member

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    I just wanted to thank you once again for the reassuring reply to my question. You were right. The silver nitrate did burn the tissue and reactivated the healing process. My daughter's wound has finally closed. The doctor said to be careful with the area for about 8 weeks. Hopefully that's the end of our 8 month nightmare and we never have to deal with a pilonidal cyst or open wound ever again. I wish you well and pray that the new year brings you good health, peace and happiness.
     
  11. InGodWeTrust

    InGodWeTrust New Member

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    It all depends on the Width,Length,and Depth of the wound. Also the method used to help the wound heal. Like in my case I had an open surgery on August. My wound was 11cm long,6cm width,And 5inches in depth. It has been 4 months now and it's better.
    It's only 5cm long,5cm width,And no depth. The nurses used Aqacel to absorb the Fluids Then later used collogen to absorb n close the bottom part of the wound. Now I'm not using nothing. I'm just covering it up. It all depends on many things for recovery time.
     
  12. danilosgg

    danilosgg New Member

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    I'm very happy to know your daughter's wound finally closed. That's a great news for a new year. As the doctor said, make sure she take good care of the area for next couple months, the new skin remains fragile for some time.
    I wish a happy and healthy new year to us all. :)
     
  13. chris12345

    chris12345 New Member

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    If you can I recommend getting a wound vac, I'm using one as we speaking and it has worked wonders.
     
  14. ForeverTrevor

    ForeverTrevor New Member

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    I had open excision surgery back in early October, about 3 months ago, and I'll be fully healed and all good to go in about 2 weeks - one more appointment!

    I went back to work after about a week and, honestly, it wasn't a big deal at all. Kind of uncomfortable sitting down, which made the wound bleed a bit more, but ultimately it's an excision so it's not like you're sitting on something directly - my dad helped me pack it for the week and then I did it myself since then.

    Everything's gone swimmingly and I wish you the best of luck! Glad I got it done and, although I considered a wound vac for a short time, the healing went fine and I wanted it to heal naturally.

    All the best!
     
  15. Paininthea$$

    Paininthea$$ New Member

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    Did you have a wide excision with vac!? If so I would love to hear from you
     
  16. CysterAct

    CysterAct New Member

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    I had my surgery back in August and it still hasn't healed.

    The doctor says it's clean and looks great but it seems to have stopped trying. He applies silver nitrate once a month but that can only do so much.

    I'm ready to find a second opinion on the matter because I feel like it's just not getting oxygen to heal. He said it shouldn't be hurting anymore but I still rely on my coccyx pillow.
     

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