Upcoming Gips With Dr. Aaron Lipskar 2/26/19

#1
I had my 1st major flare up about 8 months ago.. was given antibiotics & it all drained.

Strangest thing is.. my drainage never had the horrific odor I've heard pretty much everyone talk about.

Never saw any blood either.. just green almost blister style fluid I'd call it.

I've got a pit slit that looks like someone made it with a blade though & the unmistakable bump just off center at the top of my back to crack cleft.

There's still a bump there but it's small & if I didn't know it was there I'd never know at this point.

I'm not going to wait for it to worsen and/or return though.

I really like how surgical the approach is with GIPS minimal incisions.. minimal removal.. & I'm hopeful this will be the end of it for me.

I haven't had any procedures of any kind.. not even a lance & drain.. so I'm hopeful this will be my one & done.

I sent my pictures to Dr. Lipskar for his observations & I'm flying to New Hyde Park on Monday 2/25/19.

I'm excited to hopefully put this behind me.. with a procedure so minimal I even opted to have it done in the office.. no major sedation.

I admit I am a bit nervous for the pulling & tugging I've heard tell of from the fellow I got the contact & advice from.. but really that's a small concern in the grand scheme of it all.

Plan to stay for a week & since I should be pretty mobile see the east coast as much as I'm able & hopefully get a follow up in if I'm able before traveling back to North Dakota.
 
#3
@Jaladhjin

I had the GIPs procedure with Dr. Lipskar on Friday February 15th. I am very happy with the results so far. It is healing nicely. Still have a slight discomfort at the top of the cleft, but hoping that goes away soon. Dr. Lipskar is a great doctor and I hope you great success with the procedure. People with pilonidal disease know how difficult it is to deal with the disease. I had the disease for over 20 years and finally was so fed up I got the GIPS procedure. Will keep you posted about my process. Good luck again.
 
#4
@Tcfoto99 @Tomco

It went great for me too numbing shots weren't a ton of fun & felt a little on what I'd assume was the furthest reach of the process.

I'm already down to just about 0 drainage just the slightest bit of blood only on my bandage at this point.

I haaaad let's see.. 1, 2 mm punch 2, 4 mm punches & a 6 mm punch I believe which was the cyst itself.

Due to my being from North Dakota & all.. I had a follow up after 1 week since I was heading back home after a week there.

I'm so glad I did it.. I was walking the streets of Manhattan the same day.. bein' a tourist while trying to avoid majorly looking the part.. haha

The city itself was awesome too..

Anyway.. I'm curious about y'all's cyst bumps.. Dr. Lipskar noticed mine was still pretty pronounced & said yeah it has only been not even a week since I had the procedure Tuesday.. follow up Friday & flew back to North Dakota on Saturday.

How long did it take your bump to go down ? Tom maybe your's hasn't yet since it hasn't been long for you either ?

But yeah this was great.. so well worth the time & trouble of travel..
 

Tomco

New Member
#5
@Jaladhjin

So glad you are doing well with the surgery. I am very glad I finally did the procedure. Mine has healed well but I do have some small bumps that have not gone down completely in the top of the midline. Th cyst is almost completely flat. I have an appointment to see him next week so he can check out how everything is doing. Dr. Lipskar is a great doctor
 
#6
I really am so glad I did this.. this specific procedure & everything.

I was walking the streets of Manhattan the same day.

No complex incision or scars.. no downtime really..

I guess I'm fortunate too I was able to do this vs some that aren't able for a variety of reasons.. multiple failed surgeries.. let it go too long.. etc.

This did start to affect me in what I'd consider somewhat profound ways..

Honestly even seeing girls in porn I found myself looking at the top of their cleft & being jealous how normal it was.. which is weird to hear myself say but I did.. a lot..

I was always concerned about which way I was sitting & for how long.. I'd get nervous if I felt even the slightest twinge of discomfort..

@Tomco I'm jealous I wish I could have an in person follow up again but I went in the day before I flew back to ND & he was very pleased with how things looked said some of the smaller punches had already healed.. the 2mm ones.

I can still feel a bit of a bump at the largest portion the cyst itself where he did a 6 mm punch.. but it's already flattening out quite a bit.. still makin' sure to keep it meticulously clean & lucky for me I don't have a big hair situation anywhere so.. that also may have contributed to my generally not that bad situation.

It was kinda weird being in the children's hospital though I will say that much.

But I'm so happy I did this.. & it's about time for the snow to melt in ND I'll be biking.. swimming & everything with no worries ^_^
 
#7
Yes sitting was a huge problem. When my abscess was inflamed it was almost impossible to sit comfortably. So much discomfort. i am very glad I did the surgery. I am much better now, but i have what Dr. Lipskar referred to as a slight skin bridge at the top. He stated to me I could cut out the scar and let it heal if it really bothers me, but at this point it's not bad at all. I also keep the area very clean. I don't want to have it reoccur . That would be horrible. I can live with it for now, but if it bothers me I will get it cut out. We will see!!!How's the weather there in ND? Heard it gets really cold there.
 
#8
@Jaladhjin

I had the GIPs procedure with Dr. Lipskar on Friday February 15th. I am very happy with the results so far. It is healing nicely. Still have a slight discomfort at the top of the cleft, but hoping that goes away soon. Dr. Lipskar is a great doctor and I hope you great success with the procedure. People with pilonidal disease know how difficult it is to deal with the disease. I had the disease for over 20 years and finally was so fed up I got the GIPS procedure. Will keep you posted about my process. Good luck again.
Can I ask how long it took to get in with him and how complicated your disease was? We met with a surgeon today who wants to do surgery on my son ASAP (2 sinus tracts and a draining abscess). I’ve called Dr Lipskar’s office and am waiting for a call back.
 
#9
@Casey0223

Hi Casey0223. It took me a few weeks to get in with Dr. Lipskar, but was well worth it. I had 4 pits and an inflamed abscess. The procedure went well. The worst part about the surgery was the numbing shots. I had the disease for over 20 years. I am 44 years old. I would definitley recommend this procedure. Always start with the least intrusive surgery in my mind. I would call the office again and get his email address. He responds to emails in a couple of days. How old is your son? Keep me posted and good luck
 
#10
Thanks so much! My son is 16. We sent his pics to Dr. Lipskar yesterday and I really hope he can help us.

As we are brand new to the disease, may I ask if a pit is the same as a sinus?
 
#11
The pits are the tiny holes where debris such as hair go under skin in the cleft area (midline). They get infected and tunnel under skin to cause an abscess somewhere else that fills with pus and blood when infected. It becomes very difficult to sit and partake in physical activities. I wish you all the best. I hope your son recovers quickly. Let me know if you have any other questions.
 
#12
@Tomco we're gettin' better but.. the powers that be can't decide between flood.. continuing to snow or just stoppin' already..

It is 35 this morning though.. & really once its 40+ closer to 50 we don't even wear coats anymore.. once the snow / water tones itself down I'll be in sandals again.. idk why I keep livin' here.. haha

@Casey0223 I'm a pretty poor example of a time table for expressing interest to in the office.. because I came from North Dakota I took my sweet time about it all.. & wanted to get it all done in one appointment.. & Dr Lipskar did totally advise its possible I may see it & have to say this is too much.. or once I get working in there.. more may be needed.. its hard to say without a physical consultation first.

I was also trying to plan for all the costs.. travel & all & how long I'd stay since well.. I've lived here my whole life & NY was an awesome trip even for this reason.

I was talking the streets of Manhattan the same day.. I don't regret it at all.. I'd gladly do it again & as others have said don't settle for a procedure you aren't confident about..

Dr. Lipskar & 1 other fellow from North Carolina were the only 2 I've found offering this procedure specifically but that's also the only 2 I've heard of.. there were many offices I contacted I didn't make it that far into.. I probably got I don't know'd by a receptionist or scheduling coordinator..

As for my overall status.. I had 1 abscess & I believe 3 pits once it was all said & done..

If I recall at this point it was 2 2mm punches.. 1 4mm & 1 6mm..

As active as I was the 1st day I didn't stay out that long since I wanted to wait 'til the numbing wore off so I could feel anything I may have needed to feel vs just going for broke & there being a problem.. but there haven't been any.

I did as he advised showered & kept it clean.. sitting not being a problem either.. no large scar / incision.. there are a lot of upsides if the situation permits this..

Granted people talk about possible recurrence with every procedure too but I'd do this again any time..

I actually didn't know he'd even started once we'd started talking about how I felt a couple of the shots.. I thought he was waiting & he said actually we're near done. :)
 
#13
I had my 1st major flare up about 8 months ago.. was given antibiotics & it all drained.

Strangest thing is.. my drainage never had the horrific odor I've heard pretty much everyone talk about.

Never saw any blood either.. just green almost blister style fluid I'd call it.

I've got a pit slit that looks like someone made it with a blade though & the unmistakable bump just off center at the top of my back to crack cleft.

There's still a bump there but it's small & if I didn't know it was there I'd never know at this point.

I'm not going to wait for it to worsen and/or return though.

I really like how surgical the approach is with GIPS minimal incisions.. minimal removal.. & I'm hopeful this will be the end of it for me.

I haven't had any procedures of any kind.. not even a lance & drain.. so I'm hopeful this will be my one & done.

I sent my pictures to Dr. Lipskar for his observations & I'm flying to New Hyde Park on Monday 2/25/19.

I'm excited to hopefully put this behind me.. with a procedure so minimal I even opted to have it done in the office.. no major sedation.

I admit I am a bit nervous for the pulling & tugging I've heard tell of from the fellow I got the contact & advice from.. but really that's a small concern in the grand scheme of it all.

Plan to stay for a week & since I should be pretty mobile see the east coast as much as I'm able & hopefully get a follow up in if I'm able before traveling back to North Dakota.
Hi there, do you have a contact number for Dr. Lipskar you could provide? When I look him up I see numbers that are related to pediatrics. Does he only work on “children” under a certain age for this procedure? Thank you!
 
#14
Dr. Lipskar works on anyone that has pilonidal disease. Call the office and explain that you want an appointment and they will give you his email information. It will probably take a couple days for him to get back to you. Are you in NY?
 
#15
The pits are the tiny holes where debris such as hair go under skin in the cleft area (midline). They get infected and tunnel under skin to cause an abscess somewhere else that fills with pus and blood when infected. It becomes very difficult to sit and partake in physical activities. I wish you all the best. I hope your son recovers quickly. Let me know if you have any other questions.
I am curious, and I may have already asked this elsewhere but I cannot remember... with the gips/pit picking, how does it heal in the midline where the pits are removed? My surgeon also wants to do this to me and I am scheduled 5/2, but I keep hearing things like "stay out of the ditch" "the midline doesn't heal well due to no air". So when they removed the pits, did you have any problems with them healing? My surgeon said she does not use any sutures during this procedure, so i worry things won't heal properly. I'm sure I'm just being paranoid, I just do not want this to continue and this will be my first surgery for this disease. I've had several in office drainings.
Thank you for your guidance
 
#16
@MissRuss

At the top of the cleft are these pits. They need to be removed because thats where all the infections take place. The pits are removed via the hole punch and are left to heal open. No stitches required. You should be fine but be diligent in keeping area clean. After bowel movement if you can take a shower as soon as possible and if you cant have wipes available. It is very important to do until the holes close. I am very happy with the results. I have minimal discomfort at top of cleft because the scar that formed is slightly raised but nothing major. Good luck.Who is the surgeon you are going to? Keep us posted
 
#17
@MissRuss

At the top of the cleft are these pits. They need to be removed because thats where all the infections take place. The pits are removed via the hole punch and are left to heal open. No stitches required. You should be fine but be diligent in keeping area clean. After bowel movement if you can take a shower as soon as possible and if you cant have wipes available. It is very important to do until the holes close. I am very happy with the results. I have minimal discomfort at top of cleft because the scar that formed is slightly raised but nothing major. Good luck.Who is the surgeon you are going to? Keep us posted
Thank you so much for all of your great information and advice. It is so helpful and comforting to have people to share this experience with who have been there. This certainly eases my mind. How long did it take for you to heal? Any problems with bleeding? How was removing the packing from the abscess opening? I'm sure that cannot be comfortable. I am seeing a local colorectal surgeon. I am in upstate NY. She seems pretty confident and spent a long time talking with me, but it is still nerve wracking
 
#18
@MissRuss

Hello. You are very welcome. I am glad to assist and answer any question you may have. It took me almost three weeks to heal. The bleeding stopped around 10 days in. It had slowed a lot over those last few days so it wasn't bad at all. The abscess takes a little more time to heal and flatten out because it is the biggest opening of all the cut out holes. I hope you get the results you want and deserve. It really is a cruel disease because of the area it resides. Good luck with the procedure!! Let me know what happens.
 
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