Pilonidal Cyst Archives

I am having laser surgery in the morning

[ Pilonidal Cyst Archive ]
[ Main Archives Page ] [ Glossary/Index ]
[ FAQ ] [ Recommended Books ] [ Bulletin Board ]
   Search this site!
 
        

I am having laser surgery in the morning

Posted by Anonymous Hawaii on January 18, 2000 at 05:27:05:

Thanks for this forum--

I was injured several years ago while riding in the bed of a truck. I thought it was a bad bruise on my tailbone, yet it developed into a weeping wound which totally freaked me out. I saw several doctors who failed to recognize what it was. So I just waited and eventually it would heal and then re-open. I took antibiotics and kept it clean and all that-This cycle continued for several years until recently when I had had enough.

I went to the doctor and was referred to a general surgeon who confirmed the original diagnosis of a pilonidal cyst (hereafter referred to as the 'embarrassing thing on my butt'). I scoured the internet for clues about this problem and have found little to educate myself on the subject.

The doctor suggested surgery--i.e. laser removal of the cyst. I have since learned my Grandmother had a pilonidal cyst also.

I have been told oral surgery is alot more painful and I survived that one on just Advil and a few days of being grumpy. So this should be ok. I am anxious about the operation. I just don't want this thing to come back. I do have alot of body hair and I am learning this is contributing to the problem--I guess now I have an excuse to get the king-size bottle of Nair. Just kidding--I ALWAYS buy the king-size bottle :)Well, I guess its not the end of the world, my girlfriend still loves me, and I get to use up my sick leave for a legitimate reason.

One thing--if it is small and you have doubts about getting the procedure--because you think it will go away, my experience has been IT WILL NOT. It will get successively, slightly bigger with each "round" of closure and opening. Now I find that there are two "holes" or dimples. One larger one about half-inch long and one tiny one which he will also remove with the laser. I just wish I had had the procedure four years ago when this thing first was exacerbated by the injury--

Questions- any conclusive documentation of laser surgery being a "better" way to treat these things?
I live in Hawaii and want to get back in the ocean ASAP--any problem with that? I don't feel much pain at all--none when I am sitting--only when the cyst is just about to open because of the pressure. Do I need the donut?

Moral of the story? Don't ride in the bed of a truck. ;)

I will write back after the procedure to give you a before and after. Wish me luck --P.S. I am getting a spinal or epideral or whatever, but I am not going to take the sedative to make me sleep while it is going on...I will let you know if I wimp out and ask for the stuff during the procedure.



Re: I am having laser surgery in the morning

Posted by Wayne on January 18, 2000 at 13:41:41:

In Reply to: I am having laser surgery in the morning posted by Anonymous Hawaii on January 18, 2000 at 05:27:05:

Hey Anonymous!

Good luck on your surgery man! First time I've heard of lasers being used to do the operation, so I'll be VERY interested to hear how it went.

Happy healing!

Wayne



Re: I am having laser surgery in the morning (for pilonidal cyst)

Posted by Walt Stoll on January 19, 2000 at 15:03:44:

In Reply to: I am having laser surgery in the morning posted by Anonymous Hawaii on January 18, 2000 at 05:27:05:

Hi, Hawaii.

I will be interested in hearing from anyone who has the laser procedure done. After a few years of that procedure being available, and regularly used, we will likely begin to see statistics about whether it has a better cure rate than conventional surgery.

I certainly have NO idea at this point.

Walt



Re: I am having laser surgery in the morning

Posted by Anonymous Hawaii on January 20, 2000 at 03:08:47:

In Reply to: I am having laser surgery in the morning posted by Anonymous Hawaii on January 18, 2000 at 05:27:05:

Well...I survived.

First they gave me spinal anesthesia via a needle in the spine...that hurt a fair amount. About 5-10 later I could feel nothing below the waist except movement. I had no additional sedatives. They wanted to give me a valium-like substance to take the edge off, but I denied it.

They then got me on the operating table and hooked me up to machines that monitored vitals. my heart rate went up a bit I guess due to the stress of the situation but my oxygen level and other vitals stayed above average. They prepared me by smearing some gel-like substance on my butt and they removed the hair around the pilonidal cyst using a razor--I guess because I couldn't feel anything.

I couldn't see much since I was laying on my stomach.
They powered on the laser and the surgeon went to work. He said "laser on" and you could hear a faint sound of the laser working. Nothing gross or anything. At one point I thought I felt something akin to being burned really badly--like a warmth, but it was like it was far away or something--like I was removed from it somehow. Anyway after several "laser ons" they were done. I couldn't believe how fast it took.

I was quite lucid during the operation and the most unpleasant part by far was the nerve racking procedure of having the needle stuck in my spine.

They wheeled me into a recovery room for about 25 minutes while they monitored my heart and oxygen usage. I forgot to mention that they had an IV in my from the get-go. That was supposed to reduce dehydration and to keep my fluid levels up because the spinal causes blood pressure to drop.

Unfortunately, it took me 5-6 hours to come off of the spinal anesthesia. They had to use a catheter (sp???) to allow me to urinate--that was painful. I could feel the pressure in my bladder but that was it...so it wasn't too bad. It took forever to let me get out of the recovery area because they wanted to see me walk and to see me urinate of my own accord. I did but it took me a while to regain feeling and control.

When I got home, I felt no pain but my back was somewhat sore. Today I am able to walk and move around and there has been little pain, except for back pain--I think that is from the spinal anesthesia. There is a very dull pain from the actual laser incision. But nothing acute and definitely not anything throbbing --not even close to wisdom teeth extraction.

Now I have a sore back and not much pain. I have taken Advil and that has been extremely effective. I removed the bandage from the wound about 7 hours after I got off the table and looked at the incision. It was not much larger than the original cyst opening. Not much blood. Not much drainage to speak off. I have not put any dressing on it. My underwear is slightly stained but I want the wound to drain and stay as dry as possible. Man, this has been easy.
So far so good.

I will repost when I am starting to see healing take place. So far not much drainage, no pain to speak of, just soreness and discomfort in movement...but I walked a fair amount today and even cleaned my apartment a bit. Sitting is OK--not perfect. I just lean forward and try to keep my back straight.

Thanks- Hawaii





Re: Laser surgery for Pilonidal---what is it like? ARCHIVE AT TOP OF SUBJECT.

Posted by Walt Stoll on January 22, 2000 at 08:40:21:

In Reply to: Re: I am having laser surgery in the morning posted by Anonymous Hawaii on January 20, 2000 at 03:08:47:

Thanks, Hawaii!

Excellent description of the procedure (not that much different from scalpel surgery except for the time it took).

The unknown is usually a lot more scary than the known. I hope everyone contemplating Pilonidal surgery will read this!

Namaste`

Walt



Re: I am having laser surgery in the morning

Posted by Anonymous Hawaii on January 28, 2000 at 08:11:15:

In Reply to: Re: I am having laser surgery in the morning posted by Anonymous Hawaii on January 20, 2000 at 03:08:47:

It has been several days since the procedure was done. I have been experiencing a fair amount of pain and drainage. I have been taking Advil for the pain. I went back to check with the doctor. He said no infection and that discharge and the somewhat foul odor was mostly natural. He said I should keep it clean by "spreading my butt cheeks" and letting the shower clean the wound. I have been soaking in a hot bath to help reduce pain and to keep clean. Drainage is also a factor. I am constantly draining which really is unpleasant. While being checked he removed some dead tissue left over from intitial surgery. The whole is now somewhat larger than I had seen -- maybe an inch at most long and a half an inch wide--even that is sort of too big.

No real regrets yet. I don't like the lingering pain of course. I am going to try to keep it dry for a few days to see if it can help it heal. Oh, I also used hydrogen peroxide to clean wound out...just to bubble any loose material out.

Will repost after a month or so.
Anonymous Hawaii
P.S. I went in the ocean yesterday and let the wound soak in the salt water for a while--something I have always done with cuts and wounds. I find that the salt water accelerates healing. Not gross water though --Hawaii has fairly pristine salt water. It did not hurt much.



[ Pilonidal Cyst Archive ]
[ Main Archives Page ] [ Glossary/Index ]
[ FAQ ] [ Recommended Books ] [ Bulletin Board ]
   Search this site!