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Pilonidal cyst surgery (cystectomy).....Laser or no?

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Pilonidal cyst surgery (cystectomy).....Laser or no?

Posted by Tom on March 23, 2001 at 00:05:50:

I have read the archives on this board about people who have had a pilonidal cystectomy using laser techniques. Today, my doctor told me I needed the surgery and when I asked him about going laser, he said there was no such surgery for pilonidal cysts....that it is only done by incising the affected area and stitching it up (also never mentioned the open wound technique). Did I read right about the laser or is he just out of date??

I really would like to go into this with a great surgeon, and I'm in the NYC area so I know premium medical care is available.

Tom





Re: Pilonidal cyst surgery (cystectomy).....Laser or no?

Posted by kmd on March 23, 2001 at 18:57:17:

In Reply to: Pilonidal cyst surgery (cystectomy).....Laser or no? posted by Tom on March 23, 2001 at 00:05:50:

If I were you I wouldn't rush into anything, especially surgery with a doctor who doesn't tell you about the "open wound technique" - a bad surgery can make things worse for the rest of your life! Can't you manage the symptoms using the info in the archives??

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Re: Pilonidal cyst surgery (cystectomy).....Laser or no? (Archive.)

Posted by Walt Stoll on March 25, 2001 at 08:01:16:

In Reply to: Pilonidal cyst surgery (cystectomy).....Laser or no? posted by Tom on March 23, 2001 at 00:05:50:

Hi, Tom.

I am not a surgeon but MY opinion is that this doc is behind the curve.

There is still no evidence that the laser will improve the outcome but it certainly is less destructive and, logically, it seems to me that it at least has the chance of doing a better job. Ask me in 10-20 years when there are better statistics.

The idea is to delete all of the nidi that were deposited there during development. Since they are mostly microscopic, it must makes sense that a laser would have a better chance of destroying those that have not yet flared up---after all that is what the surgeon is trying to do with her wide excision and leaving it open so that the healing tissue will slough out and carry the nidi with it.

Hope this helps.

Walt

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