Pilonidal cyst removal surgery is to eliminate the unwanted growth that erupts at the end of the tailbone. It is far more effective than standard medication and pit picking. But like any other surgery, this surgery too is very demanding. Proper wound management after surgery is required. This is important for proper healing and to minimize the risk of recurrence of the pilonidal cyst.
Pilonidal Cyst Recovery Timeline
The rehabilitation period after a Pilonidal surgery is linked to the type of surgery. The open wound excision heals slowly and has a longer recovery period. On the other hand, closed wound procedures heal faster.
The recovery phase can be split into smaller time frames. Each phase has different self-care requirements:
24 Hours After Surgery
The initial 24 hours after cyst removal surgery have key importance. The effect of anesthesia is high, so do not try to move around, especially without support and help. As the effect begins to fade, the feeling of pain and discomfort will be high. Make sure you take all the prescribed painkillers. Both oral drugs and skin ointments must be used as prescribed. Seek help to keep the wound site dry and clean. Make sure you take adequate rest and remain in a lying-down position. Refrain from any kind of movement.
Days 1–3
These are the early recovery days. The severity of pain may be from mild to severe. This will depend upon how invasive the surgery was. There will be swelling and bruises. The aching and discomfort must be effectively managed with analgesic drugs that will be prescribed to you. The wound care is extremely important at this time. There will be a slight leakage from the wound at this time. Follow the doctor’s instructions and change the dressing as instructed. The wound should be dry at all times. Prefer to lie down rather than sit. Eating a good, healthy diet will support faster recovery.
Days 4–7
During the latter half of the first week, the soreness and swelling should begin to fade. Light movements appear more comfortable. But limit yourself to easy and light movements. Turn up for your first follow-up visit. It is ok to start with light exercise for shorter periods. Wear loose clothes that do not irritate the wound. Change the dressing and clean the wound as per instructions and carefully watch for symptoms such as swelling and infection that could be a sign of recurrence.
Day 8–14
As you step into the second week of the recovery period, you’ll feel that the symptoms have significantly improved. But be regular with the wound examination and attend any follow-up visit if planned for this time. Seek help from a caregiver to clean and dry the wound properly. Going for short walks will improve blood circulation and expedite healing. A healthy diet will keep you happy and going. Although you can begin to sit for a little longer, use a cushioned seat to support the wound site.
Days 15-28
By the time you enter the third and the fourth week after pilonidal surgery, the swelling and pain must be completely settled. But the wound site may still feel delicate. Continue to avoid straining the area. While you may resume work, stay light with your activity level. Gradually increase the duration and speed of movements. The exterior of the wound should appear healthy. There must be no redness or oozing. Stick to easy-breezy clothes, a healthy diet, and wound care instructions. Always use a cushioned seat for adequate support.
One Month Until Complete Recovery
It may take up to several months for you to feel perfectly fine. But most patients get back to their jobs within one month. However, continue to follow all the post-operative care instructions. As you begin your routine day-to-day activities, avoid movements that strain or irritate the wound site. Complete your follow-up schedule with your doctor before you set free. The importance of self-care, support of caregivers, and adherence to doctor’s instructions; every aspect has a crucial role to play as one sail through this recovery timeline after a pilonidal cyst removal surgery.
Preventive Practices
Apart from the basic tips and guidelines mentioned above, there are certain things one should avoid doing after a pilonidal cyst removal. These are equally important to ensure that the recovery is smooth and on the desired track. Watch out for any complications or early signs of recurrence. These can be at the same site or can be the development of a new cyst in the surrounding skin tissue.
Final Thoughts
Recovery after a pilonidal cyst surgery is slow and gradual. Do not rush through this period or ignore any of the initial signs of complications. But with patience and proper self-care, one can effectively manage healing with almost negligible chances of recurrence. The skill and expertise of the colorectal surgeon cannot be undermined. Dr. Allen Kamrava MD MBA is the most experienced pilonidal cyst surgeon in Beverly Hills. With careful evaluation, choice of the appropriate surgery technique, and proper follow-through guidelines, he along with his team of dedicated caregivers ensure proper and effective recovery from the condition.
