Materiały źródłowe

• #1 Pilonidal Cyst & Sinus: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/pilonidal-cyst-and-sinus/?srsltid=AfmBOoqfs5vmo1F0Z1WG6I8HFhrLsu0wJCvsFDRtQVPppjGGalU6XIGo

  Pilonidal cyst and sinus nursing care plan includes assessment, nursing diagnoses, interventions, expected outcomes, and patient/caregiver education. […] Gather a medical history, including: Fever, Risk factors, Lower back pain, Prolonged symptoms, Previous cysts or abscesses. […] Conduct a physical examination to check for: Pain, Warmth, Swelling, Erythema, Tenderness, Tuft of hair, Cellulitis, Sacrococcygeal mass, Presence of cyst or abscess, Infection signs, Sinus tract with purulent discharge. […] Nursing diagnoses include: Risk for acute pain related to cyst or abscess, Risk for disturbed body image due to sacrococcygeal mass, Risk for impaired tissue integrity due to cellulitis, Risk for infection due to blocked hair follicle. […] Interventions include: Preoperative and postoperative care, Assist with hygiene of affected area, Administer prescribed medications, Position patient to avoid tailbone pressure, Educate on prevention and proper wound care, Monitor pain, wound healing, and infection signs.

• #2 Pilonidal Cyst: Causes, Symptoms, Treatments & Removal

  https://my.clevelandclinic.org/health/diseases/15400-pilonidal-disease

  Pilonidal cysts can cause pain and need to be treated. […] Depending on the severity of your symptoms, you may or may not need surgery to remove your pilonidal cyst. […] While waiting for your treatment, you can try to manage any pain you may feel by using a warm compress on the affected area to soothe your skin. […] Whenever you have surgery, its important to take good care of your wound so it doesnt get infected. […] Your provider will tell you how to keep your wound clean (including shaving the area) and how long you should keep it covered. […] Theyll also tell you the warning signs of infection and when you should call your provider. […] There are several steps you can take to help prevent getting pilonidal cysts or to keep them from coming back. […] Regularly washing and drying your buttocks (to keep the area clean).

• #3 Pilonidal cyst – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pilonidal-cyst/diagnosis-treatment/drc-20376332

  Your health care provider may be able to diagnose a pilonidal cyst by asking about your symptoms, medical history and personal habits and by looking at the affected skin. […] A pilonidal cyst is usually treated in your health care provider’s office. After numbing the area, your health care provider makes a small cut to drain the cysts. If the cyst returns, you may need surgery. […] Wound care is very important after surgery. Your health care provider will show you how to change dressings and explain what to expect during the healing process. You’ll also be told when to call your health care provider. You may need to shave around the surgical site to prevent hairs from entering the wound.

• #4

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ud1334

  You had surgery to remove a pilonidal cyst. How long it will take for you to heal depends on the way your surgery was done. After healing, you will have a scar or scars from the procedure. These will fade and become softer with time. […] Until you have completely healed, you will need to avoid strenuous exercise and activities that require long periods of sitting. […] Follow the steps below to get better as quickly as possible. […] Shower as usual. Pat the area around your incision dry with a towel when you are done. Avoid baths until the wound is completely healed. Keep the area dry and clean. […] If your incision was closed with stitches: Wash the area daily with warm water and pat it dry. Don’t use hydrogen peroxide or alcohol, which can slow healing. […] Keep the area clean and dry.

• #5 Pilonidal sinus surgery – After surgery | Guy’s and St Thomas’ NHS Foundation Trust

  https://www.guysandstthomas.nhs.uk/health-information/pilonidal-sinus-surgery/after-surgery

  Your recovery after surgery is slightly different depending on what type of surgery you had. […] You need someone to take you home and stay with you for at least 24 hours after surgery. It is important that you rest for the day to recover from the general anaesthetic. […] It is common to have some discomfort after surgery. The affected area can be quite painful for the first couple of days. […] If we give you painkillers, always follow the instructions on the packet or leaflet that comes with the medicine. […] If you have an infection, we might give you antibiotics to take after your surgery. Your doctor or nurse explains how to take them. […] The dressing on your wound depends on what type of surgery you had. If you have any questions about your wound, speak to your doctor or nurse.

• #5 Pilonidal sinus surgery – After surgery | Guy’s and St Thomas’ NHS Foundation Trust

  https://www.guysandstthomas.nhs.uk/health-information/pilonidal-sinus-surgery/after-surgery

  Your surgeon might use stitches to close your wound after removing the pilonidal sinus. […] You have a dressing over your wound and sometimes a dressing inside the wound. This needs to be changed every day. […] Your nurse explains this to you in more detail and helps you to arrange care with your GP. […] You need to take at least 2 weeks off work until your follow-up appointment. During this time, it is important that you: […] Bathe the wound in a warm bath every day. Do not use soap, or put salt or any perfumed products in the water, until your wound has healed. This can irritate the wound. […] You need to visit the practice nurse at your GP surgery every day. They change your dressing and check the wound. […] Most people take 7 to 10 days off work after surgery. This depends on:

• #6 „Hacks” for Healing after Pilonidal Surgery – Evergreen Surgical Pilonidal Clinic

  https://pilonidal.com/hacks-for-healing-after-pilonidal-surgery/

  We routinely take care of patients with pilonidal cysts, non-healing pilonidal wounds, and pilonidal abscesses with great success in the pediatric, teen, and adult age groups. […] No matter what operation you had performed, it is important to keep the wound clean and dry, and allow good air circulation. In most cases, tucking gauze into the remaining gluteal crease to separate it a bit is helpful. This should be changed several times a day, and kept in place until complete healing occurs. […] The first issue that we address to optimize healing is nutritional status. It is important to make sure that you are taking plenty of protein since creating healthy scar tissue requires protein as one of its main building blocks. We recommend patients consume at least 50 grams of protein per day. […] One medication that we frequently recommend is Vitamin C serum. There are rarely any side effects from using this, and often it is very beneficial. Another is Skinuva scar cream. This is something that aids healing and improves scar appearance. Not everybody needs this, but there are times when it can be useful.

• #7 Pilonidal Cyst Removal: What to Expect at Home | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.pilonidal-cyst-removal-what-to-expect-at-home.ud1334

  You had surgery to remove a pilonidal cyst. How long it will take for you to heal depends on the way your surgery was done. […] Until you have completely healed, you will need to avoid strenuous exercise and activities that require long periods of sitting. […] Follow the steps below to get better as quickly as possible. […] Shower as usual. Pat the area around your incision dry with a towel when you are done. Avoid baths until the wound is completely healed. Keep the area dry and clean. […] If your incision was closed with stitches: Wash the area daily with warm water and pat it dry. Don’t use hydrogen peroxide or alcohol, which can slow healing. […] Keep the area clean and dry. […] Use a coccyx cushion if sitting is uncomfortable. This type of cushion keeps pressure off your tailbone (coccyx) while sitting. […] Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.

• #8 Wound Care Options for the Pilonidal Cyst

  https://www.corkmedical.com/post/wound-care-options-for-the-pilonidal-cyst

  A pilonidal cyst is a pocket located at the top of the cleft of the buttocks that usually results from an embedded or stiff hair. This area may remain dormant for years and cause no major issues; however, often the embedded or stiff hair may cause the cyst to become inflamed and infected, resulting in an abscess that requires incision to drain the infected material. These abscesses can recur, causing the patient to require surgical intervention to remove the cyst. After surgery, some patients tend not to heal well, resulting in a chronic tracking wound in an area that is difficult to heal. […] Initially, treatment of the pilonidal cyst involves incision and drainage of the area. Oral antibiotics are not usually required given that the infection is localized. After the area has been incised, wound care involves daily irrigation with sterile water or wound cleanser in a syringe and packing of the wound because the wound will need to heal from the base up. As the wound begins to heal, less packing will be required. It is important to fill the wound and to not pack tightly because this can impede healing. It is important to ensure that the patient has a caregiver who can assist with wound care because these wounds are usually difficult for the patient to manage, given the location.

• #8 Wound Care Options for the Pilonidal Cyst

  https://www.corkmedical.com/post/wound-care-options-for-the-pilonidal-cyst

  The greatest impact on healing is offloading. Make sure the patient understands that he or she needs to keep pressure off the area while it is healing, as well as avoiding shear and friction. The patient should avoid prolonged sitting and tight clothing. Moisture management is also important and can be achieved with an absorptive dressing unless the patient has a large amount of drainage, which may require negative pressure. No tub baths should be taken while the wound is healing or acutely inflamed. […] Once the wound is healed, the patient must be educated on methods to help prevent the recurrence of pilonidal cysts. The patient should be educated on cleansing techniques, hair removal, offloading, and clothing choices. The patient needs to be educated that keeping the area clean is very important. The patient may use cleansing wipes after toileting. Some infectious disease doctors recommend chlorhexidine showers twice weekly, leaving the chlorhexidine in place for one minute and then rinsing. Many patients benefit from laser hair removal. The patient has to understand the importance of offloading and avoiding prolonged sitting because this is a major risk factor, as outlined earlier. The patient should avoid clothing that can cause friction and pressure such as jeans or tight non-breathable clothing, as well as thongs.

• #9 Pilonidal Cyst Home Treatment: Home Remedies, When to See a Doctor

  https://www.healthline.com/health/pilonidal-cyst-home-treatment

  A pilonidal cyst is a sac filled with hair, skin, and other debris. It typically forms at the top of the buttocks, right between the cleft, which separates the two cheeks. […] The only way to get rid of a pilonidal cyst is through a minor surgical procedure. But there are a few things you can do at home to ease pain and discomfort in the meantime. […] Try applying a hot, wet compress to the cyst a few times a day. The heat will help pull out the pus, allowing the cyst to drain. This can relieve pain and itching. […] If the cyst hurts, you can take a nonsteroidal anti-inflammatory, such as ibuprofen (Advil). […] Pilonidal cysts are treated with a simple in-office procedure. A doctor will start by numbing the area with an injection of a local anesthetic. Next, theyll use a surgical knife to make a small incision to help drain the pus and debris from the cyst.

• #9 Pilonidal Cyst Home Treatment: Home Remedies, When to See a Doctor

  https://www.healthline.com/health/pilonidal-cyst-home-treatment

  Make sure to follow the wound care instructions from your doctor as you recover. […] Once youve had a pilonidal cyst surgically drained, there are several things you can do to reduce your risk of developing another one. […] Finally, try to keep the area between the cheeks of your buttocks as clean and dry as possible. Wearing correct-fitting clothes can help to prevent sweat from collecting there. […] Home treatments can relieve discomfort from a pilonidal cyst. But to get rid of it for good, youll need to see a doctor. To prevent cysts from forming again in the future, avoid prolonged sitting. Keep the area above your buttocks clean, dry, and free from hair.

• #10 Pilonidal Cyst & Sinus: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/pilonidal-cyst-and-sinus/?srsltid=AfmBOoqfs5vmo1F0Z1WG6I8HFhrLsu0wJCvsFDRtQVPppjGGalU6XIGo

  Expected outcomes include: No further signs of infection, Reduced or absence of pain, Improved or healed tissue integrity, Resumption of normal activities without pain, Effective coping with body image changes. […] Patient/caregiver education includes: Explain the condition, diagnosis, and treatment options, Medications and side effects, Importance of reporting recurrent symptoms, Dressing change techniques for postoperative care, Completing the full course of antibiotics when indicated, Use of sitz baths for comfort, Preventive measures for recurrence.

• #11 Pilonidal Cyst Surgery: Procedure, Recovery, and Aftercare

  https://www.healthline.com/health/pilonidal-cyst-surgery

  Your doctor will provide you with instructions on how to keep your wound clean. Follow these directions carefully to avoid an infection or recurrence. […] If your doctor prescribes antibiotics, be sure to complete the full course, even if you start to feel better before they’re finished. […] Call your doctor if you experience: a fever; pus draining from your incision; increased pain, swelling, warmth, or redness near the incision. […] Unfortunately, pilonidal cysts can come back after surgery. […] Here are some ways to prevent a recurrence: Follow your doctor’s post-surgical instructions carefully; Keep the area clean; Shave the area, or use a hair removal product every 2 to 3 weeks; Keep all follow-up appointments with your doctor; Shave or wax hair in the area, or consider laser hair removal, to prevent the cyst from recurring.

• #12 Pilonidal Cyst: Causes, Symptoms, Treatments & Removal

  https://my.clevelandclinic.org/health/diseases/15400-pilonidal-disease

  Losing weight (if you are currently overweight) to lower your risk. […] Avoiding sitting for too long (if your job allows) to keep pressure off the area. […] Shaving the hair around your buttocks (once a week or more). You can also try using a hair removal product to avoid getting ingrown hairs. […] Depending on your symptoms, you might need to take some time off of work if you have a pilonidal cyst. […] Talk to your provider about ways to be more comfortable at work and treatment options to relieve any pain caused by a pilonidal cyst.

• #13 Pilonidal sinus

  https://www.nhs.uk/conditions/pilonidal-sinus/

  Your care team will advise you about how to care for your wound while it heals and what to do if symptoms come back. […] keep the affected area clean […] wear comfortable, loose-fitting cotton underwear […] eat plenty of fibre to make going to the toilet easier and avoid straining […] do not lift heavy objects or do strenuous exercise for the first week or so […] do not ride a bike for 6 to 8 weeks […] do not go swimming until your wound has completely healed.

• #14 Pilonidal Cyst | Saint Luke’s Health System

  https://www.saintlukeskc.org/health-library/pilonidal-cyst

  A pilonidal cyst may not cause symptoms unless it becomes infected or inflamed. Once a pilonidal cyst becomes infected, it’s called a pilonidal abscess. Infection or inflammation from irritation may cause these symptoms: […] Most pilonidal cysts are left alone. But if a cyst becomes infected or inflamed, you need treatment. This may include: […] A pilonidal cyst can easily get infected. To help prevent infections: Keep the cyst and nearby skin area clean. […] Don’t sit in 1 position for long periods of time. This helps to reduce weight and pressure on your tailbone area. Sitting on a special cushion to ease pressure on the tailbone may also help. […] Don’t wear tight-fitting clothes. Looser clothing can help reduce skin irritation around the cyst.

• #15 Pilonidal Disease | Progressive Surgical Associates

  https://gamagami.com/pilonidal-disease/

  The initial treatment for an infected pilonidal cyst, or pilonidal abscess, is usually a procedure performed by your primary care doctor or a surgeon. The patient is given a local anesthetic to numb the area before the doctor opens the abscess, drains the fluids and removes hair and other debris. The wound may need to be packed with dressing so that it can heal from the inside out. For about 50 to 60 percent of people with an infected pilonidal cyst, this treatment is effective and no further treatment is needed. […] Wound care is extremely important after surgery. Your doctor or nurse will give you detailed instructions on how to change dressings, what to expect of a normal healing process and when to call the doctor. […] To prevent future pilonidal cysts from developing: Remove any hair from this area on a regular basis. Shaving or depilatory creams work well. Clean the area daily with glycerin soap, which tends to be less irritating. Rinse the area thoroughly to remove any soapy residue. Washing briskly with a washcloth helps keep the area free of hair accumulation. Keep the area clean and dry. Don’t use powders, oils or herbal remedies on this area. Avoid sitting for long periods of time.

• #16

  https://drmaherabbas.com/pilonidal-wound-care/

  Pilonidal disease is a skin condition commonly referred to as a hair cyst. […] The treatment of pilonidal disease can range from incision and drainage of an abscess, removing the pits and sinus openings, laser treatment of the tracts, unroofing and marsupialization of the wound, to complex resection of the area with flap closure (moving healthy surrounding tissue to cover the wound). […] It is imperative that you follow all instructions and that you take daily care of your wound. Because of the location of pilonidal disease, you often will need the assistance of another person to care for your wound. […] Hair removal as described below is a critical part of your wound management. […] A major risk factor for non-healing or recurrence of pilonidal disease is hair infiltration of the wound. It is imperative that you are very diligent with hair removal from the wound and surrounding skin.

• #16

  https://drmaherabbas.com/pilonidal-wound-care/

  In the early recovery period, Dr. Maher Abbas recommends hair removal using an eyebrow tweezer and creams such as Nair, Veet, Nad. […] It is best to rest the first week following your surgery to allow the area to heal. […] You will be scheduled for weekly office follow-up visits until the wound is healed. The purpose of the visits is to inspect the wound, perform any debridement or hair removal if necessary. […] It is imperative that you show up to all your scheduled appointment to ensure proper wound care in order to maximize healing.

• #17 Home Treatments for Pilonidal Cyst Disease – Evergreen Surgical Pilonidal Clinic

  https://pilonidal.com/home-treatments/

  Cleanliness […] Keep the area as clean as possible by showering or bathing daily with a mild antibacterial soap (Hibiclens is a good choice). […] Avoid Trauma […] Patients who have enlarged pores in the midline of the gluteal crease are the ones who are at risk of developing a painful pilonidal abscess. […] Clothing Choices […] Avoiding clothing that is tight across the buttocks is very important. […] Hair Removal […] Minimizing the amount of hair available to get caught in the pores might be helpful. […] Antisepsis […] There are many anecdotal reports of patients getting relief by using a topical antiseptic in the gluteal crease. […] Air Circulation […] Placing a gauze pad between the buttock cheeks so that air can circulate may be one of the best strategies. […] Dealing with an abscess […] If a patient can tell that an abscess is forming by the onset of pain and pressure next to or in the gluteal crease, I recommend going to see an experienced surgeon for drainage. […] My recommendation is to look into the cleft lift operation as the best solution to this problem.

• #18 Pilonidal Cyst and Sinus Treatment & Management: Emergency Department Care, Consultations, Medical Care

  https://emedicine.medscape.com/article/788127-treatment

  Other than standard incision and drainage, patients with chronic pilonidal disease may require excision with primary repair, excision and healing by secondary intention, or excision with marsupialization. […] Routine physical activity may be helpful for prevention, as a sedentary lifestyle is a risk factor for developing pilonidal disease. […] Patients should undergo wound check in the ED or outpatient setting in 1-2 days, with removal of the packing at that time and redressing of the wound. […] Surgical follow-up is recommended in 1-2 weeks. […] Some literature suggests that conservative therapy with good local hygiene and site shaving every 1-3 weeks is as effective in preventing recurrence as a secondary surgical procedure.

• #19 Pilonidal Cyst Removal, Recovery, and Recurrence

  https://www.verywellhealth.com/treatment-for-pilonidal-cyst-1124172

  The timeline for healing after pilonidal cyst surgery varies based on how the surgery was performed. If your wound was stitched closed, complete healing usually takes four weeks, while wounds left open to drain can take months to completely heal. […] The first few days after pilonidal cyst surgery can be uncomfortable. Since the wound is by your tailbone, it may be difficult to sit or find a comfortable position. […] After the abscess drains of pus, which may happen if it erupts on its own or with medical treatment, many patients develop a pilonidal sinus. […] Pilonidal sinus disease can be a chronic, recurring condition. About 50% of people who have a cyst removed require a second cystectomy, and some may need repeated procedures to treat pilonidal sinus disease.

• #20 Pilonidal Cyst

  https://www.cincinnatichildrens.org/health/p/pilonidal-cyst

  To help keep the symptoms from coming back, you should: Wash area twice a day, Shave or trim hairs from around the area every week, Maintain a healthy weight, Dont sit for long periods of time, Dont wear tight or uncomfortable pants, Dont wipe stool / BM into the area. […] Call the surgery office if any of these symptoms return after healing: Pain, Redness, Swelling, Drainage, Fever.

• #21 Pilonidal sinus | Nursing Times

  https://www.nursingtimes.net/primary-care/pilonidal-sinus-08-04-2003/

  – Wounds that are left open to heal may take several weeks; requiring expert wound management, with daily attention at first until the wound begins to heal. […] – Nurses need to be aware of the psychological impact on individuals when this condition affects their social interactions and work-related activities. […] – Teaching patients preventative measures is important.

• #22 User Login

  https://www.jcn.co.uk/journals/issue/10-2015/article/nursing-management-of-pilonidal-sinus-in-the-community

  Pilonidal sinus is a benign disease that involves a sinus in the natal cleft. This condition mostly affects the young and the resulting wounds can be extremely painful and debilitating. […] The management of pilonidal wounds can be challenging, but with a systematic approach to wound care that involves patients in their own care to help prevent infection and recurrence of this painful disorder, positive results can be achieved. Treatment should not prevent patients from returning to the normal activities of daily living (both social and work-related), and nurses should aim to achieve this as quickly as possible. Psychological care is just as essential as nursing care when managing this disease.

• #23

  https://www.beaumont.org/conditions/pilonidal-cyst-disease

  Pilonidal disease is a common condition of the skin and subcutaneous tissue at or near the upper part of the natal cleft of the buttocks which causes a chronic infection of the skin in the region of the buttock crease. […] Management is variable and guided by the clinical presentation and extent of disease. […] Treatment options depend on the disease pattern and extent of the disease. Most cases of pilonidal disease can be managed without surgery. […] If an infection is present, your child will need to take oral antibiotics. […] Hair must be removed from the tailbone area on a frequent basis to prevent flare ups and recurrence. […] Close attention to personal hygiene with daily to twice daily baths/showers. […] Continue frequent hair removal. […] Wear loose fitting clothing/cotton underwear. […] Remove damp clothing promptly (after gym, working out, sports and swimming). […] Limit activities that cause impact to the tail bone. […] Keep your weight in the normal range.

Zobacz więcej