The pain from a pilonidal abscess is often severe. It will interfere with your ability to sit comfortably. Performance of work or school duties is invariably affected. In severe cases, you may have fevers, chills, and flu-like symptoms. In the case of abscess, an urgent incision and drainage procedure is required.
The inflamed tissue is first liberally numbed with a local anesthetic. Next, a small cruciate incision is created over the area of maximal fluctuance. The abscess cavity is entered with a probe, thereby releasing copious purulent fluid. This fluid is sent to the laboratory for bacterial culture. Relief is immediate and dramatic. The area may be packed with an iodinated strip, and the area is cleanly bandaged.
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