A pilonidal cyst is a pocket that forms around a hair follicle in the crease between the buttocks. The area may look like a small pit or pore in the skin that contains a dark spot or hair. Sometimes the cyst can become infected, and this is called a pilonidal abscess. An infected pilonidal cyst or abscess requires surgical drainage. It will not heal with antibiotic medicines. If you continue to have infections, the pilonidal cyst can be removed by surgery. You may be given medicine (general anesthesia) that keeps you asleep and pain-free. Or, you may be given medicine (regional anaesthesia) that numbs you from the waist down. In rare cases, you may only be given local numbing medicine. A cut is made to remove the skin with the pores and the underlying tissue with the hair follicles. Depending on how much tissue is removed, the area may or may not be packed with gauze.
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