Instructions for Care after Having a Pilonidal Cystectomy

1. When you arrive home from the hospital, you will be packed with Idoform Gauze at the surgical site. This packing can be removed the morning after surgery. When the packing is removed, you can begin taking sitz baths.
2. Eat only soft foods and clear liquids after leaving the hospital. You may have some nausea from the medication used in the hospital. You may have a regular diet the day following your surgery.
3. A small amount of drainage is normal for a few weeks after surgery. Don't panic. If the drainage becomes excessive, please call the office.
4. You are likely to have spastic pain due to spasm of the rectal sphincter muscle. This is aggravated by staying tense and is best relieved by sitz baths or sitting on a heating pad.
5. Drink at least 8 to 10 glasses of water per day. This is necessary to maintain good bowel habits.
6. Be active. Your activities can include walking and climbing stairs. Do not lift anything over 15 pounds.
7. Soak in a warm tub of water for at least 20 minutes three to four times daily. This helps to reduce swelling and to promote healing. After drying the area, irrigate the area with half strength hydrogen peroxide (Mix one part hydrogen peroxide with one part water). Make sure to clean the entire area. Dry the area again and apply Betadine Ointment. Cover the area with a piece of gauze. Continue this until your fist visit to the office.
8. Do not drive a car until after your first office visit. You may ride in a car. Do not use toilet paper, as it may be too harsh. Instead, use warm water and cotton balls to clean after each bowel movement.
9. Call the receptionist after being discharged from the hospital to make an appointment to be checked approximately two weeks after surgery.

Feel free to call the office at (937) 435-8663 if you have any questions that are not covered here.