ABSTRACT
Indications Pilonidal cystectomy is indicated in the setting of acute pilonidal disease, chronic
pilonidal sinus/fistula and in the absence of an acute infection.
Preop Two disposable enemas should be given on the morning prior to surgery. Se
quential compression devices are applied to all patients and subcutaneous heparin administered. Prophylactic antibiotics should be given 30 minutes prior to the inci sion. Anesthesia choices are local with intravenous sedation or general anesthesia.
