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Endoscopic pilonidal treatment, which uses a small camera to guide the surgeon in removing hair, is a newer method of treatment that has minimal pain and quick healing compared to surgery. A literature review of 497 patients found that the average endoscopic operation time was 34.7 minutes, and the average healing time was 32.9 days.
A boil, also called a furuncle, is a deep folliculitis, which is an infection of the hair follicle. It is most commonly caused by infection by the bacterium Staphylococcus aureus , resulting in a painful swollen area on the skin caused by an accumulation of pus and dead tissue. [ 1 ]
Perianal cellulitis, also known as perianitis or perianal streptococcal dermatitis, is a bacterial infection affecting the lower layers of the skin around the anus. [1] [2] [3] It presents as bright redness in the skin and can be accompanied by pain, difficulty defecating, itching, and bleeding.
A carbuncle is a cluster of several boils, which is typically filled with purulent exudate (dead neutrophils, phagocytized bacteria, and other cellular components). [5] Fluid may drain freely from the carbuncle, or intervention involving an incision and drainage procedure may be needed. [ 4 ]
If the abscess does not heal only with incision and drainage, or if the abscess is in a place that is difficult to drain such as the face, hands, or genitals, then antibiotics may be indicated. [ 1 ] In those cases of abscess which do require antibiotic treatment, Staphylococcus aureus bacteria is a common cause and an anti-staphylococcus ...
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Antibiotics are usually prescribed, with the agent selected based on suspected organism and presence or absence of purulence, [16] although the best treatment choice is unclear. [29] If an abscess is also present, surgical drainage is usually indicated, with antibiotics often prescribed for co-existent cellulitis, especially if extensive. [17]
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