Success rate was 96.75% and Overall patients satisfaction was 97.84%. Keywords: Four patients presented complications: 2 hematomas (5%) and 2 abscesses (5%), all medically treated. New Patients Click Here. Shaving the hair from the area will probably be recommended. And in the case of primary closure surgery for pilonidal sinus (conventional procedure), recurrence was observed in 30% of the patients treated with the surgery. Despite many non-surgical and surgical methods, no consensus emerged for the best treatment. government site. We describe a new innovative technique consisting in the destruction of the pilonidal cyst with a radial laser probe (FILACTM, Biolitec, Germany). The person may suffer from multiple pilonidal cysts or abscess. What is the Treatment for Pilonidal Disease? The site is secure. How to care when you are suffering from Pilonidal Sinus? (Also Read: How does pilonidal sinus start?). Your doctor will numb the area with a local anesthetic and then make a small cut to open the cyst. Although laser treatment for pilonidal cysts has been shown to have a high success rate, there are things that a patient can do to help reduce his or her chance of a recurrence. 2005 Sep;20(5):415-22. doi: 10.1007/s00384-004-0710-5. Incision and drainage -- This is the most common treatment for an infected cyst. The gauze has to be changed often during this time. If you have surgical drains, they will be removed after several weeks. Li Z, Jin L, Gong T, Qin K, Cui C, Wang Z, Wu J. Most patients with pilonidal disease can be managed in a time efficient and affordable way with great results if managed by a specialized center outside the hospital setting. Kayall found an overall success rate of 87 10% with a mean follow-up of 2.0 1.1 years [ 16 ]. Front Pediatr. doi: 10.1007/s10151-017-1722-9. What to do to Minimize Flare ups or Recurrence. Select your treatmentPilesAnal FistulaFissurePilonidal SinusHernia SurgeryGallstones SurgeryCarpal Tunnel SyndromeACL-TearKnee ReplacementHip ReplacementSpine SurgeryShoulder Tendon RepairShoulder Labrum Tear SurgeryShoulder DislocationCataract SurgeryLasik SurgeryHysterectomyHysteroscopyEardrum surgeryDeviated Nasal SeptumAdenoidectomyFESS / SinusTonsillectomy / TonsilKidney StonesProstate EnlargementMale InfertilityVaricoceleLaser CircumcisionZSR CircumcisionVaricose VeinsDiabetic Foot UlcerDeep Vein ThrombosisAV Fistula for DialysisHair TransplantGynecomastiaLiposuction SurgeryBreast SurgeryFace LiftTummy TuckScar RemovalLipomaBreast LiftBreast LumpBreast ReductionBreast AugmentationOvarian CystHymenoplastyVaginal TighteningPCODIrregular PeriodsDilation and curettageVaginal CystHysteroscopyPain during IntercourseUrine infectionHysterectomyFibroids treatmentEctopic PregnancyMedical Termination of Pregnancy (MTP)Abnormal Uterine BleedingVaginal BleachVaginal RejuvenationPap smear problemsRecurrent Vaginal InfectionAbnormal Vaginal DischargeImperforate HymenVaginal wartEctopic pregnancyMolar pregnancyBartholin CystMiscarriageEndometriosisDermoid CystChocolate CystAdenomyosisIVFAxillary BreastThyroidectomy. 2011 Feb;54(1):39-42. doi: 10.1503/cjs.028509. The Care You Deserve. Concerns: M. Dessily, F. Charara, S. Ralea & J.-L. All. Wehave seen many failed cleft-lifts performed by other surgeons that do not look anything like the procedure Dr Wadieperforms. An infected pilonidal cyst can be incredibly painful and cause intense discomfort during everyday activities. The cyst is full of dirt, dead cells, hair follicles, and pus. It gets very frustrating. Do I have to stay in the hospital after the eCollection 2022. Kargn S, Doru O, Turan E, Kerimolu RS, Nazik EE, Esen E. Turk J Surg. Also, alcohol, smoking and are advised to drink a lot of water. Recurrence rates of pilonidal disease have been reported to be high as 30%. Most often it occurs between puberty and age 40. Studies such as this one suggest laser treatment is a promising newer technology for treating pilonidal cysts, with stats indicating a first time success rates in the 87.5 percent range. It has a conical internal fiber that produces a ring of high-intensity light. Comparative analysis on the effect of the endoscopic versus conventional treatment for pilonidal sinus: A meta-analysis of controlled clinical trials. eCollection 2022 Jul. Dietrich Doll & Theo Evers Reference List 1. Pilonidal cyst surgery is typically a minor outpatient procedure. Epub 2018 Nov 15. he didn't tell the name of the surgery but explained how the procedure is done. Rashidian N, Vahedian-Ardakani J, Baghai-Wadji M, Keramati MR, Saraee A, Ansari K, Adman AA. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. HHS Vulnerability Disclosure, Help WebResults: Among 307 patients treated for pilonidal disease, nearly 50% were male, and the median age at initial evaluation was 16 years (IQR 15-17). The article also demonstrated a 44% failure rate at 10 years for patients who had open excision which approximates the 50/50 number that many surgeons equate with this procedure. Among 307 patients treated for pilonidal disease, nearly 50% were male, and the median age at initial evaluation was 16 years (IQR 15-17). As surgeons, we will rarely accept an operation with a 20-30% failure rate; one with a 62% failure rate would be completely unacceptable. Cystectomy has a higher success rate as compared to incision and drainage. Hospital stay is short, pain is light and complications are few as well as the number of patients needing post-operative care, allowing a rapid return to Occasionally the abscess cavity may be cut out completely to remove hair nests and skin debris; this Thus the best way to get permanent relief from pilonidal sinus is to undergo laser treatment. Colorectal Dis. said they were gonna cut the area (rhomboid shape) and then stitch the wound with tissues from surrounding area.isn't it limberg flap reconstruction or Additionally, laser surgery results in less pain for the patient. Bookshelf official website and that any information you provide is encrypted CAUSES What Is the Typical Pilonidal Cyst Laser Treatment Success Patients may be advised to apply an ointment or a compress to the wound each day. The recurrence rate was only 2.9 percent. have seen many failed cleft-lifts performed by other surgeons that do not look anything like the procedure. An official website of the United States government. The conclusion of Dr Doll and his colleagues is: And, we agree with their conclusion. (Also Read: Different Types of Pilonidal Cyst Surgery) Added advantages of laser treatment for pilonidal sinus: The pilonidal cyst does not reappear; No abscess formation; There is no bleeding and scarring; Because the pilonidal cyst laser treatment success rate is high, by opting for this minimally invasive treatment method, you will have good reason to hope that this one surgery will be the only procedure you will ever need. J Wound Care. .LHrbPP{background:#fff;border-radius:24px;color:#116dff;cursor:pointer;font-family:Helvetica,Arial,,meiryo, pro w3,hiragino kaku gothic pro,sans-serif;font-size:14px;height:0;left:50%;margin-left:-94px;opacity:0;padding:0 24px 0 24px;pointer-events:none;position:absolute;top:60px;width:0;z-index:9999}.LHrbPP:focus{border:2px solid;height:40px;opacity:1;pointer-events:auto;width:auto} Epub 2005 Feb 16. Careers. This follow-up treatment is useful because it reduces the opportunity for hairs to irritate the area and cause the development of a new cyst. Unfortunately, one study showed a recurrence rate of 22 percent with traditional pilonidal cyst surgeries. The patients of, Laser Surgery for Pilonidal Sinus is the most successful and convenient treatment option for pilonidal sinus or cyst. The patient hardly experiences any pain or discomfort during and after the surgery. How do I know if my pilonidal sinus is infected? It affects about 70,000 people in the US annually and is more common in men than women. 13 Follow-up and secondary prevention Dressing Careful wound care to ensure optimal conditions for The patient can start walking on his own the same day after the laser treatment. Further studies on pilonidal sinus should always state a 5-year or 10-year recurrence rate, as can be easily deduced from applied Kaplan Meier analysis. Patients should People who are overweight and who have thick, stiff body hair are more likely to develop pilonidal disease. How to repair the surgical defect after excision of sacrococcygeal pilonidal sinus: a dilemma. Janek KC, Kenfield M, Arkin LM, Stalter L, Tabaro G, Leys CM, Le HD. This operation removes any midline pits, and destroys any sinus tracts and remaining abscess cavities. y to come up with a personalized treatment plan that fits your needs. Also, there is a long recovery time of at least a week in case of open surgery for pilonidal sinus. Most patients can resume work and low-impact daily activities within four to six weeks of their operation. WebThis position allows the surgeon to clearly visualise the pilonidal sinus cyst and assist in proper surgery. An effective and considerable treatment of pilonidal sinus disease by laser ablation. .nDEeB0{cursor:pointer}.hFQZVn{--container-corvid-border-color:rgba(var(--brd,var(--color_15)),var(--alpha-brd,1));--container-corvid-border-size:var(--brw,1px);--container-corvid-background-color:rgba(var(--bg,var(--color_11)),var(--alpha-bg,1))}.nTiihL{background-color:var(--container-corvid-background-color,rgba(var(--bg,var(--color_11)),var(--alpha-bg,1)));border:var(--container-corvid-border-width,var(--brw,1px)) solid var(--container-corvid-border-color,rgba(var(--brd,var(--color_15)),var(--alpha-brd,1)));border-radius:var(--rd,5px);bottom:0;box-shadow:var(--shd,0 1px 4px rgba(0,0,0,.6));left:0;position:absolute;right:0;top:0} No patient wants to go through surgery, especially after enduring the troubles once. Email: info@pilonidalsurgery.org. Bethesda, MD 20894, Web Policies This procedure is carried out under 30 minutes under the influence of anesthesia. .TWFxr5{height:auto!important}, Expert, personalizedand reliable care for pilonidal disease. On multivariable analysis, obese BMI was the only factor independently associated with time to disease recurrence. The aim of this study was to characterize rates of recurrence in patients with pilonidal disease treated by pediatric surgeons. The laser energy is used to destroy the lining of the tract of infection and then collapse or close the opening permanently. How effective is ayurvedic treatment for pilonidal sinus? Long term results have to be awaited. We offer a less invasive procedure called Pit Picking for patients who are good candidates for it. Pilonidal dimple may appear as: High Rate of Major Morbidity after Surgical Excision for Pilonidal Disease. National Library of Medicine WebThe cyst is almost always near the tailbone at the top of the buttocks. Though it happens rarely, skin cell carcinoma or skin cancer can also occur. The laser light destroys the lining of the tract and collapses the opening. .eqdS8Y{margin:0 10px;opacity:.6}.s2vjzl{height:auto!important}.iIDj3f .VhEFyd{border:solid var(--brw,1px) rgba(var(--brd,var(--color_15)),var(--alpha-brd,1));border-radius:var(--rd,0);box-shadow:var(--shd,0 1px 4px rgba(0,0,0,.6))}.iIDj3f .mAbKdC{border-bottom:solid var(--sepw,1px) rgba(var(--sep,var(--color_15)),var(--alpha-sep,1));height:100%;position:relative;width:100%}.iIDj3f .mAbKdC:last-child{border-bottom:0}.iIDj3f .LiezSn{border:solid var(--brw,1px) rgba(var(--brd,var(--color_15)),var(--alpha-brd,1));border-radius:var(--SKINS_submenuBR,0);box-shadow:var(--shd,0 1px 4px rgba(0,0,0,.6));box-sizing:border-box;min-width:100%;position:absolute;visibility:hidden;z-index:999}.iIDj3f .LiezSn.I7FmMC{left:calc(100% + var(--SKINS_submenuMargin, 8px))}.iIDj3f .LiezSn.xj1Uuc{right:calc(100% + var(--SKINS_submenuMargin, 8px))}.iIDj3f .LiezSn.LbNqsx{bottom:var(--brw,1px)}.iIDj3f .LiezSn.IWqEzg{top:calc(-1 * var(--brw, 1px))}.iIDj3f .LiezSn:before{content:" ";height:100%;left:var(--sub-menu-open-direction-left,0);margin-left:calc(-1*var(--SKINS_submenuMargin, 8px));margin-right:calc(-1*var(--SKINS_submenuMargin, 8px));position:absolute;right:var(--sub-menu-open-direction-right,auto);top:0;width:var(--SKINS_submenuMargin,8px)}.iIDj3f .XOv3PP{background-color:rgba(var(--bg,var(--color_11)),var(--alpha-bg,1));height:var(--item-height,50px);transition:var(--itemBGColorTrans,background-color .4s ease 0s)}.iIDj3f .XOv3PP.yhMPOT>.yGKpFe>.dcf7Sz{cursor:default}.iIDj3f .XOv3PP.J2yCb1{background-color:rgba(var(--bgs,var(--color_15)),var(--alpha-bgs,1))}.iIDj3f .XOv3PP.J2yCb1>.yGKpFe>.dcf7Sz{color:rgb(var(--txts,var(--color_13)))}.iIDj3f .XOv3PP.oURt_q>.LiezSn{visibility:visible}.iIDj3f .XOv3PP.oURt_q:not(.yhMPOT){background-color:rgba(var(--bgh,var(--color_15)),var(--alpha-bgh,1))}.iIDj3f .XOv3PP.oURt_q:not(.yhMPOT)>.yGKpFe>.dcf7Sz{color:rgb(var(--txth,var(--color_13)))}.iIDj3f .LiezSn .XOv3PP{background-color:rgba(var(--SKINS_bgSubmenu,var(--color_11)),var(--alpha-SKINS_bgSubmenu,1))}.iIDj3f .LiezSn .mAbKdC .XOv3PP{border-radius:0}.iIDj3f .mAbKdC:first-child .XOv3PP{border-radius:var(--rd,0);border-bottom-left-radius:0;border-bottom-right-radius:0}.iIDj3f .mAbKdC:last-child .XOv3PP{border-bottom:0 solid transparent;border-radius:var(--rd,0);border-top-left-radius:0;border-top-right-radius:0}.iIDj3f .dcf7Sz{box-sizing:border-box;color:rgb(var(--txt,var(--color_15)));cursor:pointer;display:flex;font:var(--fnt,var(--font_1));height:100%;justify-content:var(--text-align,flex-start);padding-left:var(--textSpacing,10px);padding-right:var(--textSpacing,10px);position:relative;white-space:nowrap}.iIDj3f .dcf7Sz,.iIDj3f .dcf7Sz:after{background-color:transparent;width:100%}.iIDj3f .dcf7Sz:after{content:" ";cursor:default;height:var(--sepw,1px);left:0;position:absolute;top:100%}.iIDj3f .mAbKdC .XOv3PP .dcf7Sz{line-height:var(--item-height,50px)}.iIDj3f .LiezSn .dcf7Sz{font:var(--SKINS_fntSubmenu,var(--font_1))} A sharp instrument may then be used to remove the pit of the pilonidal cyst from the body; when this step is done, the wound is flushed out before continuing with procedure. Laser Surgery for Pilonidal Sinus is the most successful and convenient treatment option for pilonidal sinus or cyst. 2018 Oct;22(10):773-778. doi: 10.1007/s10151-018-1863-5. Repeated events proportional hazards regression modeling was performed to identify factors associated with time to recurrence. The initial treatment during the study period was surgical excision in two-thirds and incision and drainage and/or antibiotics in one-third. Abraham MN, Raymond SL, Hawkins RB, Iqbal A, Larson SD, Mustafa MM, Taylor JA, Islam S. Front Surg. WebIts reported success rate of 92% from recent small population studies still pales in comparison to the success rates of open flap Furnee E. The effect of hair removal after surgery for sacrococcygeal pilonidal sinus disease: A systematic review of the literature. Acta Chir Belg. Epub 2022 Apr 21. Although this is a lower success rate than some other articles, it confirms what many surgeons intuitively have found, and it is why many of us do not offer pit picking, or any of the minimally invasive operations. However, if This series also showed a 22% failure rate in the Limberg Flap patients. Pilonidal cystectomy -- If you keep having problems with a pilonidal cyst, it can be removed surgically. The more conservative treatments for pilonidal cysts, such as drainage, are unfortunately associated with recurrence. It is a minimally invasive option . During the recovery period, patients must take care to follow their doctor's directions closely. People who are overweight and who have thick, stiff body hair are more likely to develop pilonidal disease. This technique could be proposed as a first-line treatment to the majority of patients with a pilonidal sinus disease. Our Doctors are available 24 hours a day, 7 days a week to help you! Being minimally invasive, laser surgery offers fast recovery with nil chances of complications. We evaluate every patient individually to come up with a personalized treatment plan that fits your needs. This may involve multiple showers each day. Pulses of laser energy are applied to the wound to close up the sinus. The disease is benign and has no association with cancer. The intent of surgery is to clean out the infected area and remove the pit so that infection does not recur. Hospital stay was 1 day for all the patients with no re-hospitalisation during the follow-up. WebThe aim of our study was to assess the novel radial laser probe treatment in pilonidal disease and report the success rate and recurrence rate. 2017; 117(3): 164-168. After numbing the area, your health care provider makes a small cut to drain the A special laser fiber is used to finish the procedure. The short video "Pilonidal Sinus Laser Treatment with the neoV" shows the steps to this surgery. Two types of traditional surgeries were studied. Pilonidal sinus laser treatment recovery time, Tips for Quick Recovery after Pilonidal Sinus Surgery. Conclusions: .OQ8Tzd,.nKphmK{overflow:hidden}.nKphmK{height:100%;position:relative;width:100%}.nKphmK:-webkit-full-screen{min-height:auto!important}.nKphmK:-ms-fullscreen{min-height:auto!important}.nKphmK:fullscreen{min-height:auto!important}.pvlz2w{visibility:hidden} Federal government websites often end in .gov or .mil. They are minimal in the size of the incision, but until now there has not been a study that really looks at the success rate. The doctor feels that pilonidal cyst is a completely curable disease. Hospital stay is short, pain is light and complications are few as well as the number of patients needing post-operative care, allowing a rapid return to work or school. Disclaimer. On average, laser treatment patients take painkillers for about five days after surgery. Laser surgery is a relatively quick and effective treatment for pilonidal cysts. WebThe most common treatment for a pilonidal cyst is incision and drainage of the cyst with or without a course of oral and/or topical antibiotics as appropriate. .YzqVVZ{overflow:visible;position:relative}.mwF7X1{-webkit-backface-visibility:hidden;backface-visibility:hidden}.YGilLk{cursor:pointer}.HlRz5e{display:block;height:100%;width:100%}.HlRz5e img{max-width:var(--wix-img-max-width,100%)}.HlRz5e[data-animate-blur] img{filter:blur(9px);transition:filter .8s ease-in}.HlRz5e[data-animate-blur] img[data-load-done]{filter:none}.I5zqsT{display:block}.I5zqsT,.MW5IWV{height:100%;width:100%}.MW5IWV{left:0;-webkit-mask-image:var(--mask-image,none);mask-image:var(--mask-image,none);-webkit-mask-position:var(--mask-position,0);mask-position:var(--mask-position,0);-webkit-mask-repeat:var(--mask-repeat,no-repeat);mask-repeat:var(--mask-repeat,no-repeat);-webkit-mask-size:var(--mask-size,100%);mask-size:var(--mask-size,100%);overflow:hidden;pointer-events:var(--fill-layer-background-media-pointer-events);position:absolute;top:0}.MW5IWV.N3eg0s{clip:rect(0,auto,auto,0)}.MW5IWV .Kv1aVt{height:100%;position:absolute;top:0;width:100%}.MW5IWV .dLPlxY{height:var(--fill-layer-image-height,100%);opacity:var(--fill-layer-image-opacity)}.MW5IWV .dLPlxY img{height:100%;width:100%}@supports(-webkit-hyphens:none){.MW5IWV.N3eg0s{clip:auto;-webkit-clip-path:inset(0)}}.VgO9Yg{height:100%}.LWbAav{background-color:var(--bg-overlay-color);background-image:var(--bg-gradient)}.K_YxMd,.yK6aSC{opacity:var(--fill-layer-video-opacity)}.NGjcJN{bottom:var(--media-padding-bottom);height:var(--media-padding-height);position:absolute;top:var(--media-padding-top);width:100%}.mNGsUM{transform:scale(var(--scale,1));transition:var(--transform-duration,transform 0s)}.K_YxMd{height:100%;position:relative;width:100%}.bX9O_S{-webkit-clip-path:var(--fill-layer-clip);clip-path:var(--fill-layer-clip)}.Z_wCwr,.bX9O_S{position:absolute;top:0}.Jxk_UL img,.Z_wCwr,.bX9O_S{height:100%;width:100%}.K8MSra{opacity:0}.K8MSra,.YTb3b4{position:absolute;top:0}.YTb3b4{height:0;left:0;overflow:hidden;width:0}.SUz0WK{left:0;pointer-events:var(--fill-layer-background-media-pointer-events);position:var(--fill-layer-background-media-position)}.FNxOn5,.SUz0WK,.m4khSP{height:100%;top:0;width:100%}.FNxOn5{position:absolute}.m4khSP{background-color:var(--fill-layer-background-overlay-color);opacity:var(--fill-layer-background-overlay-blend-opacity-fallback,1);position:var(--fill-layer-background-overlay-position);transform:var(--fill-layer-background-overlay-transform)}@supports(mix-blend-mode:overlay){.m4khSP{mix-blend-mode:var(--fill-layer-background-overlay-blend-mode);opacity:var(--fill-layer-background-overlay-blend-opacity,1)}}._C0cVf{bottom:0;left:0;position:absolute;right:0;top:0;width:100%}.hFwGTD{transform:translateY(-100%);transition:.2s ease-in}.IQgXoP{transition:.2s}.Nr3Nid{opacity:0;transition:.2s ease-in}.Nr3Nid.l4oO6c{z-index:-1!important}.iQuoC4{opacity:1;transition:.2s}.CJF7A2{height:auto}.CJF7A2,.U4Bvut{position:relative;width:100%}:host(:not(.device-mobile-optimized)) .G5K6X8,body:not(.device-mobile-optimized) .G5K6X8{margin-left:calc((100% - var(--site-width))/2);width:var(--site-width)}.xU8fqS[data-focuscycled=active]{outline:1px solid transparent}.xU8fqS[data-focuscycled=active]:not(:focus-within){outline:2px solid transparent;transition:outline .01s ease}.xU8fqS ._4XcTfy{background-color:var(--screenwidth-corvid-background-color,rgba(var(--bg,var(--color_11)),var(--alpha-bg,1)));border-bottom:var(--brwb,0) solid var(--screenwidth-corvid-border-color,rgba(var(--brd,var(--color_15)),var(--alpha-brd,1)));border-top:var(--brwt,0) solid var(--screenwidth-corvid-border-color,rgba(var(--brd,var(--color_15)),var(--alpha-brd,1)));bottom:0;box-shadow:var(--shd,0 0 5px rgba(0,0,0,.7));left:0;position:absolute;right:0;top:0}.xU8fqS .gUbusX{background-color:rgba(var(--bgctr,var(--color_11)),var(--alpha-bgctr,1));border-radius:var(--rd,0);bottom:var(--brwb,0);top:var(--brwt,0)}.xU8fqS .G5K6X8,.xU8fqS .gUbusX{left:0;position:absolute;right:0}.xU8fqS .G5K6X8{bottom:0;top:0}:host(.device-mobile-optimized) .xU8fqS .G5K6X8,body.device-mobile-optimized .xU8fqS .G5K6X8{left:10px;right:10px}.SPY_vo{pointer-events:none}.BmZ5pC{height:100%;min-height:calc(100vh - var(--wix-ads-height));min-width:var(--site-width);position:var(--bg-position);top:var(--wix-ads-height);width:100%}.zKbzSQ{touch-action:manipulation}.kuTaGy{align-items:center;box-sizing:border-box;display:flex;justify-content:var(--label-align);min-width:100%;text-align:initial;width:-moz-max-content;width:max-content}.kuTaGy:before{max-width:var(--margin-left,0)}.kuTaGy:after,.kuTaGy:before{align-self:stretch;content:"";flex-grow:1}.kuTaGy:after{max-width:var(--margin-right,0)}.R6ex7N{height:100%}.R6ex7N .kuTaGy{border-radius:var(--corvid-border-radius,var(--rd,0));bottom:0;box-shadow:var(--shd,0 1px 4px rgba(0,0,0,.6));left:0;position:absolute;right:0;top:0;transition:var(--trans1,border-color .4s ease 0s,background-color .4s ease 0s)}.R6ex7N .kuTaGy:link,.R6ex7N .kuTaGy:visited{border-color:transparent}.R6ex7N .M3I7Z2{color:var(--corvid-color,rgb(var(--txt,var(--color_15))));font:var(--fnt,var(--font_5));margin:0;position:relative;transition:var(--trans2,color .4s ease 0s);white-space:nowrap}.R6ex7N[aria-disabled=false] .kuTaGy{background-color:var(--corvid-background-color,rgba(var(--bg,var(--color_17)),var(--alpha-bg,1)));border:solid var(--corvid-border-color,rgba(var(--brd,var(--color_15)),var(--alpha-brd,1))) var(--corvid-border-width,var(--brw,0));cursor:pointer!important}:host(.device-mobile-optimized) .R6ex7N[aria-disabled=false]:active .kuTaGy,body.device-mobile-optimized .R6ex7N[aria-disabled=false]:active .kuTaGy{background-color:rgba(var(--bgh,var(--color_18)),var(--alpha-bgh,1));border-color:rgba(var(--brdh,var(--color_15)),var(--alpha-brdh,1))}:host(.device-mobile-optimized) .R6ex7N[aria-disabled=false]:active .M3I7Z2,body.device-mobile-optimized .R6ex7N[aria-disabled=false]:active .M3I7Z2{color:rgb(var(--txth,var(--color_15)))}:host(:not(.device-mobile-optimized)) .R6ex7N[aria-disabled=false]:hover .kuTaGy,body:not(.device-mobile-optimized) .R6ex7N[aria-disabled=false]:hover .kuTaGy{background-color:rgba(var(--bgh,var(--color_18)),var(--alpha-bgh,1));border-color:rgba(var(--brdh,var(--color_15)),var(--alpha-brdh,1))}:host(:not(.device-mobile-optimized)) .R6ex7N[aria-disabled=false]:hover .M3I7Z2,body:not(.device-mobile-optimized) .R6ex7N[aria-disabled=false]:hover .M3I7Z2{color:rgb(var(--txth,var(--color_15)))}.R6ex7N[aria-disabled=true] .kuTaGy{background-color:rgba(var(--bgd,204,204,204),var(--alpha-bgd,1));border-color:rgba(var(--brdd,204,204,204),var(--alpha-brdd,1));border-style:solid;border-width:var(--corvid-border-width,var(--brw,0))}.R6ex7N[aria-disabled=true] .M3I7Z2{color:rgb(var(--txtd,255,255,255))}.U2uNPe{align-items:center;box-sizing:border-box;display:flex;justify-content:var(--label-align);min-width:100%;text-align:initial;width:-moz-max-content;width:max-content}.U2uNPe:before{max-width:var(--margin-left,0)}.U2uNPe:after,.U2uNPe:before{align-self:stretch;content:"";flex-grow:1}.U2uNPe:after{max-width:var(--margin-right,0)}.S3GIZZ[aria-disabled=false] .U2uNPe{cursor:pointer}:host(.device-mobile-optimized) .S3GIZZ[aria-disabled=false]:active .CQ3ICl,body.device-mobile-optimized .S3GIZZ[aria-disabled=false]:active .CQ3ICl{color:rgb(var(--txth,var(--color_15)));transition:var(--trans,color .4s ease 0s)}:host(:not(.device-mobile-optimized)) .S3GIZZ[aria-disabled=false]:hover .CQ3ICl,body:not(.device-mobile-optimized) .S3GIZZ[aria-disabled=false]:hover .CQ3ICl{color:rgb(var(--txth,var(--color_15)));transition:var(--trans,color .4s ease 0s)}.S3GIZZ .U2uNPe{bottom:0;left:0;position:absolute;right:0;top:0}.S3GIZZ .CQ3ICl{color:var(--corvid-color,rgb(var(--txt,var(--color_15))));font:var(--fnt,var(--font_5));transition:var(--trans,color .4s ease 0s);white-space:nowrap}.S3GIZZ[aria-disabled=true] .CQ3ICl{color:rgb(var(--txtd,255,255,255))}:host(:not(.device-mobile-optimized)) .Lw0u6i,body:not(.device-mobile-optimized) .Lw0u6i{--display:flex;display:var(--display)}:host(:not(.device-mobile-optimized)) .So7Ias,body:not(.device-mobile-optimized) .So7Ias{display:flex;margin:0 auto;position:relative;width:calc(100% - var(--padding)*2)}:host(:not(.device-mobile-optimized)) .So7Ias>*,body:not(.device-mobile-optimized) .So7Ias>*{flex:var(--column-flex) 1 0%;left:0;margin-bottom:var(--padding);margin-left:var(--margin);margin-top:var(--padding);min-width:0;position:relative;top:0}:host(:not(.device-mobile-optimized)) .So7Ias>:first-child,body:not(.device-mobile-optimized) .So7Ias>:first-child{margin-left:0}:host(.device-mobile-optimized) .So7Ias,body.device-mobile-optimized .So7Ias{display:block;padding:var(--padding) 0;position:relative}:host(.device-mobile-optimized) .So7Ias>*,body.device-mobile-optimized .So7Ias>*{margin-bottom:var(--margin);position:relative}:host(.device-mobile-optimized) .So7Ias>:first-child,body.device-mobile-optimized .So7Ias>:first-child{margin-top:var(--firstChildMarginTop,0)}:host(.device-mobile-optimized) .So7Ias>:last-child,body.device-mobile-optimized .So7Ias>:last-child{margin-bottom:var(--lastChildMarginBottom,var(--margin))}.qby0Dy{-webkit-backface-visibility:hidden;backface-visibility:hidden}.dkukWC{--divider-pin-height__:min(1,calc(var(--divider-layers-pin-factor__) + 1));--divider-pin-layer-height__:var(--divider-layers-pin-factor__);--divider-pin-border__:min(1,calc(var(--divider-layers-pin-factor__) / -1 + 1));height:calc(var(--divider-height__) + var(--divider-pin-height__)*var(--divider-layers-size__)*var(--divider-layers-y__))}.dkukWC,.dkukWC .FRCqDF{left:0;position:absolute;width:100%}.dkukWC .FRCqDF{--divider-layer-i__:var(--divider-layer-i,0);background-position:left calc(50% + var(--divider-offset-x__) + var(--divider-layers-x__)*var(--divider-layer-i__)) bottom;background-repeat:repeat-x;border-bottom-style:solid;border-bottom-width:calc(var(--divider-pin-border__)*var(--divider-layer-i__)*var(--divider-layers-y__));height:calc(var(--divider-height__) + var(--divider-pin-layer-height__)*var(--divider-layer-i__)*var(--divider-layers-y__));opacity:calc(1 - var(--divider-layer-i__)/(var(--divider-layer-i__) + 1))}.xnZvZH{--divider-height__:var(--divider-top-height,auto);--divider-offset-x__:var(--divider-top-offset-x,0px);--divider-layers-size__:var(--divider-top-layers-size,0);--divider-layers-y__:var(--divider-top-layers-y,0px);--divider-layers-x__:var(--divider-top-layers-x,0px);--divider-layers-pin-factor__:var(--divider-top-layers-pin-factor,0);border-top:var(--divider-top-padding,0) solid var(--divider-top-color,currentColor);opacity:var(--divider-top-opacity,1);top:0;transform:var(--divider-top-flip,scaleY(-1))}.xnZvZH .FRCqDF{background-image:var(--divider-top-image,none);background-size:var(--divider-top-size,contain);border-color:var(--divider-top-color,currentColor);bottom:0}.MBOSCN{--divider-height__:var(--divider-bottom-height,auto);--divider-offset-x__:var(--divider-bottom-offset-x,0px);--divider-layers-size__:var(--divider-bottom-layers-size,0);--divider-layers-y__:var(--divider-bottom-layers-y,0px);--divider-layers-x__:var(--divider-bottom-layers-x,0px);--divider-layers-pin-factor__:var(--divider-bottom-layers-pin-factor,0);border-bottom:var(--divider-bottom-padding,0) solid var(--divider-bottom-color,currentColor);bottom:0;opacity:var(--divider-bottom-opacity,1);transform:var(--divider-bottom-flip,none)}.MBOSCN .FRCqDF{background-image:var(--divider-bottom-image,none);background-size:var(--divider-bottom-size,contain);border-color:var(--divider-bottom-color,currentColor);bottom:0}.nTOEE9{height:100%;overflow:hidden;width:100%}.nTOEE9.sqUyGm:hover{cursor:url(data:image/png;base64,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),auto}.nTOEE9.C_JY0G:hover{cursor:url(data:image/png;base64,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),auto}.rYiAuL{cursor:pointer}.gSXewE{height:0;left:0;overflow:hidden;position:absolute;top:0;width:0}.j7pOnl{box-sizing:border-box;height:100%;width:100%}.BI8PVQ{min-height:var(--image-min-height);min-width:var(--image-min-width)}.BI8PVQ img{filter:var(--filter-effect-svg-url);-webkit-mask-image:var(--mask-image,none);mask-image:var(--mask-image,none);-webkit-mask-position:var(--mask-position,0);mask-position:var(--mask-position,0);-webkit-mask-repeat:var(--mask-repeat,no-repeat);mask-repeat:var(--mask-repeat,no-repeat);-webkit-mask-size:var(--mask-size,100% 100%);mask-size:var(--mask-size,100% 100%);-o-object-position:var(--object-position);object-position:var(--object-position)}.MazNVa{left:var(--left,auto);position:var(--position-fixed,static);top:var(--top,auto);z-index:var(--z-index,auto)}.MazNVa .BI8PVQ img{box-shadow:0 0 0 #000;position:static;-webkit-user-select:none;-moz-user-select:none;-ms-user-select:none;user-select:none}.MazNVa .j7pOnl{display:block;overflow:hidden}.MazNVa .BI8PVQ{overflow:hidden}.c7cMWz{bottom:0;left:0;position:absolute;right:0;top:0}.FVGvCX{height:auto;position:relative;width:100%}body:not(.responsive) .zK7MhX{align-self:start;grid-area:1/1/1/1;height:100%;justify-self:stretch;left:0;position:relative}:host(:not(.device-mobile-optimized)) .c7cMWz,body:not(.device-mobile-optimized) .c7cMWz{margin-left:calc((100% - var(--site-width))/2);width:var(--site-width)}.fEm0Bo .c7cMWz{background-color:rgba(var(--bg,var(--color_11)),var(--alpha-bg,1));overflow:hidden}:host(.device-mobile-optimized) .c7cMWz,body.device-mobile-optimized .c7cMWz{left:10px;right:10px}.PFkO7r{bottom:0;left:0;position:absolute;right:0;top:0}.HT5ybB{height:auto;position:relative;width:100%}body:not(.responsive) .dBAkHi{align-self:start;grid-area:1/1/1/1;height:100%;justify-self:stretch;left:0;position:relative}:host(:not(.device-mobile-optimized)) .PFkO7r,body:not(.device-mobile-optimized) .PFkO7r{margin-left:calc((100% - var(--site-width))/2);width:var(--site-width)}:host(.device-mobile-optimized) .PFkO7r,body.device-mobile-optimized .PFkO7r{left:10px;right:10px}
pilonidal cyst surgery success rate
