What is the recurrence rate of pilonidal cysts after marsupialization (Gips procedure)?

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Last updated: May 13, 2025View editorial policy

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From the Research

The recurrence rate of pilonidal cysts after GIPS is not directly provided in the given evidence, however, traditional open excision techniques have recurrence rates ranging from 20-30% as reported in studies such as 1 and 2.

Recurrence Rate Comparison

  • Traditional open excision techniques: 20-30% recurrence rate
  • GIPS procedure: not directly provided in the evidence, but potentially lower due to its minimally invasive nature

Factors Influencing Recurrence

  • Complexity of the cyst
  • Patient factors like obesity or excessive hair growth
  • Adherence to post-procedure care instructions

Post-Procedure Care

  • Keeping the area clean and dry
  • Avoiding prolonged sitting
  • Regular hair removal in the affected area
  • Maintaining good hygiene

Monitoring for Recurrence

  • Watching for signs of recurrence such as pain, swelling, drainage, or infection at the site The evidence suggests that surgical excision of pilonidal disease is often complicated by site complications and nearly 1 of 10 patients develop recurrent disease requiring re-excision within two years after their initial excision, as reported in 3. However, the use of alternative therapies such as the Nd-YAG laser, as reported in 1, may provide excellent results with quick healing and no risk of serious adverse side-effects, making it a potentially attractive alternative to open surgery.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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