A 16-year-old girl is brought to the clinic by her mother complaining of drainage at the top of her intergluteal cleft. The drainage is smelly, the diagnosis is pilonidal cyst, and the patient is started on antibiotics
Surgery to excise the cyst is scheduled. The nurse does preoperative teaching with the patient and her mother. The nurse explains the dressing the patient will have as the wound granulates. What kind of dressing will be used after surgery for a pilonidal cyst?
A) Telfa and gauze packed into the wound
B) Surgical pads packed into the wound
C) Absorptive dressings placed in the wound
D) Wet to dry dressings placed in the wound
Ans: C
Feedback: The abscess is incised and drained under local anesthesia. After the acute process resolves, further surgery is performed to excise the cyst and the secondary sinus tracts. The wound is allowed to heal by granulation. Absorptive dressings are placed in the wound to keep its edges separated while healing occurs.
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