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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hydradenitis Supportiva And Enlarged Spleen With Cysts

Hello I suffer from hydradenitis supportiva for about 8 years under my stomach, between my legs and under my arms been taking many different anti biotic a have had surgery under my arm and on a pilonidal synus on my rear back both didn t get better the pilonidal synus I have been told to get another surgery done on it as it s big but I am terrified of surgery and cannot be put to sleep was taken out twice of the theatre room because I didn t let them use the general anaesthetic. I also have been told that I have an enlarged spleen with cysts inside they have done many tests but don t know how it occurred and how to treat it please can anyone help? !
Wed, 9 Mar 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your detailed history related to hydradenitis suppurativa, operated but seemingly recurred pilonidal cyst, your unwillingness to undergo general anesthesia, enlarged spleen with multiple cysts.
My thoughts:
The enlarged spleen with simple cysts if not causing pain needs no special treatment. If the cysts are complex or suggestive of hydatid disease splenectomy has to be done.
Hydradenitis suppurativa needs excision and skin grafting for cure, no other treatment helps.
Pilonidal sinus if recurrent needs wide local excision and recurrence is common by 30%. So get operated with good faith and you may be cured.

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Suggest Treatment For Hydradenitis Supportiva And Enlarged Spleen With Cysts

Hi. Thanks for your query. Noted your detailed history related to hydradenitis suppurativa, operated but seemingly recurred pilonidal cyst, your unwillingness to undergo general anesthesia, enlarged spleen with multiple cysts. My thoughts: The enlarged spleen with simple cysts if not causing pain needs no special treatment. If the cysts are complex or suggestive of hydatid disease splenectomy has to be done. Hydradenitis suppurativa needs excision and skin grafting for cure, no other treatment helps. Pilonidal sinus if recurrent needs wide local excision and recurrence is common by 30%. So get operated with good faith and you may be cured.