Minor Surgical Procedures

Cyst & Abscess Removal in Gottigere, Bangalore - Expert Minor Surgery by Dr. Srihari Shapur

Cysts and abscesses are among the most common minor surgical problems seen in daily practice. Some are painless and slow growing, while others become red, swollen, and acutely painful.

Dr. Srihari Shapur offers careful diagnosis, complete cyst excision, and prompt abscess drainage in Gottigere with an emphasis on minimal scarring, same-day discharge, and reduced recurrence.

What Is a Cyst?

A cyst is an abnormal, enclosed sac or capsule in body tissue that may contain fluid, semi-solid material, or gas. Skin cysts are among the most common surgical conditions and are almost always benign. They grow slowly, can occur anywhere on the body, and are usually painless unless they become infected.

Common Types of Cysts Treated by Dr. Srihari Shapur

What Is an Abscess?

An abscess is a collection of pus that forms in response to bacterial infection within body tissue. Unlike a cyst, an abscess is acutely painful, warm to the touch, and surrounded by inflamed, reddened skin. If untreated, an abscess can enlarge, rupture, spread infection as cellulitis, or in rare cases lead to systemic infection and sepsis.

Common Locations for Abscesses

• Skin anywhere on the body, most commonly the back, buttocks, armpit, and groin.
• Perianal abscess near the anus, which may need urgent drainage.
• Pilonidal abscess.
• Axillary or armpit abscess.
• Dental or neck abscesses requiring specialist co-management.

Symptoms

Cyst Symptoms

• A slow-growing, round or oval lump under the skin.
• Smooth, movable, well-defined edges.
• Usually painless unless infected.
• May feel soft and fluid-filled or firm.
• A visible punctum or tiny blackhead-like opening in sebaceous cysts.
• If infected, it becomes red, tender, warm, and may discharge material.

Abscess Symptoms

• Rapidly growing, painful swelling.
• Redness, warmth, and tenderness over the site.
• The centre may feel soft or fluctuant with pus.
• Fever, chills, and general malaise in larger or systemic infections.
• Swollen lymph nodes nearby.
• Spontaneous discharge of pus in some cases.

Causes and Risk Factors

Cysts

• Blocked hair follicles or sebaceous glands.
• Skin trauma or a previous surgical scar.
• Developmental anomalies or congenital cysts.
• Certain skin conditions such as acne.

Abscesses

• Bacterial infection, most commonly Staphylococcus aureus.
• Minor skin breaks, cuts, insect bites, or injections.
• Ingrown hair or blocked follicles.
• Diabetes, obesity, or immune compromise.
• Poor hygiene or skin conditions.

When Should You See Dr. Srihari Shapur?

Do not wait for the lump or pain to worsen if:

• A cyst has become red, painful, and swollen and may be infected.
• An abscess is growing rapidly or causing fever.
• A cyst is growing quickly or is in an unusual location.
• You have a painful lump near the anus that may be a perianal abscess.
• A cyst has previously ruptured and recurred.
• You want a cyst removed for cosmetic or comfort reasons.

Diagnosis

Dr. Shapur diagnoses cysts and abscesses primarily through clinical examination. In some cases, he may request:

• Ultrasound to confirm the nature of a deep or uncertain lump and assess abscess extent.
• Swab culture from abscess discharge to guide antibiotic choice.
• FNAC in rare cases where the nature of the cyst is uncertain.

Treatment Options

Cyst Excision

• Performed under local anaesthesia as a day-care procedure.
• The entire cyst, including sac and contents, is removed to prevent recurrence.
• Incision is placed along natural skin creases for minimal visible scarring.
• Takes 20 to 40 minutes depending on cyst size and location.
• Specimen is sent for histopathological examination.
• Absorbable or fine sutures are used for the best cosmetic outcome.

Why complete excision matters: simply squeezing a cyst or draining it temporarily without removing the sac almost always results in recurrence. Complete excision by an experienced surgeon is the definitive solution.

Incision and Drainage (I&D) of Abscess

• Performed under local or general anaesthesia.
• An incision is made over the abscess, pus is evacuated, and the cavity is washed with saline.
• A small drain or wick may be placed to prevent premature closure.
• Post-procedure dressings continue for 1 to 2 weeks while healing occurs from within.
• Antibiotics are prescribed based on severity and culture results.

Recovery

After Cyst Excision

• Day 1 to 2: keep the wound dry, expect mild soreness, and use analgesics if needed.
• Week 1: follow-up wound check and suture care.
• Week 2: suture removal if non-absorbable and most patients feel comfortable.
• Histopathology report is reviewed at the 2-week follow-up.

After Abscess I&D

• Daily dressing changes for 1 to 2 weeks as the wound heals from inside out.
• Avoid swimming or submerging the wound until fully healed.
• Complete the prescribed antibiotic course.
• Follow up with Dr. Shapur at 1 week and again at healing.

Prevention Tips

• Maintain good skin hygiene, especially in skin folds.
• Treat skin infections and ingrown hairs promptly.
• Diabetic patients should keep blood sugar well controlled to reduce infection risk.
• Do not try to squeeze or drain cysts or abscesses at home.
• Eat a balanced diet and maintain healthy immunity.

Why Choose Dr. Srihari Shapur for Cyst & Abscess Treatment in Gottigere?

Frequently Asked Questions