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Learn more or make an appointment:
Office Phone: (650) 723-6439
Email: pedsurg@stanfordchildrens.org

Our Care Team

Our multidisciplinary team of pediatric surgeons, nurse practitioners, and RN’s will provide your child with a complete evaluation and treatment, as well as follow-up plans. Our goal is to provide care that has the least impact on a patient’s life without the need for painful, debilitating operations. To us this means the least pain, fewest days of missed school and the shortest period of exercise restrictions. 

Attendings

 

 

Dr. Bill Chiu, MD

Program Director

 

Advanced Practice Provider

 

Claire Abrajano, RN, MSN, WOCN, RNFA, CPNP-PC

  • WOCN trained at Emory University Wound, Ostomy, and Continence Nursing Education Center.
  • Laser therapy experience with Pelo and Lumenis.

Nurse

Deanna Garza, DNP, RN

  • Wound care trained at Emory University Wound, Ostomy, and Continence Nursing Education Center.
  • Laser therapy experience with Fraxel, Clear and Brilliant, YAG, Pelo, Lumenis.

Resources

What is Pilonidal Disease?

Pilonidal disease is a chronic skin infection that occurs when hair follicles in the area between the buttocks become plugged up. Hair or skin debris become lodged in the sinus tract and begin to “pit”. The area subsequently becomes inflamed and tracts are created that can cause a “sinus”. Bacteria can enter the tract causing an infection or abscess. Pits commonly occur near the tailbone due to greater skin friction. Pilonidal disease is relatively common in teens and young adults and affects boys more often than girls. 

Symptoms of Pilonidal Disease:

Pilonidal disease often appears as a lump or swollen area that hurts when pressed with a finger. Pus or blood may or may not be draining from the lump. In some cases, a child may have a lump with some drainage and no pain. If the area becomes infected, the pus will be foul smelling and the area around it may become red and tender. This is typically painful, especially when sitting. Some people may experience a small degree of pain when sitting, while others will be in severe pain.

Treatment options depend on severity and individual needs:

Our treatment plans begin with improved hygiene and hair removal as needed, which can be managed in the clinic without surgery.

Draining the Pus:

  • Infection may be present, where surgery may be required to drain pus and fluid. Soaking in a warm tub or rinsing the infected area 1-2 times a day is highly recommended. 

Removing the “pits”:

  • Pit picking is when the opening of the sinus tract is removed, allowing for the cavity to be cleaned out to drain the infection and remove any trapped hairs. 

Hair Removal:

  • There are multiple methods of hair removal from the area of concern, including shaving, chemical hair removal and laser hair removal.

Contact Us

For more information about Lucile Packard Children’s Hospital Stanford Pilonidal Care Clinic:

Office Phone: (650) 723-6439

Office Email: pedsurg@stanfordchildrens.org

 

Clinic Locations

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Stanford Los Gatos Clinic

14601 South Bascom Avenue Suite 200
Los Gatos CA, 95032
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Stanford Los Gatos Clinic

Pilonidal Care Clinic

14601 South Bascom Avenue Suite 200

Los Gatos, CA 95032

Phone: (650) 723-6439

Fax: (650) 725-5577 

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Pediatric Surgery Clinic

730 Welch Road, 2nd Floor
Palo Alto CA, 94305
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Stanford Pediatric Surgery Clinic

730 Welch Road    

Palo Alto, CA 94305

Phone: (650) 723-6439

Fax: (650) 725-5577 

References: 

https://blog.4tests.com/9-best-pieces-of-advice-to-teenagers-from-the-25-crowd/

https://www.ptcnj.com- Symptoms of Pilonidal Disease