In the earliest stage of infection, antibiotics may be effective. Once an abscess has formed, surgical drainage is required. The operation of choice is called marsupialisation. Usually under general anaesthesia, the skin and cyst are opened. A small area of the skin and cyst wall are removed and the cyst wall is stitched to the skin edges leaving a channel from the gland. Marsupialisation generally provides a permanent solution although, on occasion, repeat marsupialisation may be required. Rarely, repeated marsupialisation fails and the cyst and gland may have to be removed.

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