Pilonidal Cyst Surgery The patient hardly experiences any pain or discomfort during and after the surgery. The short video "Pilonidal Sinus Laser Treatment with the neoV" shows the steps to this surgery. Although, the complete recovery would take about 7 days. A pilonidal cyst (pilo-nidal = nest of hair) is a common condition in the pilonidal cyst should be closed during surgery or left open to heal with moist dressing changes several times a day. The .gov means its official. Front Pediatr. If there is more than one opening, each one is cleaned out. Web99% Success Rate curing pilonidal disease Professional Board Certified in General Surgery. fast, and cheap, it has a recurrence rate of 60%, without a benefit for the majority of patients. High Rate of Major Morbidity after Surgical Excision for Pilonidal Disease. The patient can start walking on his own the same day after the laser treatment. MeSH The Real Success Rate of Pit Picking - Pilonidal Studies have shown that people who opt for laser treatment can, on average, return to work 2.4 days before those who undergo traditional procedures. Recurrence rate was 2.9% (1 patient/35). The site is secure. Bonito F, Cerejeira D, Goulo J, de Assuno Gonalves J. Dermatol Surg. Unable to load your collection due to an error, Unable to load your delegates due to an error. Primary closure procedures had a recurrence rate of 30 percent. official website and that any information you provide is encrypted What happens if pilonidal sinus is left untreated? The patient should avoid sexual intercourse until complete recovery after the pilonidal sinus surgery. Emiroglu doesnt include a summary estimate of the outcomes [ 10 ]. The disease is benign and has no association with cancer. Pilonidal Cyst: Symptoms, Causes, Diagnosis, Treatment Studies such as this one suggest laser treatment is a promising newer technology for treating pilonidal cysts, with stats indicating a first time success rates in the 87.5 percent range. Of those patients, the procedure had long-term success for almost all of them. The recurrence rate was only 2.9 percent. It could be a very attractive alternative to open surgery, enabling patients to prevent the frequent and severe postoperative issues associated with 2017; 117(3): 164-168. There were 33 men and 7 women. Pilonidal disease is a very common condition and if not managed correctly can be disabling. It cannot heal on its own and leaving it untreated will only make the condition grow severe with time. You just need to book your online appointment according to your convenience and visit your nearest Pristyn Care clinic. Avoid swimming or soaking- baths for about three weeks after the surgery. On average, laser treatment patients take painkillers for about five days after surgery. If you have surgical drains, they will be removed after several weeks. Clipboard, Search History, and several other advanced features are temporarily unavailable. CAUSES 2011 Feb;54(1):39-42. doi: 10.1503/cjs.028509. he didn't tell the name of the surgery but explained how the procedure is done. Pilonidal Sinus Laser Treatment with the neoV, Heres How to Avoid Hemorrhoids While Pregnant, The Importance of a High-Fiber Diet for Hemorrhoid Prevention, A Guide to Dealing with Pain after Hemorrhoid Surgery, The Pros and Cons of Surgical Hemorrhoid Removal, Hemorrhoid Banding vs Laser Removal: The Case for Each Procedure. Pilonidal Cyst Surgery: Who It's For, Risks, and What to Expect First, the medical team anesthetizes the area or provides general anesthesia so the patient is comfortable during the procedure. 2005 Sep;20(5):415-22. doi: 10.1007/s00384-004-0710-5. Patients with recurrent pilonidal disease often develop chronic wounds and draining sinuses that incur long-term morbidity, disability, and decreased quality of life. Cold compression also helps in subsiding the pain and burning sensation of pilonidal sinus. And in the case of primary closure surgery for pilonidal sinus (conventional procedure), recurrence was observed in 30% of the patients treated with the surgery. It is a minimally invasive option . Tech Coloproctol. Hospital stay is short, pain is light and complications are few as well as the number of patients needing post-operative care, allowing a rapid return to work or school. Patients undergo pilonidal cyst surgery with the expectation that the procedure will remedy their problem for good. Johnson DE, Granville R, Lovett E, Runau F, Chaudhri S. Ann R Coll Surg Engl. You can apply castor oil, tea tree oil and coconut oil to subside the inflammation of the pilonidal cyst. The lowest rate of recurrence is achieved . An infected pilonidal cyst can be incredibly painful and cause intense discomfort during everyday activities. Can home remedies help in getting relief from pilonidal sinus? 2022 Jun 29;38(2):187-195. doi: 10.47717/turkjsurg.2022.5247. Laser surgery is one of the most promising treatments for pilonidal cysts. The procedure has minimal risk and is of short duration. Bookshelf doi: 10.1007/s10151-017-1722-9. Our success rate with the cleft lift is over 98% even for extensive disease. During the recovery period, patients must take care to follow their doctor's directions closely. Methods: We studied retrospectively 86 patients who, according to our hospital patient records, underwent radial laser probe surgery between January 2017 and September 2019. What is a pilonidal cyst? Harries RL, Alqallaf A, Torkington J, Harding KG. Pilonidal disease treatment by radial laser surgery one patient returned with abscess formation in the postoperative period. Please leave any questions about this minimally invasive procedure in the comments. The laser directly acts on the cyst and drain out all the infectious material without harming the healthy skin tissues. Because the pilonidal cyst laser treatment success rate is high, by opting for this minimally invasive treatment method, you will have good reason to hope that this one surgery will be the only procedure you will ever need. I have been taking care of patients with complex pilonidal disease since 2007. Laser treatment is a minimally invasive surgery that begins similarly to traditional pilonidal cyst procedures. The article also demonstrated a 44% failure rate at 10 years for patients who had open excision which approximates the 50/50 number that many surgeons equate with this procedure. WebPersistent and inflamed cysts ( acute pilonidal abscess) are incised (cut into) and drained out to reduce inflammation and pain. Do not drive under the influence of narcotics or pain medication as they are sedative in nature. .YzqVVZ{overflow:visible;position:relative}.mwF7X1{-webkit-backface-visibility:hidden;backface-visibility:hidden}.YGilLk{cursor:pointer}.HlRz5e{display:block;height:100%;width:100%}.HlRz5e img{max-width:var(--wix-img-max-width,100%)}.HlRz5e[data-animate-blur] img{filter:blur(9px);transition:filter .8s ease-in}.HlRz5e[data-animate-blur] img[data-load-done]{filter:none}.I5zqsT{display:block}.I5zqsT,.MW5IWV{height:100%;width:100%}.MW5IWV{left:0;-webkit-mask-image:var(--mask-image,none);mask-image:var(--mask-image,none);-webkit-mask-position:var(--mask-position,0);mask-position:var(--mask-position,0);-webkit-mask-repeat:var(--mask-repeat,no-repeat);mask-repeat:var(--mask-repeat,no-repeat);-webkit-mask-size:var(--mask-size,100%);mask-size:var(--mask-size,100%);overflow:hidden;pointer-events:var(--fill-layer-background-media-pointer-events);position:absolute;top:0}.MW5IWV.N3eg0s{clip:rect(0,auto,auto,0)}.MW5IWV .Kv1aVt{height:100%;position:absolute;top:0;width:100%}.MW5IWV .dLPlxY{height:var(--fill-layer-image-height,100%);opacity:var(--fill-layer-image-opacity)}.MW5IWV .dLPlxY img{height:100%;width:100%}@supports(-webkit-hyphens:none){.MW5IWV.N3eg0s{clip:auto;-webkit-clip-path:inset(0)}}.VgO9Yg{height:100%}.LWbAav{background-color:var(--bg-overlay-color);background-image:var(--bg-gradient)}.K_YxMd,.yK6aSC{opacity:var(--fill-layer-video-opacity)}.NGjcJN{bottom:var(--media-padding-bottom);height:var(--media-padding-height);position:absolute;top:var(--media-padding-top);width:100%}.mNGsUM{transform:scale(var(--scale,1));transition:var(--transform-duration,transform 0s)}.K_YxMd{height:100%;position:relative;width:100%}.bX9O_S{-webkit-clip-path:var(--fill-layer-clip);clip-path:var(--fill-layer-clip)}.Z_wCwr,.bX9O_S{position:absolute;top:0}.Jxk_UL img,.Z_wCwr,.bX9O_S{height:100%;width:100%}.K8MSra{opacity:0}.K8MSra,.YTb3b4{position:absolute;top:0}.YTb3b4{height:0;left:0;overflow:hidden;width:0}.SUz0WK{left:0;pointer-events:var(--fill-layer-background-media-pointer-events);position:var(--fill-layer-background-media-position)}.FNxOn5,.SUz0WK,.m4khSP{height:100%;top:0;width:100%}.FNxOn5{position:absolute}.m4khSP{background-color:var(--fill-layer-background-overlay-color);opacity:var(--fill-layer-background-overlay-blend-opacity-fallback,1);position:var(--fill-layer-background-overlay-position);transform:var(--fill-layer-background-overlay-transform)}@supports(mix-blend-mode:overlay){.m4khSP{mix-blend-mode:var(--fill-layer-background-overlay-blend-mode);opacity:var(--fill-layer-background-overlay-blend-opacity,1)}}._C0cVf{bottom:0;left:0;position:absolute;right:0;top:0;width:100%}.hFwGTD{transform:translateY(-100%);transition:.2s ease-in}.IQgXoP{transition:.2s}.Nr3Nid{opacity:0;transition:.2s ease-in}.Nr3Nid.l4oO6c{z-index:-1!important}.iQuoC4{opacity:1;transition:.2s}.CJF7A2{height:auto}.CJF7A2,.U4Bvut{position:relative;width:100%}:host(:not(.device-mobile-optimized)) .G5K6X8,body:not(.device-mobile-optimized) .G5K6X8{margin-left:calc((100% - var(--site-width))/2);width:var(--site-width)}.xU8fqS[data-focuscycled=active]{outline:1px solid transparent}.xU8fqS[data-focuscycled=active]:not(:focus-within){outline:2px solid transparent;transition:outline .01s ease}.xU8fqS ._4XcTfy{background-color:var(--screenwidth-corvid-background-color,rgba(var(--bg,var(--color_11)),var(--alpha-bg,1)));border-bottom:var(--brwb,0) solid var(--screenwidth-corvid-border-color,rgba(var(--brd,var(--color_15)),var(--alpha-brd,1)));border-top:var(--brwt,0) solid var(--screenwidth-corvid-border-color,rgba(var(--brd,var(--color_15)),var(--alpha-brd,1)));bottom:0;box-shadow:var(--shd,0 0 5px rgba(0,0,0,.7));left:0;position:absolute;right:0;top:0}.xU8fqS .gUbusX{background-color:rgba(var(--bgctr,var(--color_11)),var(--alpha-bgctr,1));border-radius:var(--rd,0);bottom:var(--brwb,0);top:var(--brwt,0)}.xU8fqS .G5K6X8,.xU8fqS .gUbusX{left:0;position:absolute;right:0}.xU8fqS .G5K6X8{bottom:0;top:0}:host(.device-mobile-optimized) .xU8fqS .G5K6X8,body.device-mobile-optimized .xU8fqS .G5K6X8{left:10px;right:10px}.SPY_vo{pointer-events:none}.BmZ5pC{height:100%;min-height:calc(100vh - var(--wix-ads-height));min-width:var(--site-width);position:var(--bg-position);top:var(--wix-ads-height);width:100%}.zKbzSQ{touch-action:manipulation}.kuTaGy{align-items:center;box-sizing:border-box;display:flex;justify-content:var(--label-align);min-width:100%;text-align:initial;width:-moz-max-content;width:max-content}.kuTaGy:before{max-width:var(--margin-left,0)}.kuTaGy:after,.kuTaGy:before{align-self:stretch;content:"";flex-grow:1}.kuTaGy:after{max-width:var(--margin-right,0)}.R6ex7N{height:100%}.R6ex7N .kuTaGy{border-radius:var(--corvid-border-radius,var(--rd,0));bottom:0;box-shadow:var(--shd,0 1px 4px rgba(0,0,0,.6));left:0;position:absolute;right:0;top:0;transition:var(--trans1,border-color .4s ease 0s,background-color .4s ease 0s)}.R6ex7N .kuTaGy:link,.R6ex7N .kuTaGy:visited{border-color:transparent}.R6ex7N .M3I7Z2{color:var(--corvid-color,rgb(var(--txt,var(--color_15))));font:var(--fnt,var(--font_5));margin:0;position:relative;transition:var(--trans2,color .4s ease 0s);white-space:nowrap}.R6ex7N[aria-disabled=false] .kuTaGy{background-color:var(--corvid-background-color,rgba(var(--bg,var(--color_17)),var(--alpha-bg,1)));border:solid var(--corvid-border-color,rgba(var(--brd,var(--color_15)),var(--alpha-brd,1))) var(--corvid-border-width,var(--brw,0));cursor:pointer!important}:host(.device-mobile-optimized) .R6ex7N[aria-disabled=false]:active .kuTaGy,body.device-mobile-optimized .R6ex7N[aria-disabled=false]:active .kuTaGy{background-color:rgba(var(--bgh,var(--color_18)),var(--alpha-bgh,1));border-color:rgba(var(--brdh,var(--color_15)),var(--alpha-brdh,1))}:host(.device-mobile-optimized) .R6ex7N[aria-disabled=false]:active .M3I7Z2,body.device-mobile-optimized .R6ex7N[aria-disabled=false]:active .M3I7Z2{color:rgb(var(--txth,var(--color_15)))}:host(:not(.device-mobile-optimized)) .R6ex7N[aria-disabled=false]:hover .kuTaGy,body:not(.device-mobile-optimized) .R6ex7N[aria-disabled=false]:hover .kuTaGy{background-color:rgba(var(--bgh,var(--color_18)),var(--alpha-bgh,1));border-color:rgba(var(--brdh,var(--color_15)),var(--alpha-brdh,1))}:host(:not(.device-mobile-optimized)) .R6ex7N[aria-disabled=false]:hover .M3I7Z2,body:not(.device-mobile-optimized) .R6ex7N[aria-disabled=false]:hover .M3I7Z2{color:rgb(var(--txth,var(--color_15)))}.R6ex7N[aria-disabled=true] .kuTaGy{background-color:rgba(var(--bgd,204,204,204),var(--alpha-bgd,1));border-color:rgba(var(--brdd,204,204,204),var(--alpha-brdd,1));border-style:solid;border-width:var(--corvid-border-width,var(--brw,0))}.R6ex7N[aria-disabled=true] .M3I7Z2{color:rgb(var(--txtd,255,255,255))}.U2uNPe{align-items:center;box-sizing:border-box;display:flex;justify-content:var(--label-align);min-width:100%;text-align:initial;width:-moz-max-content;width:max-content}.U2uNPe:before{max-width:var(--margin-left,0)}.U2uNPe:after,.U2uNPe:before{align-self:stretch;content:"";flex-grow:1}.U2uNPe:after{max-width:var(--margin-right,0)}.S3GIZZ[aria-disabled=false] .U2uNPe{cursor:pointer}:host(.device-mobile-optimized) .S3GIZZ[aria-disabled=false]:active .CQ3ICl,body.device-mobile-optimized .S3GIZZ[aria-disabled=false]:active .CQ3ICl{color:rgb(var(--txth,var(--color_15)));transition:var(--trans,color .4s ease 0s)}:host(:not(.device-mobile-optimized)) .S3GIZZ[aria-disabled=false]:hover .CQ3ICl,body:not(.device-mobile-optimized) .S3GIZZ[aria-disabled=false]:hover .CQ3ICl{color:rgb(var(--txth,var(--color_15)));transition:var(--trans,color .4s ease 0s)}.S3GIZZ .U2uNPe{bottom:0;left:0;position:absolute;right:0;top:0}.S3GIZZ .CQ3ICl{color:var(--corvid-color,rgb(var(--txt,var(--color_15))));font:var(--fnt,var(--font_5));transition:var(--trans,color .4s ease 0s);white-space:nowrap}.S3GIZZ[aria-disabled=true] .CQ3ICl{color:rgb(var(--txtd,255,255,255))}:host(:not(.device-mobile-optimized)) .Lw0u6i,body:not(.device-mobile-optimized) .Lw0u6i{--display:flex;display:var(--display)}:host(:not(.device-mobile-optimized)) .So7Ias,body:not(.device-mobile-optimized) .So7Ias{display:flex;margin:0 auto;position:relative;width:calc(100% - var(--padding)*2)}:host(:not(.device-mobile-optimized)) .So7Ias>*,body:not(.device-mobile-optimized) .So7Ias>*{flex:var(--column-flex) 1 0%;left:0;margin-bottom:var(--padding);margin-left:var(--margin);margin-top:var(--padding);min-width:0;position:relative;top:0}:host(:not(.device-mobile-optimized)) .So7Ias>:first-child,body:not(.device-mobile-optimized) .So7Ias>:first-child{margin-left:0}:host(.device-mobile-optimized) .So7Ias,body.device-mobile-optimized .So7Ias{display:block;padding:var(--padding) 0;position:relative}:host(.device-mobile-optimized) .So7Ias>*,body.device-mobile-optimized .So7Ias>*{margin-bottom:var(--margin);position:relative}:host(.device-mobile-optimized) .So7Ias>:first-child,body.device-mobile-optimized .So7Ias>:first-child{margin-top:var(--firstChildMarginTop,0)}:host(.device-mobile-optimized) .So7Ias>:last-child,body.device-mobile-optimized .So7Ias>:last-child{margin-bottom:var(--lastChildMarginBottom,var(--margin))}.qby0Dy{-webkit-backface-visibility:hidden;backface-visibility:hidden}.dkukWC{--divider-pin-height__:min(1,calc(var(--divider-layers-pin-factor__) + 1));--divider-pin-layer-height__:var(--divider-layers-pin-factor__);--divider-pin-border__:min(1,calc(var(--divider-layers-pin-factor__) / -1 + 1));height:calc(var(--divider-height__) + var(--divider-pin-height__)*var(--divider-layers-size__)*var(--divider-layers-y__))}.dkukWC,.dkukWC .FRCqDF{left:0;position:absolute;width:100%}.dkukWC .FRCqDF{--divider-layer-i__:var(--divider-layer-i,0);background-position:left calc(50% + var(--divider-offset-x__) + var(--divider-layers-x__)*var(--divider-layer-i__)) bottom;background-repeat:repeat-x;border-bottom-style:solid;border-bottom-width:calc(var(--divider-pin-border__)*var(--divider-layer-i__)*var(--divider-layers-y__));height:calc(var(--divider-height__) + var(--divider-pin-layer-height__)*var(--divider-layer-i__)*var(--divider-layers-y__));opacity:calc(1 - var(--divider-layer-i__)/(var(--divider-layer-i__) + 1))}.xnZvZH{--divider-height__:var(--divider-top-height,auto);--divider-offset-x__:var(--divider-top-offset-x,0px);--divider-layers-size__:var(--divider-top-layers-size,0);--divider-layers-y__:var(--divider-top-layers-y,0px);--divider-layers-x__:var(--divider-top-layers-x,0px);--divider-layers-pin-factor__:var(--divider-top-layers-pin-factor,0);border-top:var(--divider-top-padding,0) solid var(--divider-top-color,currentColor);opacity:var(--divider-top-opacity,1);top:0;transform:var(--divider-top-flip,scaleY(-1))}.xnZvZH .FRCqDF{background-image:var(--divider-top-image,none);background-size:var(--divider-top-size,contain);border-color:var(--divider-top-color,currentColor);bottom:0}.MBOSCN{--divider-height__:var(--divider-bottom-height,auto);--divider-offset-x__:var(--divider-bottom-offset-x,0px);--divider-layers-size__:var(--divider-bottom-layers-size,0);--divider-layers-y__:var(--divider-bottom-layers-y,0px);--divider-layers-x__:var(--divider-bottom-layers-x,0px);--divider-layers-pin-factor__:var(--divider-bottom-layers-pin-factor,0);border-bottom:var(--divider-bottom-padding,0) solid var(--divider-bottom-color,currentColor);bottom:0;opacity:var(--divider-bottom-opacity,1);transform:var(--divider-bottom-flip,none)}.MBOSCN .FRCqDF{background-image:var(--divider-bottom-image,none);background-size:var(--divider-bottom-size,contain);border-color:var(--divider-bottom-color,currentColor);bottom:0}.nTOEE9{height:100%;overflow:hidden;width:100%}.nTOEE9.sqUyGm:hover{cursor:url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAUCAYAAAH6ji2bAAAAGXRFWHRTb2Z0d2FyZQBBZG9iZSBJbWFnZVJlYWR5ccllPAAAA3FpVFh0WE1MOmNvbS5hZG9iZS54bXAAAAAAADw/eHBhY2tldCBiZWdpbj0i77u/IiBpZD0iVzVNME1wQ2VoaUh6cmVTek5UY3prYzlkIj8+IDx4OnhtcG1ldGEgeG1sbnM6eD0iYWRvYmU6bnM6bWV0YS8iIHg6eG1wdGs9IkFkb2JlIFhNUCBDb3JlIDUuNS1jMDE0IDc5LjE1MTQ4MSwgMjAxMy8wMy8xMy0xMjowOToxNSAgICAgICAgIj4gPHJkZjpSREYgeG1sbnM6cmRmPSJodHRwOi8vd3d3LnczLm9yZy8xOTk5LzAyLzIyLXJkZi1zeW50YXgtbnMjIj4gPHJkZjpEZXNjcmlwdGlvbiByZGY6YWJvdXQ9IiIgeG1sbnM6eG1wTU09Imh0dHA6Ly9ucy5hZG9iZS5jb20veGFwLzEuMC9tbS8iIHhtbG5zOnN0UmVmPSJodHRwOi8vbnMuYWRvYmUuY29tL3hhcC8xLjAvc1R5cGUvUmVzb3VyY2VSZWYjIiB4bWxuczp4bXA9Imh0dHA6Ly9ucy5hZG9iZS5jb20veGFwLzEuMC8iIHhtcE1NOk9yaWdpbmFsRG9jdW1lbnRJRD0ieG1wLmRpZDpmMWUzNTlkMS1hYjZhLTNkNDctYmM0ZC03MWMyZDYyMWNmNDgiIHhtcE1NOkRvY3VtZW50SUQ9InhtcC5kaWQ6ODM3MEUzMUU4OTAyMTFFMzk3Q0FCMkFEODdDNzUzMjQiIHhtcE1NOkluc3RhbmNlSUQ9InhtcC5paWQ6ODM3MEUzMUQ4OTAyMTFFMzk3Q0FCMkFEODdDNzUzMjQiIHhtcDpDcmVhdG9yVG9vbD0iQWRvYmUgUGhvdG9zaG9wIENDIChXaW5kb3dzKSI+IDx4bXBNTTpEZXJpdmVkRnJvbSBzdFJlZjppbnN0YW5jZUlEPSJ4bXAuaWlkOjk0ZTkyMTRlLThiNDQtNjc0My04MWZiLTZlYjIzYTA2ZjcwNCIgc3RSZWY6ZG9jdW1lbnRJRD0ieG1wLmRpZDpmMWUzNTlkMS1hYjZhLTNkNDctYmM0ZC03MWMyZDYyMWNmNDgiLz4gPC9yZGY6RGVzY3JpcHRpb24+IDwvcmRmOlJERj4gPC94OnhtcG1ldGE+IDw/eHBhY2tldCBlbmQ9InIiPz4bqsJgAAACF0lEQVR42mJgQAd8fHz/gdRvRigfxGEACCA4YvwPBMgCbgABBGOAJP6LiooiZBUUFMCC7969Awk6AQQQA1bAxMTUOnXq1P8/f/78j2zdf5BDQDgoKAgiyMgItv0/1AkozlgJlHwPpDWB+AhAACFL1EJVwvBPIGZHd8P/OXPmgI0F2YdmxXQUhX///sVQqK2tDVL4DFkhF8zK2NjY/4aGhshOOMJAJAB5ZjdAADGQCpiB4Cear3uwKQR74vv372BPLFq0CKZ4GnLcdMGiFtnXmzZtQo0Bdnb2r/b29nBFMIwUjkxghby8vHfFxMQwTMQWp0YggZcvX/5HBpqamhgKQdafAQnq6en9j4+P/4/me150nzsCPfYOKrkWKvYCymcjJozPgqIYIMAYcUjKAnEcELsDbVECOpkNiO8B+buAeCEQ3yUqFllYWNYh+4Obm/u/ubn5f0tLy//QPIqM90ATHVagDHTJH5BCfn7+/xcvXvyPC9y7d+8/KHqghv4FYj0M04BxeAOkQEhI6P+vX79QDECOeBj49+/ffzk5OZih91FyP4gAGiIDooH5hIGVlRUsAXQpGMMAMh+Y1xksLCzg5QxGrAFzwAxY2GzYsIGgC48cOYIclsuwBiIbG9sCmCJFRcX/+/fvxwi/EydOwIoDGH6JLQEiA26ga1egxSY2vAUpkcKKEV5iCwVOIObBU8w8RzLYgYHaAAACg5CxaxSLgwAAAABJRU5ErkJggg==),auto}.nTOEE9.C_JY0G:hover{cursor:url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAUCAYAAAH6ji2bAAAAGXRFWHRTb2Z0d2FyZQBBZG9iZSBJbWFnZVJlYWR5ccllPAAAA3FpVFh0WE1MOmNvbS5hZG9iZS54bXAAAAAAADw/eHBhY2tldCBiZWdpbj0i77u/IiBpZD0iVzVNME1wQ2VoaUh6cmVTek5UY3prYzlkIj8+IDx4OnhtcG1ldGEgeG1sbnM6eD0iYWRvYmU6bnM6bWV0YS8iIHg6eG1wdGs9IkFkb2JlIFhNUCBDb3JlIDUuNS1jMDE0IDc5LjE1MTQ4MSwgMjAxMy8wMy8xMy0xMjowOToxNSAgICAgICAgIj4gPHJkZjpSREYgeG1sbnM6cmRmPSJodHRwOi8vd3d3LnczLm9yZy8xOTk5LzAyLzIyLXJkZi1zeW50YXgtbnMjIj4gPHJkZjpEZXNjcmlwdGlvbiByZGY6YWJvdXQ9IiIgeG1sbnM6eG1wTU09Imh0dHA6Ly9ucy5hZG9iZS5jb20veGFwLzEuMC9tbS8iIHhtbG5zOnN0UmVmPSJodHRwOi8vbnMuYWRvYmUuY29tL3hhcC8xLjAvc1R5cGUvUmVzb3VyY2VSZWYjIiB4bWxuczp4bXA9Imh0dHA6Ly9ucy5hZG9iZS5jb20veGFwLzEuMC8iIHhtcE1NOk9yaWdpbmFsRG9jdW1lbnRJRD0ieG1wLmRpZDpmMWUzNTlkMS1hYjZhLTNkNDctYmM0ZC03MWMyZDYyMWNmNDgiIHhtcE1NOkRvY3VtZW50SUQ9InhtcC5kaWQ6N0I4QkNGQTI4OTAyMTFFMzg0RDlBRkM5NDA5QjczRTEiIHhtcE1NOkluc3RhbmNlSUQ9InhtcC5paWQ6N0I4QkNGQTE4OTAyMTFFMzg0RDlBRkM5NDA5QjczRTEiIHhtcDpDcmVhdG9yVG9vbD0iQWRvYmUgUGhvdG9zaG9wIENDIChXaW5kb3dzKSI+IDx4bXBNTTpEZXJpdmVkRnJvbSBzdFJlZjppbnN0YW5jZUlEPSJ4bXAuaWlkOjk0ZTkyMTRlLThiNDQtNjc0My04MWZiLTZlYjIzYTA2ZjcwNCIgc3RSZWY6ZG9jdW1lbnRJRD0ieG1wLmRpZDpmMWUzNTlkMS1hYjZhLTNkNDctYmM0ZC03MWMyZDYyMWNmNDgiLz4gPC9yZGY6RGVzY3JpcHRpb24+IDwvcmRmOlJERj4gPC94OnhtcG1ldGE+IDw/eHBhY2tldCBlbmQ9InIiPz7hiSPZAAACGklEQVR42mJgQAd8fHz/gdRvRigfxGEACCA4YvwPBMgCbgABBGOAJP6LiooiZBUUFMCC7969Awk6AQQQA1bAxMTUOnXq1P8/f/78j2zdf5BDQDgoKAgiyMgItv0/1AkozlgJlHwPpDWB+AhAACFL1EJVwvBPIGZHd8P/OXPm/EcHUA3TURT+/fsXQ6G2tjZI4TNkhVwwK2NjY/8bGhoiO+EIA5EA5JndAAHEQCpgBoKfaL7uwaYQHLrfv38He2LRokUwxdOQ46YLFrXIYNOmTagxwM7O/tXe3h4sCYs3EEYKRyawQl5e3rtiYmL/sQH0ODUCCbx8+RJFkaamJoZCkPVnQIJ6enr/4+Pj/6P5nhfd545Aj72DSq6Fir2A8tmICeOzoCgGCDBGHJKyQBwHxO5AW5SATmYD4ntA/i4gXgjEd4mKRRYWlnXI/uDm5v5vbm7+39LS8j80jyLjPdBEhxUoA13yB6SQn5///8WLF//jAvfu3fsPih6ooX+BWA/DNGAc3gApEBIS+v/r16//hMC/f//+y8nJwQy9j2wWC4gAGiIDooH5hIGVlRUsAXQpVq98/PgRVBAwWFhYMDx69AhczkBj7RdyFpgBC5sNGzYQdOGRI0eQw3IZVpvZ2NgWwBQpKir+379/P4ZBJ06cgBUHMPwSWwJEBtxA165Ai01seAtSIoUVI7zEFgqcQMyDp5h5jmSwAwO1AQBU5q033XYWQwAAAABJRU5ErkJggg==),auto}.rYiAuL{cursor:pointer}.gSXewE{height:0;left:0;overflow:hidden;position:absolute;top:0;width:0}.j7pOnl{box-sizing:border-box;height:100%;width:100%}.BI8PVQ{min-height:var(--image-min-height);min-width:var(--image-min-width)}.BI8PVQ img{filter:var(--filter-effect-svg-url);-webkit-mask-image:var(--mask-image,none);mask-image:var(--mask-image,none);-webkit-mask-position:var(--mask-position,0);mask-position:var(--mask-position,0);-webkit-mask-repeat:var(--mask-repeat,no-repeat);mask-repeat:var(--mask-repeat,no-repeat);-webkit-mask-size:var(--mask-size,100% 100%);mask-size:var(--mask-size,100% 100%);-o-object-position:var(--object-position);object-position:var(--object-position)}.MazNVa{left:var(--left,auto);position:var(--position-fixed,static);top:var(--top,auto);z-index:var(--z-index,auto)}.MazNVa .BI8PVQ img{box-shadow:0 0 0 #000;position:static;-webkit-user-select:none;-moz-user-select:none;-ms-user-select:none;user-select:none}.MazNVa .j7pOnl{display:block;overflow:hidden}.MazNVa .BI8PVQ{overflow:hidden}.c7cMWz{bottom:0;left:0;position:absolute;right:0;top:0}.FVGvCX{height:auto;position:relative;width:100%}body:not(.responsive) .zK7MhX{align-self:start;grid-area:1/1/1/1;height:100%;justify-self:stretch;left:0;position:relative}:host(:not(.device-mobile-optimized)) .c7cMWz,body:not(.device-mobile-optimized) .c7cMWz{margin-left:calc((100% - var(--site-width))/2);width:var(--site-width)}.fEm0Bo .c7cMWz{background-color:rgba(var(--bg,var(--color_11)),var(--alpha-bg,1));overflow:hidden}:host(.device-mobile-optimized) .c7cMWz,body.device-mobile-optimized .c7cMWz{left:10px;right:10px}.PFkO7r{bottom:0;left:0;position:absolute;right:0;top:0}.HT5ybB{height:auto;position:relative;width:100%}body:not(.responsive) .dBAkHi{align-self:start;grid-area:1/1/1/1;height:100%;justify-self:stretch;left:0;position:relative}:host(:not(.device-mobile-optimized)) .PFkO7r,body:not(.device-mobile-optimized) .PFkO7r{margin-left:calc((100% - var(--site-width))/2);width:var(--site-width)}:host(.device-mobile-optimized) .PFkO7r,body.device-mobile-optimized .PFkO7r{left:10px;right:10px}

Braintree And Witham Times Obituaries, Hypoattenuating Foci Liver, Ukraine Ribbon Of Support Where To Buy, Is The Complementary Medical Association Recognised In Usa, What Are The 12 Signs Of The Apocalypse, Articles P