Hi Dear !! Thanks for your query to HCM.
Read and Reviewed your query in context to your health issues.
In the given scenario and history facts,Your nephew- seems to have undergone-Pilonidal
Cystectomy by a Plastic Surgeon.
The Butt crack in such cases-needs to be opened up,at the base of Which Pilonidal Cystectomy-is done and Stitches are put to close the gap after cyst removal.
Don't carry any wrong information that anus hole suturing is done and butt crack no longer remains.
Butt Crack and the Anal opening is kept in tact.
So be assured of the right things done by Plastic surgeon.
I would suggest You to talk to your family doctor and attending Plastic Surgeon.
You may have Second Opinion- if you are ashamed to talk about the conception you had.
Hope this reply would help you to resolve the health issues with help of doctors attending on you.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
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If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS