Skip to main content
SpringerLink
Log in

Pilonidal Disease

  • Chapter
  • First Online:
Practices of Anorectal Surgery

  • 458 Accesses

Abstract

Pilonidal disease shows asymptomatic small pit or simple cyst in the center of buttocks about 5 cm above the anus, and pain and tenderness on pressure if it forms an abscess with cellulitis around the cyst. It is necessary to distinguish it from inflammatory diseases originating in the anus including anal fistula, hidradenitis suppurativa, and folliculitis through anal digital examination. The principle of treatment is to completely remove the sinus tract, and recurrence has to be prevented after the excised skin is all healed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Karydakis GE. The etiology of pilonidal sinus. Hellenic Arm Forc Med Rev. 1975;7:411–6.

    Google Scholar 

  2. Hull TL, Wu J. Pilonidal disease. Surg Clin N Am. 2002;82:1169–85.

    Article  Google Scholar 

  3. Hanley PH. Acute pilonidal abscess. Surg Gynecol Obstet. 1980;150:9–11.

    CAS  PubMed  Google Scholar 

  4. Nelson J, Billingham R. Pilonidal disease and hidradenitis suppurativa. In: Wolff BG, Fleshman JW, Beck DE, et al., editors. The ASCRS textbook of colon and rectal surgery. New York: Springer; 2007. p. 228–35.

    Chapter  Google Scholar 

  5. Lukish JR, Kindelan T, Marmon LM, et al. Laser epilation is a safe and effective therapy for teenagers with pilonidal disease. J Pediatr Surg. 2009;44:28205.

    Google Scholar 

  6. Conroy FJ, Kandamany N, Mahaffey PJ. Laser depilation and hygiene: preventing recurrent pilonidal sinus disease. J Plast Reconstr Aesthet Surg. 2008;61:1069–72.

    Article  CAS  Google Scholar 

  7. Schulze SM, Patel N, Hertzog D, et al. Treatment of pilonidal disease with laser epilation. Am Surg. 2006;72:534–7.

    CAS  PubMed  Google Scholar 

  8. Jensen SL, Harling H. Prognosis after simple incision and dreainage for a first-episode acute pilonidal abscess. Br J Surg. 1988;75:60–1.

    Article  CAS  Google Scholar 

  9. Webb PM, Wysocki AP. Does pilonidal abscess heal quicker with off-midline incision and drainage ? Tech Coloproctol. 2011;15:179–83.

    Article  CAS  Google Scholar 

  10. Bascom J. Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery. 1980;87(5):567–72.

    CAS  PubMed  Google Scholar 

  11. Oncel M, Kurt N, Kement M, et al. Excision and marsupialization versus sinus excision for the treatment of limited chronic pilonidal disease; a prospective randomized trial. Tech Coloproctol. 2002;6:165.

    Article  CAS  Google Scholar 

  12. Al-Hassan HK, Francis IM, Neglen P. Primary closure or secondary granulation after excision of pilonidal sinus? Acta Chir Scand. 1990;156:695–9.

    CAS  PubMed  Google Scholar 

  13. Lord PH, Millar DM. Pilonidal sinus: a simple treatment. Br J Surg. 1965;52:298–300.

    Article  CAS  Google Scholar 

  14. Mosquera DA, Quayle JB. Bascom’s operation for pilonidal sinus. J R Soc Med. 1995;88(1):45–6.

    Google Scholar 

  15. Senapati A, Cripps NP, Thompson MR. Bascom’s operation in the day-surgical management of symptomatic pilonidal sinus. Br J Surg. 2000;87(8):1067–70.

    Article  CAS  Google Scholar 

  16. Mansoory A, Dickson D. Z-plasty for treatment of disease of the pilonidal sinus. Surg Gynecol Obstet. 1982;155(3):409–11.

    CAS  PubMed  Google Scholar 

  17. Schoeller T, Wechselberger G, Otto A, Papp C. Definite surgical treatment of complicated recurrent pilonidal disease with a modified fasciocutaneous V-Y advancement flap. Surgery. 1997;121(3):258–63.

    Article  CAS  Google Scholar 

  18. Dýlek ON, Bekereciodlu M. Role of simple V-Y advancement flap in the treatment of complicated pilonidal sinus. Eur J Surg. 1998;164(12):961–4.

    Article  Google Scholar 

  19. Milito G, Cortese F, Casciani CU. Rhomboid flap procedure for pilonidal sinus: results from 67 cases. Int J Color Dis. 1998;13(3):113–5.

    Article  CAS  Google Scholar 

  20. Rosen W, Davidson JS. Gluteus maximus musculocutaneous flap for the treatment of recalcitrant pilonidal disease. Ann Plast Surg. 1996;37:293–7.

    Article  CAS  Google Scholar 

  21. Solla JA, Rothenberger DA. Chronic pilonidal disease. An assessment of 150 cases. Dis Colon Rectum. 1990;33:758–61.

    Article  CAS  Google Scholar 

  22. de Bree E, Zoetmulder FAN, Christodoulakis M, et al. Treatment of malignancy arising in pilonidal disease. Ann Surg Oncol. 2001;8:60–4.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Colorectal Division, Department of Surgery, Hansol Hospital, Seoul, South Korea

    Jeong Eun Lee

Authors
  1. Jeong Eun Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Hansol Hospital, Seoul, Korea (Republic of)

    Dong Keun Lee

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lee, J.E. (2019). Pilonidal Disease. In: Lee, D. (eds) Practices of Anorectal Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-13-1447-6_14

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-1447-6_14

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1446-9

  • Online ISBN: 978-981-13-1447-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation