Operations for Pilonidal Disease

  • Jameson L. Chassin


In past decades it was thought that a pilonidal sinus was the result of a congenital remnant of epithelium or an invagination of skin. The presence of hair in the pilonidal cyst was explained by the persistence of hair follicles in the invaginated epithelium. If this hypothesis were true, corrective surgery would require a complete excision of the congenital lesion. Consequently, wide excision of a large elliptical segment of skin down to the post-sacral fascia was advocated. This often left a large skin defect which could not be closed per primam. Consequently, complicated operations, such as sliding flaps of gluteal muscle or broad-based sliding skin flaps, were devised to close the defect. Despite the extensive surgery, primary healing was not uniformly achieved, and recurrences were not uncommon. If the wound was left open after a radical excision, healing by granulation tissue and contraction often required 6–12 months.


Pilonidal Sinus Radical Excision Lateral Incision Pilonidal Disease Lateral Sinus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Abramson DJ. A simple marsupialization technique for treatment of pilonidal sinus; long-term follow-up. Ann Surg 1960;151:261.PubMedCrossRefGoogle Scholar
  2. Bascom J. Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery 1980;87:567.PubMedGoogle Scholar
  3. Buie LA. Jeep disease (pilonidal disease of mechanized warfare) . South Med J 1944;37:103.CrossRefGoogle Scholar
  4. Goligher JC. Surgery of the anus, rectum and colon, 4th ed. London: Balliere Tindall; 1980.Google Scholar
  5. Holm J, Hulten L. Simple primary closure for pilonidal disease. Acta Chir Scand 1970;136:537.PubMedGoogle Scholar
  6. Lamke LO, Larsson J, Nylen B. Results of different types of operation for pilonidal sinus. Acta Chir Scand 1974; 140:321.PubMedGoogle Scholar
  7. Lord PH, Millar DM. Pilonidal sinus: a simple treatment. Br J Surg 1965;52:298.PubMedCrossRefGoogle Scholar
  8. Patey DH, Scarf RW. Pathology of postanal pilonidal sinus: its bearing on treatment. Lancet 1946;2:484.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

Personalised recommendations