- 97 Downloads
Pilonidal sinus disease is a relatively common condition that affects hirsute adolescents and young adults. The generally accepted pathophysiology is the burrowing of hairs into the base of the gluteal cleft. This can cause acute and chronic infections. Treatment options of the chronic wound are varied including excision and closure, excision while allowing the wound to heal by secondary intention or with a vacuum-assisted closure, or a variety of flap repairs. There is however no clear consensus as to which operative treatment is the ideal.
KeywordsPilonidal sinus Children Operative treatment Endoscopic treatment Pilonidal cyst Karydakis Bascom Cleft lift
- Afşarlar CE, Yılmaz E, Karaman A, Karaman I, Ozgüner IF, Erdoğan D, Cavuşoğlu YH, Maden HA. Treatment of adolescent pilonidal disease with a new modification to the Limberg flap: symmetrically rotated rhomboid excision and lateralization of the Limberg flap technique. J Pediatr Surg. 2013;48(8):1744–9.CrossRefGoogle Scholar
- Al-Khamis A, McCallum I, King PM, Bruce J. Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev. 2010;20(1):CD006213.Google Scholar
- Arslan K, Said Kokcam S, Koksal H, Turan E, Atay A, Dogru O. Which flap method should be preferred for the treatment of pilonidal sinus? A prospective randomized study. Tech Coloproctol. 2014;18(1):29–37. EPub ahead of print.Google Scholar
- Limongelli P, Brusciano L, Di Stazio C, Del Genio G, Tolone S, Lucido FS, Amoroso V, D’Alessandro A, Docimo G, Docimo L. D-shape asymmetric and symmetric excision with primary closure in the treatment of sacrococcygeal pilonidal disease. Am J Surg. 2014;207(6):882–9. (Epub ahead of print).Google Scholar
- Mann CV, Springall R. ‘D’ Excision for Sacrococcygeal Pilonidal Sinus Disease. J Roy Soc Med. 2018;80(5):292–295Google Scholar