Abstract
The author discusses the epidemiolgy and etiopathogenesis of pilonidal disease. The clinical findings and complications are described as well as the nonsurgical approaches and surgical techniques for treatment. All procedures used in treatment of pilonidal sinus disease have different recurrence rates. To prevent recurrence flattening of the intergluteal sulcus and tension-free healing are important factors. Personal hygiene with daily shower and hair removal from the sulcus are important factors as well.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Change history
06 December 2018
The chapter title has been updated from “Pilonidal Sinus Disease” to “Treatment of Pilonidal Disease” as per the author’s correction
References
Mayo H (1833) Observations on injuries and disease of rectum. Burgess and Hill, London, pp 45–46. (quoted from: da Silva JH. Pilonidal cyst: cause and treatment). Dis Colon Rectum 2000;43:1146–1156)
Patey DH, Scarff RW (1946) Pathology of postnatal pilonidal sinus: its bearing on treatment. Lancet 2:484
Okuş A, Karahan Ö, Eryılmaz MA, Ay AS, Sevinç B, Aksoy N, Bodur S, Halıcı AH (2013) Pilonidal hastalığın toplumda görülme sıklığı, yaşa ve cinsiyete göre dağılımı (erken sonuçlarımız). Selçuk Tıp Derg 29:120–122
Oldman JB (1970) Surgery of sacrococcygeal sinus. Dis Colon Rectum 18:179–186
Sondenaa K, Anderson E, Nesvik I, Søreide JA (1995) Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis 10:39–42
Karydakis GE (1992) Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg 62:567–572
Bascom J (1980) Pilonidal disease. Origin from follicles of hairs and results of follicle removal as treatment. Surgery 87:567–572
Humphries AE, Duncan JE (2010) Evaluation and management of pilonidal disease. Surg Clin North Am 90:113–124
Doğru O, Camci C, Aygen E, Girgin M, Topuz O (2004) Pilonidal sinus treated with crystallized phenol: an eight-year experience. Dis Colon Rectum 47:1934–1938
Karahan O, Sevinç B, Şimşek G, Demirgül R (2016) Minimally invasive treatment of pilonidal sinus disease using platelet-rich plasma. Transl Surg 1:14–17
Okuş A, Sevinç B, Karahan Ö, Eryilmaz MA (2012) Comparison of Limberg flap and tension-free primary closure during pilonidal sinus surgery. World J Surg 36:431–435
Sevinç B, Karahan Ö, Okuş A, Ay S, Aksoy N, Şimşek G (2016) Randomized prospective comparison of midline and off-midline closure techniques in pilonidal sinus surgery. Surgery 159:749–754
Ağca B, Altınlı E, Duran Y, Mihmanlı M (2002) Pilonidal sinüs tedavisinde Limberg Flep ve primer onarımın karşılaştırılması. Çağdaş Cerrahi Dergisi 16:152–154
Quinodoz PD, Chilcott M, Grolleau JL, Chavoin JP, Costagliola M (1999) Surgical treatment of sacrococcygeal pilonidal sinus disease by excision and skin flaps. Eur J Surg 165:1061–1065
Çubukçu A, Gönüllü NN, Paksoy M, Alponat A, Kuru M, Ozbay O (2000) The role obesity on the recurrence of pilonidal sinus disease in patients, who were treated by excision and Limberg flap transposition. Int J Colorectal Dis 15:173–175
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Sevinç, B. (2017). Treatment of Pilonidal Disease. In: Shiffman, M., Low, M. (eds) Biofilm, Pilonidal Cysts and Sinuses. Recent Clinical Techniques, Results, and Research in Wounds, vol 1. Springer, Cham. https://doi.org/10.1007/15695_2017_16
Download citation
DOI: https://doi.org/10.1007/15695_2017_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-03076-6
Online ISBN: 978-3-030-03077-3
eBook Packages: MedicineMedicine (R0)