, Volume 41, Issue 2, pp 121–126 | Cite as

Trends toward a tailored approach for pilonidal sinus disease

Classification, staging, and treatment algorithms
  • E. TezelEmail author
  • S. Leventoglu
  • A. P. Wysockı


This review article summarizes the approach to patients with pilonidal sinus disease based on morphologically different stages. Pilonidal sinus disease is a very common condition especially among young people. The proposed classifications for pilonidal disease and commonly used procedures are summarized here. There is currently limited literature to justify a particular treatment over another based on disease stage. Off-midline closure has the lowest long-term recurrence rate.


Pilonidal disease Classification Staging Treatment Algorithms 

Tendenzen zu einem individualisierten Ansatz bei Pilonidalsinus

Klassifizierung, Stadieneinteilung und Behandlungsalgorithmen


Die vorliegende Übersichtsarbeit bietet die Zusammenfassung eines Therapieansatzes bei Patienten mit Pilonidalsinuserkrankungen auf der Basis morphologisch unterschiedlicher Stadien. Ein Pilonidalsinus ist eine sehr häufige Erkrankung, insbesondere bei jungen Menschen. Die vorgeschlagenen Klassifikationen der Pilonidalsinuserkrankung und die üblicherweise eingesetzten Therapieverfahren werden zusammengefasst. Derzeit gibt es nur begrenzt Literatur, um auf der Basis des Krankheitsstadiums die Bevorzugung einer bestimmten Behandlung gegenüber einer anderen zu rechtfertigen. Die niedrigste Langzeitrezidivrate weist der Verschluss abseits der Mittellinie auf.


Pilonidalsinuserkrankungen Klassifikation Stadieneinteilung Therapie Algorithmen 


Compliance with ethical guidelines

Conflict of interest

E. Tezel, S. Leventoglu, and A. P. Wysockı declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Department of General SurgeryGazi University School of MedicineBesevler, AnkaraTurkey
  2. 2.Griffith Health Centre—G40, Gold Coast CampusGriffith University Medical SchoolQueenslandAustralia
  3. 3.Department of General SurgeryLogan HospitalMeadowbrook, QueenslandAustralia

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