International Journal of Colorectal Disease

, Volume 23, Issue 2, pp 177–180 | Cite as

A novel approach for treatment of sacrococcygeal pilonidal sinus: less is more

  • Christopher Soll
  • Dieter Hahnloser
  • Daniel Dindo
  • Pierre-Alain Clavien
  • Franc Hetzer
Original Article



The surgical management of sacrococcygeal pilonidal sinus (PS) is still a matter of discussion. Therapy ranges from complete wide excision with or without closure of the wound to excochleation of the sinus with a brush. In this paper, we introduce a novel limited excision technique. The aim of this study was to assess the morbidity and recurrence rate of this technique.

Materials and methods

Limited excision consisted of a selective extirpation of the sinus after tagging the tract with methylene blue. Ninety-three consecutive patients, who underwent surgery between 2001 and 2004, were analyzed. The patients’ survey was performed by mail questionnaire and telephone interview inquiring recurrence, time off work, and time to wound healing.


Seventy-three percent of the patients were treated in an outpatient setting. With a median follow-up of 2 years, the recurrence rate was 5%. The median time off work was 2 weeks. The median wound healing time was 5 weeks.


Limited excision for PS can be done in an outpatient setting with a low recurrence rate and short time off work.


Pilonidal sinus Pilonidal cyst Surgery Therapy 



pilonidal sinus


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Christopher Soll
    • 1
  • Dieter Hahnloser
    • 1
  • Daniel Dindo
    • 1
  • Pierre-Alain Clavien
    • 1
  • Franc Hetzer
    • 2
  1. 1.Department of Visceral and Transplantation SurgeryUniversity Hospital ZuerichZuerichSwitzerland
  2. 2.Department of SurgeryCantonal HospitalSt. GallenSwitzerland

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