Techniques in Coloproctology

, Volume 19, Issue 10, pp 607–613 | Cite as

The treatment of pilonidal disease: guidelines of the Italian Society of Colorectal Surgery (SICCR)

  • D. SegreEmail author
  • M. Pozzo
  • R. Perinotti
  • B. Roche
Clinical Guidelines


The Italian Society of Colorectal Surgery (SICCR.) has prepared clinical practice guidelines to help its members to optimize the treatment of pilonidal disease, a very common condition, especially among young people, and therefore of great importance on a socioeconomic level. The SICCR committee of experts on pilonidal disease analyzed the international literature and evaluated current evidence. Nonoperative management includes gluteal cleft shaving, laser epilation as well as fibrin glue and phenol injection: reported healing rates and recurrence incidence are satisfactory but the majority of studies are small series with low-quality evidence. Surgical therapy which can be divided into two categories: excision of diseased tissue with primary closure using different techniques or excision with healing by secondary intention. On the whole, no clear benefit is demonstrated for one technique over the other.


Pilonidal disease Pilonidal sinus Pilonidal cyst Pilonidal abscess Recurrence Gluteal cleft 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research comitee and with the 1964 Helsinky declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all participants included in the study.


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Copyright information

© Springer-Verlag Italia Srl 2015

Authors and Affiliations

  1. 1.Surgery UnitCittà di Bra ClinicBraItaly
  2. 2.Department of General SurgeryDegli Infermi HospitalBiellaItaly
  3. 3.Proctology UnitUniversity HospitalGenevaSwitzerland

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