Skip to main content

Pilonidal disease: Long-term results of follicle removal

Abstract

Pilonidal disease is treated by follicle removal and lateral drainage. The method is suited to outpatient management and gives minimal disability and good long-term control. Other treatment methods for management of the unhealed midline pilonidal incision are discussed. Results are satisfactory to as long as nine years on follow-up. Microphotographs demonstrate that pilonidal disease arises from hair follicles in the skin.

This is a preview of subscription content, access via your institution.

References

  1. Bascom JU. Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery 1980;87:567–72.

    PubMed  CAS  Google Scholar 

  2. Bascom JU. Pilonidal disease: correcting overtreatment and undertreatment. Contemporary Surgery 1981;18:13–8.

    Google Scholar 

  3. Buie LA, Curtiss RK. Pilonidal disease. Surg Clin North Am 1952;32:1247–59.

    Google Scholar 

  4. Kooistra MP. Pilonidal sinuses: review of the literature and report of 350 cases. Am J Surg 1942;4:3–17.

    Article  Google Scholar 

  5. Notaras MJ. A review of three popular methods of treatment of postanal (pilonidal) sinus disease. Br J Surg 1970;57:886–90.

    PubMed  CAS  Google Scholar 

  6. Weale FE. A comparison of barber's and postanal pilonidal sinuses. Br J Surg 1964;51:513–6.

    PubMed  CAS  Google Scholar 

  7. Golz A, Argov S, Barzilai A. Pilonidal sinus disease: comparison amount various methods of treatment and a survey of 160 patients. Curr Surg 1980;37:77–85.

    PubMed  CAS  Google Scholar 

  8. Lord PH, Millar DM. Pilonidal sinus: a simple treatment. Br J Surg 1965;52:298–300.

    PubMed  CAS  Google Scholar 

  9. Patey DH. A reappraisal of the acquired theory of sacrococcygeal pilonidal sinus and an assessment of its influence on surgical practice. Br J Surg 1969;56:463–6.

    PubMed  CAS  Google Scholar 

  10. Mehregan AH, Coskey RJ. Perforating folliculitis. Arch Dermatol 1968;97:394–9.

    Article  PubMed  CAS  Google Scholar 

  11. Brearley R. Pilonidal sinus: a new theory of origin. Br J Surg 1955;43:62–7.

    PubMed  CAS  Google Scholar 

  12. Lord PH. Anorectal problems: etiology of pilonidal sinus. Dis Colon Rectum 1975;18:661–4.

    PubMed  CAS  Google Scholar 

  13. Grant RN. The relationship between acne and hair growth. Arch Dermatol 1956;76:179–84.

    Google Scholar 

  14. Page BH. The entry of hair into a pilonidal sinus. Br J Surg 1969;56:32.

    PubMed  CAS  Google Scholar 

  15. Abramson DJ. Outpatient management of pilonidal sinuses: excision and semiprimary closure technic. Milit Med 1978;143:753–7.

    CAS  Google Scholar 

  16. Karydakis GE. New approach to the problem of pilonidal sinus. Lancet 1973;2:1414–5.

    Article  PubMed  CAS  Google Scholar 

  17. Lahey FH. A further suggestion for the operative treatment of pilonidal sinuses. Surg Gynecol Obstet 1932;54:521–6.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, San Francisco, California, May 2 to 6, 1982.

This work was performed in Eugene, Oregon at my office and at Sacred Heart Hospital.

About this article

Cite this article

Bascom, J. Pilonidal disease: Long-term results of follicle removal. Dis Colon Rectum 26, 800–807 (1983). https://doi.org/10.1007/BF02554755

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02554755

Key words

  • Pilonidal disease
  • Unhealed pilonidal disease
  • Origin of pilonidal disease
  • Hair follicles
  • Perforating folliculitis