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pp 1-4 | Cite as

Treatment of Pilonidal Disease

  • Barış Sevinç
Chapter
Part of the Recent Clinical Techniques, Results, and Research in Wounds book series

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.

References

  1. 1.
    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)Google Scholar
  2. 2.
    Patey DH, Scarff RW (1946) Pathology of postnatal pilonidal sinus: its bearing on treatment. Lancet 2:484Google Scholar
  3. 3.
    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 29:120–122Google Scholar
  4. 4.
    Oldman JB (1970) Surgery of sacrococcygeal sinus. Dis Colon Rectum 18:179–186Google Scholar
  5. 5.
    Sondenaa K, Anderson E, Nesvik I, Søreide JA (1995) Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorectal Dis 10:39–42Google Scholar
  6. 6.
    Karydakis GE (1992) Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg 62:567–572Google Scholar
  7. 7.
    Bascom J (1980) Pilonidal disease. Origin from follicles of hairs and results of follicle removal as treatment. Surgery 87:567–572Google Scholar
  8. 8.
    Humphries AE, Duncan JE (2010) Evaluation and management of pilonidal disease. Surg Clin North Am 90:113–124Google Scholar
  9. 9.
    Doğru O, Camci C, Aygen E, Girgin M, Topuz O (2004) Pilonidal sinus treated with crystallized phenol: an eight-year experience. Dis Colon Rectum 47:1934–1938Google Scholar
  10. 10.
    Karahan O, Sevinç B, Şimşek G, Demirgül R (2016) Minimally invasive treatment of pilonidal sinus disease using platelet-rich plasma. Transl Surg 1:14–17Google Scholar
  11. 11.
    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 36:431–435Google Scholar
  12. 12.
    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 159:749–754Google Scholar
  13. 13.
    Ağca B, Altınlı E, Duran Y, Mihmanlı M (2002) Pilonidal sinüs tedavisinde Limberg Flep ve primer onarımın karşılaştırılması. Çağdaş Cerrahi Dergisi 16:152–154Google Scholar
  14. 14.
    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 165:1061–1065Google Scholar
  15. 15.
    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 15:173–175Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of General SurgeryUşak University, Medical SchoolUşakTurkey

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