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Operations for Pilonidal Disease

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Chassin's Operative Strategy in General Surgery

Abstract

This chapter describes several common options for the surgical management of pilonidal disease. Indications, pitfalls and danger points, preoperative preparation, operative strategy and technique, postoperative care, and complications are included.

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Further Reading

  • Alptekin H, Yilmaz H, Kayis SA, Sahin M. Volume of excised specimen and prediction of surgical site infection in pilonidal sinus procedures (surgical site infection after pilonidal sinus surgery). Surg Today. 2013:1365–70.

    Google Scholar 

  • American Medical Association. Current procedural terminology: CPT ®. Professional ed. Chicago: American Medical Association; 2022. https://www.ama-assn.org/practice-management/cpt.

  • Horwood J, Hanratty D, Chandran P, Billings P. Primary closure or rhomboid excision and Limberg flap for the management of primary sacrococcygeal pilonidal disease? A meta-analysis of randomized controlled trials. Color Dis. 2012;14:143–51.

    Article  CAS  Google Scholar 

  • Johnson EK. Chapter 17. Pilonidal disease and hidradenitis suppurativa. In: Steele SR, Hull TL, Read TE, Saclarides TJ, Senagore AJ, Whitlow CB, editors. The ASCRS textbook of colon and rectal surgery. Springer; 2016. https://doi.org/10.1007/978-3-319-25970-3_17.

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  • Karakayali F, Karagulle E, Karabulut Z, Oksuz E, Moray G, Haberal M. Unroofing and marsupialization vs. rhomboid excision and Limberg flap in pilonidal disease: a prospective, randomized, clinical trial. Dis Colon Rectum. 2009;52:496–502.

    Article  Google Scholar 

  • Lorant T, Ribbe I, Mahteme H, Gustafsson UM, Graf W. Sinus excision and primary closure versus laying open in pilonidal disease: a prospective randomized trial. Dis Colon Rectum. 2011;54:300–5.

    Article  Google Scholar 

  • Milone M, Di Minno MN, Musella M, Maietta P, Ambrosino P, Pisapia A, Slavatore G, Milone F. The role of drainage after excision and primary closure of pilonidal sinus: a meta-analysis. Tech Coloproctol. 2013;17:625–30.

    Article  CAS  Google Scholar 

  • Onder A, Girgin S, Kapan M, Toker M, Arikanoglu Z, Palanci Y, Bac B. Pilonidal sinus disease: risk factors for postoperative complications and recurrence. Int Surg. 2012;97:224–9.

    Article  Google Scholar 

  • Rao MM, Zawislak W, Kennedy R, Gilliland R. A prospective randomized study comparing two treatment modalities for chronic pilonidal sinus with a 5-year follow-up. Int J Color Dis. 2010;25:395–400.

    Article  Google Scholar 

  • Sevinc B, Karahan O, Okus A, Ay S, Aksoy N, Simsek G. Randomized prospective comparison of midline and off-midline closure techniques in pilonidal sinus surgery. Surgery. 2016;159:759–4.

    Article  Google Scholar 

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Correspondence to Andreas M. Kaiser .

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Duldulao, M.P., Kaiser, A.M. (2022). Operations for Pilonidal Disease. In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_83

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  • DOI: https://doi.org/10.1007/978-3-030-81415-1_83

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81414-4

  • Online ISBN: 978-3-030-81415-1

  • eBook Packages: MedicineMedicine (R0)

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