Abstract
Pilonidal sinus disease (PSD) is a sacrococcygeal cavity or tract formed by recurrent infection and persistent inflammation [1]. In 1847, A.W. Anderson published a paper on “hair extracted from an ulcer” [2, 3]. Warren later documented three instances in 1854, making the first case series in “Pilonidal sinus disease” [4]. R.M Hodges invented the word “Pilonidal disease” in 1880 [5]. The word is a combination of Pilus and Nidus; Pilus means “hair,” and Nidus means “nest.” In 1883, O.H. Mayo described the condition for the first time [6]. This condition is often called jeep disease, as many U.S soldiers riding jeeps were affected by the pilonidal disease during the wars [2]. Over 79,000 soldiers in the American army had surgery for pilonidal sinus disease. Two thousand soldiers during the Vietnamese war were operated on for pilonidal sinus every year [7].
“All sinuses heal unless something keeps them open.”
Lord and Miller
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Khanna A, Rombeau JL. Pilonidal disease. Clin Colon Rectal Surg. 2011;24:46–53.
Nixon AT, Garza RF. Pilonidal cyst and sinus. StatPearls; 2020.
Anderson AW. Hair extracted from an ulcer. Boston Med Surg J. 1847;36:64–76.
Warren JM. Abscess containing hair on the nates. Am J Med Sci. 1854;28:113.
Hodges RM. Pilonidal sinüs. Boston Med Surg J. 1880;103:485–6.
Mayo OH. Observations on injuries and diseases of the rectum. London: Burgess and Hill; 1833. p. 45–6.
Duman K, Gırgın M, Harlak A. Prevalence of sacrococcygeal pilonidal disease in Turkey. Asian J Surg. 2017;40(6):434–7.
Søndenaa K, Andersen E, Nesvik I, Søreide JA. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Color Dis. 1995;10(1):39–42.
Johnson EK, Vogel JD, Cowan ML, Feingold DL, Steele SR, Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of pilonidal disease. Dis Colon Rectum. 2019;62(2):146–57.
Rajasekharan D, Nagaraja JB, Subbarayappa S. Pilonidal sinus in South India: a retrospective review. Indian J Colorectal Surg. 2019;2(3):71.
Sion-Vardy N, Osyntsov L, Cagnano E, Osyntsov A, Vardy D, Benharroch D. Unexpected location of pilonidal sinuses. Clin Exp Dermatol. 2009;34(8):e599–601. https://doi.org/10.1111/j.1365-2230.2009.03272.x.
Patel MR, Bassini L, Nashad R, Anselmo MT. Barber’s interdigital pilonidal sinus of the hand: a foreign body hair granuloma. J Hand Surg Am. 1990;15(4):652–5. https://doi.org/10.1016/s0363-5023(09)90031-4.
Harlak A, Mentes O, Kilic S, Coskun K, Duman K, Yilmaz F. Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors. Clinics (Sao Paulo, Brazil). 2010;65(2):125–31. https://doi.org/10.1590/S1807-59322010000200002.
Patey DH, Scarff RW. Pathology of postanal pilonidal sinus; its bearing on treatment. Lancet. 1946;2(6423):484–6. https://doi.org/10.1016/s0140-6736(46)91756-4.
Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg. 1992;62(5):385–9.
Stelzner F. Die Ursache des pilonidal sinus und der Pyodermia fistulans sinifica [Causes of pilonidal sinus and pyoderma fistulans sinifica]. Langenbecks Arch Chir. 1984;362(2):105–18. German. https://doi.org/10.1007/BF01254185.
Vasanth V, Chandrashekar BS. Follicular occlusion tetrad. Indian Dermatol Online J. 2014;5(4):491–3. https://doi.org/10.4103/2229-5178.142517.
Dahl HD, Henrich MH. [Light and scanning electron microscopy study of the pathogenesis of pilonidal sinus and anal fistula]. Langenbecks Arch Chir. 1992;377(2):118–24.
Bosche F, Luedi MM, van der Zypen D, Moersdorf P, Krapohl B, Doll D. The hair in the sinus: sharp-ended rootless head hair fragments can be found in large amounts in pilonidal sinus nests. World J Surg. 2018;42(2):567–73. https://doi.org/10.1007/s00268-017-4093-5.
Davage ON. The origin of sacrococcygeal pilonidal sinuses based on an analysis of four hundred sixty-three cases. Am J Pathol. 1954;30(6):1191–205.
Oh HB, Abdul Malik MH, Keh CH. Pilonidal abscess associated with primary actinomycosis. Ann Coloproctol. 2015;31(6):243–5. https://doi.org/10.3393/ac.2015.31.6.243.
Tezel E. A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Dis. 2007;9(6):575–6. https://doi.org/10.1111/j.1463-1318.2007.01236.x.
Taylor SA, Halligan S, Bartram CI. Pilonidal sinus disease: M.R. imaging distinction from fistula in ano. Radiology. 2003;226(3):662–7.
Garg P. Anal fistula and pilonidal sinus disease co-existing simultaneously: an audit in a cohort of 1284 patients. Int Wound J. 2019;16(5):1199–205. https://doi.org/10.1111/iwj.13187.
Steele SR, Perry WB, Mills S, Buie WD. Practice parameters for the management of pilonidal disease. Dis Colon Rectum. 2013;56(9):1021–7.
Bascom J, Bascom T. Utility of the cleft lift procedure in refractory pilonidal disease. Am J Surg. 2007;193(5):606–9.
Lim J, Shabbir J. Pilonidal sinus disease-a literature review. World J Surg Surg Res. 2019;2019(2):1117.
Sohn N, Martz J. Pilonidal disease. In: Cameron JL, editor. Current surgical therapy. 8th ed. Philadelphia, PA: Elsevier Mosby; 2004. p. 280–4.
Milone M, Sosa Fernandez LM, Milone F, De Palma GD. Endoscopic pilonidal sinus: how far have we come? Dis Colon Rectum. 2018;61(6):e343. https://doi.org/10.1097/DCR.0000000000001100.
Priyadarshi S, Dogra BB, Nagare K, Rana KV, Sunkara R, Kandari A. A comparative study of open technique and Z-plasty in management of pilonidal sinus. Medical J Dr DY Patil Univ. 2014;7(5):574.
Isik A, Ramanathan R. Approaches to the treatment of pilonidal sinus disease, clinical practice in 2019. Int Wound J. 2020;17(2):508–9. https://doi.org/10.1111/iwj.13265.
Meinero P, Mori L, Gasloli G. Endoscopic pilonidal sinus treatment (E.P.Si.T.). Tech Coloproctol. 2014;18(4):389–92. https://doi.org/10.1007/s10151-013-1016-9.
Hunt SD, Elg F. Clinical effectiveness of hemoglobin spray (Granulox®) as adjunctive therapy in the treatment of chronic diabetic foot ulcers. Diabetic Foot Ankle. 2016;7:33101. https://doi.org/10.3402/dfa.v7.33101.
Life cell. https://www.lifecell.in/amchoplast-flo.
Milone M, Musella M, Di Spiezio Sardo A, Bifulco G, Salvatore G, Sosa Fernandez LM, Bianco P, Zizolfi B, Nappi C, Milone F. Video-assisted ablation of pilonidal sinus: a new minimally invasive treatment—a pilot study. Surgery. 2014;155(3):562–6. https://doi.org/10.1016/j.surg.2013.08.021.
Milone M, Velotti N, Manigrasso M, Milone F, Sosa Fernandez LM, De Palma GD. Video-assisted ablation of the pilonidal sinus (VAAPS) versus sinusectomy for treatment of chronic pilonidal sinus disease: a comparative study. Updat Surg. 2019;71(1):179–83. https://doi.org/10.1007/s13304-018-00611-2.
Gupta K, Mital K, Gupta R. Video-assisted laser ablation of pilonidal sinus VALAPS—a combined minimally invasive approach for management of pilonidal sinus. IJCAR. 2019;8(09):19789–93.
Tavassoli A, Noorshafiee S, Nazarzadeh R. Comparison of excision with primary repair versus Limberg flap. Int J Surg. 2011;9:343–6.
Berkem H, Topaloglu S, Ozel H, Avsar FM, Yildiz Y, Yüksel BC, et al. V-Y advancement flap closures for complicated pilonidal sinus disease. Int J Colorectal Dis. 2005;20:343–8.
Öz B, Akcan A, Emek E, Akyüz M, Sözüer E, Akyıldız H, et al. A comparison of surgical outcome of fasciocutaneous V-Y advancement flap and Limberg transposition flap for recurrent sacrococcygeal pilonidal sinus disease. Asian J Surg. 2017;40:197–202.
Nursal TZ, Ezer A, Calişkan K, et al. Prospective randomized controlled trial comparing V-Y advancement flaps with primary suture methods in pilonidal disease. Am J Surg. 2010;199:170–7.
Kayal A, Hussain A, Choudhary A, Meghwal A. A comparative study between Karydakis flap reconstruction and double Z-plasty patients with sacrococcygeal pilonidal disease. Int Sch Res Notices. 2014;2014:523015.
Hatch Q, Marenco C, Lammers D, Morte K, Schlussel A, McNevin S. Postoperative outcomes of Bascom cleft lift for pilonidal disease: a single-center experience. Am J Surg. 2020;219(5):737–40. https://doi.org/10.1016/j.amjsurg.2020.03.005.
Karaca AS, Ali R, Capar M, Karaca S. Comparison of Limberg flap and excision and primary closure of pilonidal sinus disease, quality of life. J Korean Surg Soc. 2013;85(5):236–9.
Giarratano G, Toscana C, Shalaby M, Buonomo O, Petrella G, Sileri P. Endoscopic pilonidal sinus treatment: long-term results of a perspective series. J Soc Laparoendosc Surg. 2017;21(3):e2017.00043. https://doi.org/10.4293/JSLS.2017.00043.
Meinero P, La Torre M, Lisi G, Stazi A, Carbone A, Regusci L, Fasolini F. Endoscopic pilonidal sinus treatment (EPSiT) in recurrent pilonidal disease: a prospective international multicenter study. Int J Colorectal Dis. 2019;34(4):741–6. https://doi.org/10.1007/s00384-019-03256-8.
Saikaly E, Saad MK. Modified endoscopic pilonidal sinus treatment (EPSiT): personal experience. J Coloproctol (Rio de Janeiro). 2020;40:233–236s.
Soll C, Dindo D, Steinemann D, Hauffe T, Clavien PA, Hahnloser D. Sinusectomy for primary pilonidal sinus: less is more. Surgery. 2011;150(5):996–1001. https://doi.org/10.1016/j.surg.2011.06.019.
Gips M, Melki Y, Salem L, et al. Minimal surgery for pilonidal disease using trephines: description of a new technique and long-term outcomes in 1,358 patients. Dis Colon Rectum. 2008;51:1656–1662; discussion 1662–3.
Pappas AF, Christodoulou DK. A new minimally invasive treatment of pilonidal sinus disease with the use of a diode laser: a prospective large series of patients. Colorectal Dis. 2018;20(8):O207–14. https://doi.org/10.1111/codi.14285.
Minneci PC, Halleran DR, Lawrence AE, Fischer BA, Cooper JN, Deans KJ. Laser hair depilation for the prevention of disease recurrence in adolescents and young adults with pilonidal disease: study protocol for a randomized controlled trial. Trials. 2018;19(1):599. https://doi.org/10.1186/s13063-018-2987-7.
Lavelle M, Jafri Z, Town G. Recurrent pilonidal sinus treated with epilation using a ruby laser. J Cosmet Laser Ther. 2002;4:45–7.
Johnson EK, Vogel JD, Cowan ML, Feingold DL, Steele SR. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of pilonidal disease. Dis Colon Rectum. 2019;62(2):146–57.
M. Milone, L. Basso, M. Manigrasso, R. Pietroletti, A. Bondurri, M. La Torre, G. Milito, M. Pozzo,·D. Segre, R. Perinotti, G. Gallo. Consensus statement of the Italian Society of Colorectal Surgery (SICCR): management and treatment of pilonidal disease. Tech Coloproctol 2021;25(12):1269-1280.
Guner A, Boz A, Ozkan OF, Ileli O, Kece C, Reis E. Limberg flap versus Bascom cleft lift techniques for sacrococcygeal pilonidal sinus: a prospective, randomized trial. World J Surg. 2013;37:2074–80.
Yoldas T, Karaca C, Unalp O, Uguz A, Caliskan C, Akgun E, Korkut M. Recurrent pilonidal sinus: lay open or flap closure; does it differ? Int Surg. 2013;98(4):319–23. https://doi.org/10.9738/INTSURG-D-13-00081.1.
Banasiewicz T, Bobkiewicz A, Borejsza-Wysocki M, Biczysko M, Ratajczak A, Malinger S, Drews M. Portable VAC therapy improve the results of the treatment of the pilonidal sinus—randomized prospective study. Pol Przegl Chir. 2013;85(7):371–6. https://doi.org/10.2478/pjs-2013-0056. PMID: 23945113
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Gupta, K. (2022). Role of Lasers in Pilonidal Sinus. In: Lasers in Proctology. Springer, Singapore. https://doi.org/10.1007/978-981-19-5825-0_17
Download citation
DOI: https://doi.org/10.1007/978-981-19-5825-0_17
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-5824-3
Online ISBN: 978-981-19-5825-0
eBook Packages: MedicineMedicine (R0)