Management of sacrococcygeal pilonidal sinus disease

The ideal treatment for patients who suffer from pilonidal sinus disease should lead to a cure with a rapid recovery period allowing a return to normal daily activities, with a low level of associated morbidity. A variety of different surgical techniques have been described for the primary treatment...

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Bibliographic Details
Published in:International wound journal 2019-04, Vol.16 (2), p.370-378
Main Authors: Harries, Rhiannon L., Alqallaf, Abdullah, Torkington, Jared, Harding, Keith G.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Neoplasm Recurrence, Local - surgery
Original
pilonidal abscess
pilonidal sinus
Pilonidal Sinus - surgery
pilonidal sinus excision
Practice Guidelines as Topic
Sacrococcygeal Region - surgery
Surgical Procedures, Operative - methods
Surgical Procedures, Operative - standards
wound healing
Wound Healing - physiology
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Description
Summary:The ideal treatment for patients who suffer from pilonidal sinus disease should lead to a cure with a rapid recovery period allowing a return to normal daily activities, with a low level of associated morbidity. A variety of different surgical techniques have been described for the primary treatment of pilonidal sinus disease and current practice remains variable and contentious. Whilst some management options have improved outcomes for some patients, the complications of surgery, particularly related to wound healing, often remain worse than the primary disease. This clinical review aims to provide an update on the management options to guide clinicians involved in the care of patients who suffer from sacrococcygeal pilonidal sinus disease.
ISSN:1742-4801
1742-481X
DOI:10.1111/iwj.13042