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Related Experiment Videos

Pilonidal cyst: cause and treatment.

J H da Silva1

  • 1School of Medicine, University of São Paulo, Brazil.

Diseases of the Colon and Rectum
|August 19, 2000
PubMed
Summary
This summary is machine-generated.

Sacrococcygeal pilonidal cyst is acquired, likely due to hair. While excision is common, incision and curettage offers better outcomes regarding morbidity, healing, recurrence, and cure.

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Area of Science:

  • Medical Science
  • Surgical Procedures
  • Dermatology

Background:

  • Sacrococcygeal pilonidal cyst is a recognized condition with debated origins.
  • Surgery is the primary treatment, with various techniques aiming for reduced complications and improved outcomes.
  • Key treatment goals include minimizing morbidity, promoting rapid healing, and achieving low recurrence rates.

Purpose of the Study:

  • To review literature on the etiology of pilonidal cysts.
  • To identify the optimal current treatment method for sacrococcygeal pilonidal cysts.
  • To evaluate treatment efficacy based on morbidity, healing, recurrence, and cure rates.

Main Methods:

  • Comprehensive literature search of English-language studies.
  • Data retrieval from Index Medicus and MEDLINE databases.

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  • Systematic review and analysis of collected data.

    • Main Results:

    • Strong consensus supports an acquired origin for pilonidal cysts, with hair identified as the causative agent.
    • Excision with open or closed wound healing is a prevalent surgical approach.
    • Incision and curettage is another frequently preferred method, with ongoing development of new surgical techniques.

    Conclusions:

    • Most evidence indicates sacrococcygeal pilonidal cysts are acquired, though a congenital origin is a minority view.
    • While excision is favored by many surgeons, incision and curettage demonstrated superior results in our experience.
    • Incision and curettage is recommended as the optimal surgical treatment for pilonidal cysts based on comprehensive evaluation criteria.