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Pilonidal disease.

Tracy L Hull1, James Wu

  • 1The Department of Colon and Rectal Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue Cleveland, Ohio 44195, USA. hullt@ccf.org

The Surgical Clinics of North America
|January 9, 2003
PubMed
Summary
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Pilonidal disease, often affecting young men, can cause abscesses and sinus tracts. A stepwise treatment approach, starting simple and progressing if needed, is recommended for managing this condition effectively.

Area of Science:

  • Medical Science
  • Surgical Pathology

Background:

  • Pilonidal disease commonly affects young individuals, particularly men.
  • It is characterized by abscesses, draining sinus tracts, and potential debility.
  • The exact cause is unclear but likely involves hair penetration beneath the skin.

Purpose of the Study:

  • To outline an optimal therapeutic strategy for pilonidal disease.
  • To emphasize a stepwise approach to treatment, progressing from simple to more complex interventions.
  • To highlight the ideal characteristics of pilonidal disease treatments.

Main Methods:

  • Review of current therapeutic options for pilonidal disease.
  • Categorization of treatments based on complexity, from simple to advanced.
  • Emphasis on adjunctive measures like meticulous wound care and hair shaving.

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Main Results:

  • No single treatment currently meets all ideal goals for pilonidal disease management.
  • A logical approach involves initiating simple treatments and escalating if initial therapy fails.
  • A spectrum of treatments, detailed in Table 1, ranges from basic to complex interventions.

Conclusions:

  • A stepwise management strategy is the most logical approach for pilonidal disease.
  • Treatment progression should be considered following initial therapeutic failures.
  • Optimizing wound care and hair removal are crucial adjuncts to surgical treatments.