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Updated: Jul 6, 2026
02:41
Acupoint Catgut Embedding for Treatment of Chronic Pelvic Pain Due to the Sequelae of Pelvic Inflammatory Disease
Published on: May 3, 2024
Sacrococcygeal pilonidal disease
P J Lee1, S Raniga, D K Biyani
1Department of Surgery, Colorectal Unit, Christchurch Hospital, Christchurch, New Zealand.
Summary
For sacrococcygeal pilonidal disease, simple excision is recommended for initial cases. Recurrent disease management favors the modified rhomboid flap, offering better outcomes and fewer complications.
Area of Science:
- Surgical techniques
- Pilonidal disease management
Background:
- Sacrococcygeal pilonidal disease is prevalent in active young adults.
- Optimal surgical treatment remains debated, with varied proposed methods.
- Existing literature lacks a clear consensus on the best approach.
Purpose of the Study:
- To review available surgical techniques for pilonidal disease.
- To examine outcomes regarding primary healing, recurrence, and complications.
- To provide evidence-based recommendations for treatment selection.
Main Methods:
- A comprehensive literature search was conducted using the Medline database.
- English language articles focusing on pilonidal disease surgery were identified.
- Additional relevant studies were sourced from the bibliographies of reviewed articles.
Main Results:
- Treatment should be individualized based on patient factors and disease chronicity.
- Simple techniques like excision or marsupialization yield good initial results.
- The modified rhomboid flap demonstrates consistent success for recurrent pilonidal disease, with low complication and recurrence rates.
Conclusions:
- Tailored treatment is advised for sacrococcygeal pilonidal disease.
- Simple excision is suitable for initial presentations.
- The modified rhomboid flap is the recommended approach for recurrent disease.
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