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Evaluation and management of pilonidal disease.
Ashley E Humphries1, James E Duncan
1Department of Surgery, National Naval Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA.
The Surgical Clinics of North America
|January 30, 2010
Summary
Pilonidal disease, a common condition causing cysts and chronic infections, presents surgical challenges with significant morbidity. This review covers its history, pathogenesis, and diverse treatment options.
Area of Science:
- Surgical pathology
- Dermatology
- Infectious disease
Background:
- Pilonidal disease encompasses a spectrum from simple cysts to complex chronic infections.
- It frequently leads to substantial patient morbidity and delayed surgical wound healing.
Purpose of the Study:
- To provide a comprehensive overview of pilonidal disease.
- To discuss the historical context and underlying pathogenesis.
- To review available nonoperative and operative treatment modalities.
Main Methods:
- Literature review of historical data.
- Analysis of pathogenesis mechanisms.
- Synthesis of current treatment strategies.
Main Results:
- Pilonidal disease has a varied presentation and etiology.
- Numerous treatment options exist, reflecting the condition's complexity.
- Effective management requires understanding disease progression and therapeutic choices.
Conclusions:
- Pilonidal disease remains a challenging surgical issue.
- A thorough understanding of its history and pathogenesis is crucial.
- Current treatment strategies offer a range of options for patient management.
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