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[Surgical treatment of pilonidal disease]

Christian Rushfeldt1, Kjetil Søreide

  • 1Avdeling for gastroenterologisk kirurgi, Universitetssykehuset Nord-Norge, 9038 Tromsø, Norway. ch-rushf@online.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 11, 2010
PubMed
Abstract

Insights

Pilonidal disease, a common condition in young men, often recurs after surgery. The Bascom cleft-lift procedure offers the best outcomes, with fewer recurrences and faster healing for chronic cases.

Area of Science:

  • Surgical treatment of pilonidal disease
  • Gluteal region pathology
  • Inflammatory sinus tracts

Context:

  • Pilonidal disease is common, particularly in young males.
  • It manifests as acute abscesses or chronic draining sinus tracts.
  • Surgical treatment is varied, with high recurrence rates.

Purpose:

  • To provide an update on surgical treatment options for pilonidal disease.
  • To review current literature and clinical experience.
  • To identify optimal surgical strategies for managing pilonidal disease.

Summary:

  • Acute abscesses require initial drainage before definitive treatment.
  • Chronic, recurrent, or secreting pilonidal disease necessitates curative surgery.
  • The Bascom cleft-lift procedure, involving asymmetric flap removal and primary closure, shows superior results in a recent meta-analysis.

Impact:

  • The Bascom procedure is recommended as the preferred surgical approach for chronic pilonidal disease.
  • This approach is associated with reduced recurrence rates, shorter healing times, and fewer infections.
  • Improved surgical outcomes for patients suffering from pilonidal disease.

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