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Related Concept Videos

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Updated: Mar 28, 2026

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
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Improving outcomes in pilonidal sinus disease.

Sarah Braungart1, Mark Powis1, Jonathan R Sutcliffe1

  • 1Department of Paediatric Surgery, Leeds Teaching Hospitals NHS Trust, UK.

Journal of Pediatric Surgery
|December 23, 2015
PubMed
Summary
This summary is machine-generated.

Surgical excision with midline closure for pediatric pilonidal sinus showed a 22% recurrence rate. Preliminary laser hair removal results are promising for reducing pilonidal sinus recurrence.

Keywords:
Operative techniquePilonidal sinus

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Area of Science:

  • Pediatric surgery
  • Surgical outcomes
  • Pilonidal sinus disease

Background:

  • Optimal surgical treatment for pilonidal sinus disease (PSD) is debated, with limited pediatric data.
  • High recurrence and infection rates (20%) are reported in pediatric PSD cases.
  • A specific technique involving sinus excision and primary midline closure with a full-thickness flap was adopted.

Purpose of the Study:

  • To evaluate the outcomes of a specific surgical technique for pilonidal sinus excision in children.
  • To assess recurrence, infection, and dehiscence rates in pediatric patients undergoing this procedure.
  • To explore the preliminary efficacy of laser hair removal in preventing recurrence.

Main Methods:

  • Single-center retrospective review of pediatric patients undergoing pilonidal sinus excision (2005-2014).
  • Standardized operative technique and perioperative care were applied to all patients.
  • Telephone follow-up was conducted to ascertain long-term outcomes and complications.

Main Results:

  • 19 pediatric patients (median age 15 years) were included; 18 had confirmed pilonidal sinus.
  • Postoperative complications included wound dehiscence (44%) and wound infection (28%).
  • Recurrence requiring further surgery occurred in 22% of patients; laser hair removal in 39% showed no further recurrence.

Conclusions:

  • This technique in children resulted in a higher complication rate compared to adult studies.
  • Accurate long-term outcome assessment is crucial when implementing new surgical techniques.
  • Preliminary laser hair removal results are encouraging but require prospective validation.