Related Experiment Video
Updated: Feb 8, 2026

Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease
Published on: April 28, 2023
Is conservative treatment an effective option for pilonidal sinus disease in children?
Muazez Cevik1, Mustafa Erman Dorterler2, Latif Abbasoglu1
1Acibadem University Medical Faculty, Department of Pediatric Surgery, Istanbul, Turkey.
Insights
Conservative treatment for pilonidal sinus disease (PSD) in children shows promising results. Most pediatric patients achieved complete healing with non-surgical methods, suggesting it as a viable initial approach.
Area of Science:
- Pediatric Surgery
- Dermatology
- Wound Healing
Background:
- Pilonidal sinus disease (PSD) management in children is complex and controversial.
- Limited pediatric literature exists on PSD treatment outcomes.
- Increasing incidence of PSD in pediatric populations necessitates evidence-based management strategies.
Purpose of the Study:
- To evaluate the efficacy of conservative management for pediatric Pilonidal Sinus Disease.
- To report recurrence rates and healing times associated with non-surgical PSD treatment in children.
- To assess the feasibility of conservative treatment as a primary approach for pediatric PSD.
Main Methods:
- Retrospective review of pediatric patients diagnosed with PSD between 2012-2017.
- Telephone follow-up to collect data on demographics, treatment, recurrence, infection, and healing.
- Initial conservative management included hair removal, hygiene, sitz baths, and abscess drainage.
Main Results:
- 29 children (mean age 14.94 years, 51.7% girls) were included.
- Complete healing achieved in 79.3% of patients.
- Recurrence observed in 12% of patients; 4 patients required surgery.
Conclusions:
- Conservative treatment demonstrates a high success rate for pediatric Pilonidal Sinus Disease.
- Non-surgical management is a recommended initial therapeutic option for children with PSD.
- Further research may explore factors influencing recurrence and optimize conservative strategies.
Abstract:
Pilonidal sinus disease (PSD) is associated with a complex disease process in children, and its management remains controversial. There are a few published studies on PSD in the paediatric literature; therefore, we present our experience of conservatively treating PSD in children. This study involved a retrospective review with telephone follow up. All children diagnosed with PSD in 2012 to 2017 were identified at the outpatient clinic of the Department of Paediatric Surgery. All patients initially underwent conservative treatment (meticulous hair removal, improved perianal hygiene, warm sitz baths, and drainage for abscess). Data collection included demographics, type of management, recurrence, presence of infection, and total healing time. In the study period, 29 children were identified. Their mean age was 14.94 ± 1.09 (range: 12-16) years, and 51.7% were girls. The mean length of follow up was 8.34 ± 6.36 (range: 1-25) months. Complete healing occurred in 79.3% of patients. Recurrence was evident in 12% of patients. Four patients underwent surgery. PSD is being seen in children more frequently in recent years. Conservative treatment may be the recommended initial approach for PSD in children.
Related Concept Videos
Conservation of Small Populations
Parkinson's Disease: Treatment
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Alzheimer's Disease: Treatment
What is Conservation Biology?
Conserved Binding Sites
Binding sites are often located in large pockets, and if their location on a protein’s surface is unknown, it can be predicted using various approaches. The energetic method computationally...
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids

