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Pit-picking resolves pilonidal disease in adolescents.

Hajar R Delshad1, Michele Dawson1, Patrice Melvin2

  • 1Department of Surgery, Boston Children's Hospital, Boston, MA, USA.

Journal of Pediatric Surgery
|January 22, 2019
PubMed
Summary
This summary is machine-generated.

Pit-picking surgery effectively treated adolescent pilonidal disease in most patients, offering a simple outpatient solution. Further follow-up is necessary to confirm long-term efficacy and recurrence rates.

Keywords:
Gips procedurePilonidal diseasePilonidal sinusPit-picking

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Area of Science:

  • Surgical Innovation
  • Adolescent Health
  • Dermatologic Surgery

Background:

  • Pilonidal disease commonly affects adolescents, often requiring surgical intervention.
  • Minimally invasive techniques are sought to improve outcomes and reduce recovery time.

Purpose of the Study:

  • To evaluate the effectiveness of the pit-picking procedure for treating adolescent pilonidal disease.
  • To assess symptom resolution and recurrence rates following pit-picking.

Main Methods:

  • A case series of 58 adolescents with pilonidal disease managed with pit-picking under local anesthesia.
  • Sequential procedures were used for patients with multiple pits (>3), with laser hair epilation for hirsute individuals.
  • Patient symptoms were prospectively collected and analyzed.

Main Results:

  • 92% of patients (47/51) were symptom-free at an average of 5 months post-procedure.
  • The procedure involved minimal need for analgesia and rapid return to normal activities.
  • Only 8% of patients experienced persistent drainage, with 12% lost to follow-up.

Conclusions:

  • Pit-picking is a straightforward, effective office-based procedure for resolving pilonidal disease in many adolescents.
  • Longer follow-up is required to establish definitive long-term recurrence rates.