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Posterior Approach for Debridement of the Psoas Abscess
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Pilonidal Disease.

MaKayla L O'Guinn1, My Linh Nguyen1, Shankar Raman2

  • 1General Surgery Residency Program, MercyOne Des Moines Medical Center, Des Moines, IA, USA.

The Surgical Clinics of North America
|November 15, 2025
PubMed
Summary
This summary is machine-generated.

Pilonidal disease management involves addressing risk factors and treating acute or chronic conditions. Surgical techniques vary, with flap-based closures potentially lowering recurrence but increasing complications.

Keywords:
Management of pilonidal diseasePilonidal diseasePilonidal disease recurrencePilonidal sinus

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Area of Science:

  • Medicine
  • Surgery
  • Dermatology

Background:

  • Pilonidal disease is common in young adults, associated with hair, friction, and bacteria.
  • Obesity, sedentary lifestyle, and hirsutism are identified risk factors.
  • Non-operative management is recommended for initial treatment.

Purpose of the Study:

  • To review current management strategies for pilonidal disease.
  • To outline treatment approaches for acute and chronic presentations.
  • To compare the efficacy and risks of different surgical techniques.

Main Methods:

  • Review of literature on pilonidal disease management.
  • Analysis of treatment outcomes for non-operative and operative interventions.
  • Comparison of recurrence rates and complication risks for various surgical closures.

Main Results:

  • Acute pilonidal disease often requires incision and drainage, with deroofing of pits potentially reducing recurrence.
  • Chronic pilonidal disease management focuses on pit removal, with options like marsupialization or primary closure.
  • Flap-based techniques (Karydakis, Bascom's cleft lift) show lower recurrence but higher complication rates.

Conclusions:

  • Effective pilonidal disease management requires addressing risk factors and selecting appropriate acute or chronic treatment strategies.
  • Surgical technique choice impacts recurrence and complication profiles.
  • Further research may optimize surgical outcomes for pilonidal disease.