Two cases of recurrent perianal suppuration are described in which the underlying pathology is believed to be pilonidal sinus disease affecting the perianal skin directly. This has given rise to intersphincteric fibrosis and, in one case, a subcutaneous track almost completely encircling the anus. The pathogenesis of the condition and its possible relationship to previous surgery are discussed.

BACKGROUND Postanal pilonidal sinus is a skin condition in the midline of the natal cleft. A primary pit forms in the midline, caused by a hair follicle that has become infected, into which loose hairs enter to create a track or abscess. OBJECTIVE This article explains how a pilonidal sinus develops and presents, and details methods of treatment in the primary care setting and specialist mana...

BACKGROUND The aim of this study was to provide an overview of the literature on Tailgut cysts (TGCs) arising in the presacral space. MATERIALS AND METHODS We present a new case of presacral TGC and a literature review of English-language studies of presacral TGCs, accessed through the PubMed and Google Scholar databases. Keywords used were presacral or retrorectal tailgut cyst, presacral muc...

BACKGROUND Outpatient management is appropriate for chronic pilonidal sinuses. Even though there are different surgical treatments for pilonidal sinuses, the outcome may not be uniformly satisfactory. The aim of this paper was to examine the ambulatory treatment of chronic pilonidal sinuses with lateral incision and primary suture. METHODS We present our experience with outpatient management ...

Pilonidal disease is a common anorectal problem that typically affects young people. Numerous surgical procedures have been described, but treatment failure and disease recurrence are frequent, leading to considerable morbidity in these otherwise healthy patients. To manage this problem successfully, surgeons must consider the pathogenesis and presentation of the disease and weigh the advantage...

Complex open pilonidal wounds represent a challenging wound healing problem. Nine cases of complex open pilonidal wounds are described. Each of them was treated at the time of primary wide excision with placement of xenograft extracellular matrix material derived from urinary bladder (MatriStem, ACell Corporation). The patients left the xenograft material and dressings intact and returned to ou...

Pilonidal sinus disease (PSD) is a common chronic, benign disease of young adulthood. Pilonidal disease is an infection under the skin in the gluteal cleft. Pilonidal literally means a „„nest of hair”. Known risk factors include family history, local trauma, sedentary occupation, and obesity. Pilonidal sinus disease is a blind track, which extends from the skin of natal cleft up to the presacra...

In this study, we probed whether chronic infections of skin such as pilonidal sinus could be a potential site of Epstein-Barr virus (EBV) replication. Pilonidal sinus is associated with a high recurrence rate. Therefore, we decided to determine the role of EBV's presence to explain whether it is correlated with the recurrence of pilonidal sinuses. This study was conducted on 36 patient samples ...

Objective: The debate about the etiology of Pilonidal Sinus Disease (PSD) continues over whether disease is congenital or acquired. After determining etiologic factora, new pilonidal sinus treatment methods have been developed. Method: 6-month follow-up results patients who were treated with crystallized phenol (CF) application diagnosis PSD between March 2020 and August in Pediatric Surgery Cl...

Pilonidal disease is a disease of young people, usually men, which can result in an abscess, draining sinus tracts, and moderate debility for some. It probably results from hair penetration beneath the skin, for reasons that are not totally clear. A pilonidal sinus in the sacrococcygeal region is associated with recurrent infection, abscess formation, cellulitis, and fistulae. The infection is ...