Pilonidal sinus is an annoying chronic benign disease causing disability in young adults, mainly affecting the intergluteal furrow. Treatment of this condition remains controversial and is represented by a myriad of techniques available. Most of the techniques are judged against open excision and secondary healing in terms of minimizing disease recurrence and patient discomfort. More recently s...

Pilonidal sinuses usually occur in the sacrococcygeal area in young men, and occasionally can be found in other ectopic sites. We present a retrospective case review on unusual locations of pilonidal sinuses in the past 4 years. The lesion sites were as follows: one on the penis, two on the scalp, two on the abdomen, one on the neck, two in the groin and two in the axilla. Abdominal and penile ...

Total excision of the involved sinus tract to the post sacral fascia is the most frequently applied surgical option. The defect formed on the excised area might be primarily closed, partially closed as is the case in marsupialization, left open for secondary healing, or reconstructed by differing flap techniques. 2 The previous available data compares various surgical procedure for treatment of...

PURPOSE To study the benefits of ultrasonography for detecting the borders of pilonidal sinus tissue. The correlation between physical and ultrasonographic examination was used for surgical planning. METHOD Between April and December 2004, 73 patients were recruited for this study. All patients were examined, and the borders of the sinus tissue were marked on the skin according to palpation b...

INTRODUCTION Pilonidal sinus is a common infectious process which occurs in buttocks and sacral area which involves a wide range of symptoms that are different from an asymptomatic sinus abscess to acute and chronic sinus track. Basically non-surgical treatment for this disease is not recommended. In this study, we have been compared two methods of primary repair and rotation flap in terms of f...

An 18-year-old male presented with chronic pilonidal sinus disease, which was resistant to different treatment modalities applied over the previous four years, including drainage, fistulotomy and curettage. In the physical examination, there were multiple sinus openings from just above the anus up to the upper intergluteal sulcus. There was minimal serous discharge with pressure on the tracts b...

A pilonidal sinus developed in the superio-medial aspect of the thigh of an above-knee amputee. This is an unusual site for the condition to develop. We suggest that the same aetiological factors that were responsible for the "Jeep Bottom" of World War II were also responsible for this problem in the amputation stump of a Falklands campaign casualty.

pilonidal disease consists of a hair-containing sinus or abscess occurring most frequently in intergluteal cleft. this disease is generally benign. although very uncommon entity, it seems reasonable to be aware of possible malignancy in longstanding cases. we report a case of squamous cell carcinoma in a 52- year-old man, with a prolonged history of pilonidal disease and ulceration since 3 mont...

Two possible explanations for the appearances of oedema need to be considered. The first is that the low u numbers reflect an increased fluid content of brain tissue-that is, true oedema-perhaps related to regional cerebral ischaemia due to vasospasm or to arteriovenous shunting with bypassing of the microcirculation.1 Alternatively, a reduction in , numbers and increased blackening on the Pola...