Introduction Treating pilonidal disease can be an unrewarding and frustrating experience for a general surgeon. It is not unusual for a busy surgeon to have several young people coming to the office each week for wound evaluations and dressing changes for failed surgical treatment of pilonidal disease, or for treatment of intentionally created open wounds. These patients are uniformly unhappy, ...

BACKGROUND Pilonidal disease is a common debilitating condition. This prospective randomised study compared excision of pilonidal disease with a scalpel or diathermy with respect to operation time, postoperative pain, functional recovery and wound healing. PATIENTS AND METHODS Patients undergoing surgery for pilonidal disease were randomised to excision by scalpel (group 1) or diathermy (grou...

Pilonidal sinus is an acquired and well described disease which is mostly located in sacrococcygeal midline region, lined by squamous epithelium and characterized by chronic inflammation including foreign body giant cells and sinus or sinuses containing epithelial debris and sometimes young granulation tissue. A malignant transformation can be seen in 0.1% of chronic or recurrent pilonidal sinu...

BACKGROUND Pilonidal sinus (PS) disease of the sacrococcigeal region is an acquired condition resulting from penetration of shed hair shafts through the skin. Different types of operations have been described in the letterature. More recently fibrin glue has been used with succesfull. Aim of this study was to assess the effectiveness of fibrin glue for the treatment of pilonidal sinus. PATIEN...

Hidradenitis suppurativa (HS) and pilonidal cysts are chronic, inflammatory skin conditions involving apocrine gland-bearing skin. Treatment is limited and unsatisfactory. Photodynamic therapy (PDT) has been reported to be safe and effective in the treatment of several off-label skin conditions. We report the case of a 29-year-old man affected by HS and pilonidal cysts since the age of 21. In t...

OBJECTIVE Sacrococcygeal pilonidal sinus is common in young men and may recur over time after surgery. We investigated whether a factor exists that can aid in the determination of the preferred technique between the early Limberg flap and Karydakis flap techniques for treating recurrent pilonidal sinus. MATERIALS AND METHODS This prospective and randomized study enrolled 71 patients with recu...

BACKGROUND Pilonidal is a painful disease which occurs mainly in the sacrococcygeal area. In 1833 Herbert Mayo first reported a case of a young woman with a hair-containing sinus in the sacrococcygeal area. In 1880, Hodge suggested the term "pilonidal" from the Latin "pilus" for hair and "nidus" meaning nest. OBJECTIVES Effect of using autologous platelet-rich plasma (PRP) on pain reduction i...