The predisposing factors for the development of sacrococcygeal pilonidal disease (SPD) still remain undetermined. Here, we investigate the sacrococcygeal angle as a possible predisposing factor for the development of disease. Consecutive male patients admitted to our clinic with the diagnosis of SPD were included. Sex, age and BMI matched healthy controls without SPD were enrolled to the study....

BACKGROUND Pilonidal disease is foreign body reactions accompanied by chronic inflammation that most commonly arises in the hair follicles of the natal cleft or other hair-bearing areas. Today, surgical intervention remains the treatment of choice. But surgical treatment is an invasive method with a high failure rate and recurrence. OBJECTIVES The authors' objective was to assess the efficacy...

Pilonidal sinus surgery could, as of now, be considered a surgery tailored more to the surgeon than to the patient. In an attempt to give to surgeons an objective instrument of decision, we have evaluated which variables could be considered predictive of postoperative complications after pilonidal sinus surgery. A prospective electronic database of all patients treated for sacrococcygeal piloni...

BACKGROUND Excision of the pit of the sinus with phenolisation of the sinus tract and surgical excision are two treatment modalities for patients with sacrococcygeal pilonidal sinus disease. Phenolisation seems to have advantages over local sinus excision as it is performed under local anaesthesia with a relatively small surgical procedure, less postoperative pain, minor risk of surgical site i...

PILONIDAL SINUS OF NOSE – A DIAGNOSTIC DILEMMA (Abstract): We report an unusual case of pilonidal sinus of the nose, which presented to us as a diagnostic dilemma. Our initial differential diagnosis of a nasal dermoid was overruled by histopathology of the surgical specimen. We discuss the etiological possibilities, the pathogenesis and the histopathological characteristics of a pilonidal sinus...

BACKGROUND/PURPOSE Wound management in children has traditionally consisted of daily dressings. Although vacuum-assisted closure (VAC) is well described in the adult literature, there are few reports about children. We reviewed our experience with VAC. METHODS A retrospective review from 2003 to 2005 revealed that 16 children underwent VAC. Variables analyzed included demographics, diagnosis,...

With the uncertainty as to the etiology and the complexities often encountered in its treatment, a pilonidal sinus has been considered as a tricky disease. Wide varieties of approaches are employed in dealing with this ailment ranging from a conservative treatment to an extensive surgical excision or repair. However, a method of simple lying open of pilonidal sinus is still considered as the fa...

This text was developed under the aegis of the American Society of Colon and Rectal Surgeons (ASCRS). It represents an attempt to cover the field of colon and rectal surgery with input from expert surgeons who have, in one way or another, shown special interest or expertise in specific areas of the specialty. The book will hopefully serve as a source of useful information and perhaps even guida...

HYPOTHESIS Pilonidal disease is a common chronic disorder of the sacrococcygeal region affecting young people. Although many surgical methods have been suggested, an ideal method is still lacking because of significant morbidity and high recurrence rates. However, the crossed triangular flaps technique, which involves excision and primary closure, with less morbidity and low recurrence rates, a...