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...

BACKGROUND Pilonidal disease (PD) is a common inflammatory disease of the gluteal fold, resulting in recurrent acute/chronic infection at the level of the natal cleft. In this study, endoscopic pilonidal sinus treatment (EPSiT), a new endoscopic minimally invasive procedure, was evaluated for its effectiveness in treating PD. METHODS Two hundred and fifty prospective patients with chronic PD ...

Pilonidal sinus disease is a common disabling condition affecting the natal clefts of the buttocks. We analyze the role of fibrin glue in the treatment of selected patients with pilonidal sinus disease. Forty patients diagnosed with pilonidal sinus disease at Vakif Gureba Training and Research Hospital were treated between December 2007 and December 2011. Recurrence was noted in four patients (...

BACKGROUND Barber's disease is an acquired occupational disease produced by short customers' hairs that penetrate the interdigital spaces of the hands. The lesion has been reported to occur mostly on the hands of male hairdressers. The purpose of this article is to report a rare case of a female hairdresser who developed a pilonidal sinus in the interdigital web of her non-dominant hand and rev...

THE MIARSUPIALIZATION operation for pilonidal sinuses was first described by Buie,3 in 1938. In his procedure, the sac was completely unroofed and the overhanging skin and adjacent edge of the sac was excised. The remaining skin edge was sutured to the edge of the sac wall. He believed that the histologic nature of the sac wall, and its similarity to skin, made the lining peculiarly suited for ...

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 is a chronic inflammatory process, the etiology of which is still not fully elucidated. It frequently presents at the sacrococcygeal region (typical) and rarely at extrasacrococcygeal (atypical) locations, including the interdigital, axillary, inguinal, and umbilical regions, as well as the neck, face, and scalp. A 46-year-old man presented with a thirty-year history of a slow...

Pain and secretion of purulent materials are symptoms that are often associated with the pilonidal sinus. Generally, these symptoms are neglected by patients for a long time. Patients seek medical attention too late, fearing a prolonged period of pain and inability after surgery. The optimal therapy for pilonidal sinus should have the following characteristics: high healing rate, low recurrence...

PURPOSE Although there are several surgical methods for treatment of sacrococcygeal pilonidal sinus, there is no widespread consensus. In this study, we aimed to compare primary closure, Limberg, and modified Limberg flap techniques, with each performed by each of 3 surgeons. METHODS A total of 802 patients who were operated on for pilonidal sinus disease were included in this retrospective c...

Background Squamous-cell carcinoma arising in a pilonidal sinus is a rare complication of a common disease. More than 60 cases are reported in literature. In all patients, squamous carcinoma arises in a long-term pilonidal disease. The gold-standard for treatment is radical excision of the neoplasm, with tumour-free margins. Some Authors consider the effectiveness of postoperative chemoor radio...