Overview of Pilonidal Sinus Diseases: Diagnosis, Complications, and Treatment
Main Article Content
Keywords
Pilonidal Sinus Diseases: Diagnosis, Complications, Treatment
Abstract
Pilonidal sinus disease (PSD) is an inflammatory condition mainly affecting the sacrococcygeal area. Different techniques, such as invasive and minimally invasive procedures, are used for the treatment of PSD. Criteria for treatment choice include disease stage, surgeon preference, and patient compliance. An ideal treatment for PSD must be the total cure of the disease, rapid recovery to normal daily activities, and minimal morbidity. The validated surgical approaches for the management of chronic pilonidal sinus include minimally invasive approaches, healing by primary closure (including various types of marsupialisation), and healing by secondary intention. The aim of the present article was to review the diagnosis, complications, and treatment of pilonidal sinus diseases.
References
1- De Parades, V., Bouchard, D., Janier, M., & Berger, A. (2013). Pilonidal sinus disease. Journal of visceral surgery, 150(4), 237-247.
2- YOUNG, T. (2019). Understanding pilonidal sinus disease. Wounds UK, 15(3).
3- Lim, J., & Shabbir, J. (2019). Pilonidal sinus disease-a literature review. World J Surg Surgical Res. 2019; 2, 1117.
4- Chintapatla, S., Safarani, N., Kumar, S., & Haboubi, N. (2003). Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Techniques in coloproctology, 7, 3-8.
5- Beal, E. M., Lee, M. J., Hind, D., Wysocki, A. P., Yang, F., & Brown, S. R. (2019). A systematic review of classification systems for pilonidal sinus. Techniques in Coloproctology, 23, 435-443.
6- Harris, C., Sibbald, R. G., Mufti, A., & Somayaji, R. (2016). Pilonidal sinus disease: 10 steps to optimize care. Advances in Skin & Wound Care, 29(10), 469-478.
7- Humphries, A. E., & Duncan, J. E. (2010). Evaluation and management of pilonidal disease. Surgical Clinics, 90(1), 113-124.
8- Mahmood, F., Hussain, A., & Akingboye, A. (2020). Pilonidal sinus disease: review of current practice and prospects for endoscopic treatment. Annals of medicine and surgery, 57, 212-217.
9- Luedi, M. M., Schober, P., Stauffer, V. K., Diekmann, M., Andereggen, L., & Doll, D. (2021). Gender‐specific prevalence of pilonidal sinus disease over time: A systematic review and meta‐analysis. ANZ journal of surgery, 91(7-8), 1582-1587.
10- Doll, D., Friederichs, J., Dettmann, H., Boulesteix, A. L., Duesel, W., & Petersen, S. (2008). Time and rate of sinus formation in pilonidal sinus disease. International journal of colorectal disease, 23, 359-364.
11- Salih, A., Kakamad, F., Essa, R., Aziz, M. S., Salih, R. Q., & Mohammed, S. H. (2017). Pilonidal sinus of atypical areas: presentation and management. PSJ, 3(1), 8-14.
12- Onder, A., Girgin, S., Kapan, M., Toker, M., Arikanoglu, Z., Palanci, Y., & Bac, B. (2012). Pilonidal sinus disease: risk factors for postoperative complications and recurrence. international surgery, 97(3), 224-229.
13- Garg, P., Menon, G. R., & Gupta, V. (2016). Laying open (deroofing) and curettage of sinus as treatment of pilonidal disease: a systematic review and meta‐analysis. ANZ journal of surgery, 86(1-2), 27-33.
14- Lamdark, T., Vuille-dit-Bille, R. N., Bielicki, I. N., Guglielmetti, L. C., Choudhury, R. A., Peters, N., ... & Adamina, M. (2020). Treatment strategies for pilonidal sinus disease in Switzerland and Austria. Medicina, 56(7), 341.
15- Varnalidis, I., Ioannidis, O., Paraskevas, G., Papapostolou, D., Malakozis, S. G., Gatzos, S., ... & Makrantonakis, N. (2014). Pilonidal sinus: a comparative study of treatment methods. Journal of medicine and life, 7(1), 27.
16- Chintapatla, S., Safarani, N., Kumar, S., & Haboubi, N. (2003). Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Techniques in coloproctology, 7, 3-8.
17- Kober, M. M., Alapati, U., & Khachemoune, A. (2018). Treatment options for pilonidal sinus. Cutis, 102(4), E23-E29.
18- Stauffer, V. K., Luedi, M. M., Kauf, P., Schmid, M., Diekmann, M., Wieferich, K., ... & Doll, D. (2018). Common surgical procedures in pilonidal sinus disease: a meta-analysis, merged data analysis, and comprehensive study on recurrence. Scientific reports, 8(1), 3058.
19- Bi, S., Sun, K., Chen, S., & Gu, J. (2020). Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Scientific reports, 10(1), 13720.
20- Velotti, N., Manigrasso, M., Di Lauro, K., Araimo, E., Calculli, F., Vertaldi, S., ... & Sosa Fernandez, L. M. (2019). Minimally invasive pilonidal sinus treatment: A narrative review. Open Medicine, 14(1), 532-536.
21- Mutus, H. M., Aksu, B., Uzun, E., Gulcin, N., Gercel, G., Ozatman, E., ... & Okur, H. (2018). Long-term analysis of surgical treatment outcomes in chronic pilonidal sinus disease. Journal of Pediatric Surgery, 53(2), 293-294.
22- Petersen, S., Koch, R., Stelzner, S., Wendlandt, T. P., & Ludwig, K. (2002). Primary closure techniques in chronic pilonidal sinus: a survey of the results of different surgical approaches. Diseases of the colon & rectum, 45, 1458-1467.
23- Mehrvarz, S., Mohebbi, H. A., Manoochehry, S., Arjmand, S., & Rasouli, H. R. (2019). Comparison of outcomes in four different surgical methods for sacral pilonidal sinus with long-term follows-up. Tehran University Medical Journal, 76(10), 660-664.
24- Ghareb, O. H., Mohamed, M. B., Samir, A. M., & Amr, W. M. (2015). Semiclosure Technique For Treatment of Chronic Pilonidal Sinus. Zagazig University Medical Journal, 17(3).
2- YOUNG, T. (2019). Understanding pilonidal sinus disease. Wounds UK, 15(3).
3- Lim, J., & Shabbir, J. (2019). Pilonidal sinus disease-a literature review. World J Surg Surgical Res. 2019; 2, 1117.
4- Chintapatla, S., Safarani, N., Kumar, S., & Haboubi, N. (2003). Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Techniques in coloproctology, 7, 3-8.
5- Beal, E. M., Lee, M. J., Hind, D., Wysocki, A. P., Yang, F., & Brown, S. R. (2019). A systematic review of classification systems for pilonidal sinus. Techniques in Coloproctology, 23, 435-443.
6- Harris, C., Sibbald, R. G., Mufti, A., & Somayaji, R. (2016). Pilonidal sinus disease: 10 steps to optimize care. Advances in Skin & Wound Care, 29(10), 469-478.
7- Humphries, A. E., & Duncan, J. E. (2010). Evaluation and management of pilonidal disease. Surgical Clinics, 90(1), 113-124.
8- Mahmood, F., Hussain, A., & Akingboye, A. (2020). Pilonidal sinus disease: review of current practice and prospects for endoscopic treatment. Annals of medicine and surgery, 57, 212-217.
9- Luedi, M. M., Schober, P., Stauffer, V. K., Diekmann, M., Andereggen, L., & Doll, D. (2021). Gender‐specific prevalence of pilonidal sinus disease over time: A systematic review and meta‐analysis. ANZ journal of surgery, 91(7-8), 1582-1587.
10- Doll, D., Friederichs, J., Dettmann, H., Boulesteix, A. L., Duesel, W., & Petersen, S. (2008). Time and rate of sinus formation in pilonidal sinus disease. International journal of colorectal disease, 23, 359-364.
11- Salih, A., Kakamad, F., Essa, R., Aziz, M. S., Salih, R. Q., & Mohammed, S. H. (2017). Pilonidal sinus of atypical areas: presentation and management. PSJ, 3(1), 8-14.
12- Onder, A., Girgin, S., Kapan, M., Toker, M., Arikanoglu, Z., Palanci, Y., & Bac, B. (2012). Pilonidal sinus disease: risk factors for postoperative complications and recurrence. international surgery, 97(3), 224-229.
13- Garg, P., Menon, G. R., & Gupta, V. (2016). Laying open (deroofing) and curettage of sinus as treatment of pilonidal disease: a systematic review and meta‐analysis. ANZ journal of surgery, 86(1-2), 27-33.
14- Lamdark, T., Vuille-dit-Bille, R. N., Bielicki, I. N., Guglielmetti, L. C., Choudhury, R. A., Peters, N., ... & Adamina, M. (2020). Treatment strategies for pilonidal sinus disease in Switzerland and Austria. Medicina, 56(7), 341.
15- Varnalidis, I., Ioannidis, O., Paraskevas, G., Papapostolou, D., Malakozis, S. G., Gatzos, S., ... & Makrantonakis, N. (2014). Pilonidal sinus: a comparative study of treatment methods. Journal of medicine and life, 7(1), 27.
16- Chintapatla, S., Safarani, N., Kumar, S., & Haboubi, N. (2003). Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Techniques in coloproctology, 7, 3-8.
17- Kober, M. M., Alapati, U., & Khachemoune, A. (2018). Treatment options for pilonidal sinus. Cutis, 102(4), E23-E29.
18- Stauffer, V. K., Luedi, M. M., Kauf, P., Schmid, M., Diekmann, M., Wieferich, K., ... & Doll, D. (2018). Common surgical procedures in pilonidal sinus disease: a meta-analysis, merged data analysis, and comprehensive study on recurrence. Scientific reports, 8(1), 3058.
19- Bi, S., Sun, K., Chen, S., & Gu, J. (2020). Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Scientific reports, 10(1), 13720.
20- Velotti, N., Manigrasso, M., Di Lauro, K., Araimo, E., Calculli, F., Vertaldi, S., ... & Sosa Fernandez, L. M. (2019). Minimally invasive pilonidal sinus treatment: A narrative review. Open Medicine, 14(1), 532-536.
21- Mutus, H. M., Aksu, B., Uzun, E., Gulcin, N., Gercel, G., Ozatman, E., ... & Okur, H. (2018). Long-term analysis of surgical treatment outcomes in chronic pilonidal sinus disease. Journal of Pediatric Surgery, 53(2), 293-294.
22- Petersen, S., Koch, R., Stelzner, S., Wendlandt, T. P., & Ludwig, K. (2002). Primary closure techniques in chronic pilonidal sinus: a survey of the results of different surgical approaches. Diseases of the colon & rectum, 45, 1458-1467.
23- Mehrvarz, S., Mohebbi, H. A., Manoochehry, S., Arjmand, S., & Rasouli, H. R. (2019). Comparison of outcomes in four different surgical methods for sacral pilonidal sinus with long-term follows-up. Tehran University Medical Journal, 76(10), 660-664.
24- Ghareb, O. H., Mohamed, M. B., Samir, A. M., & Amr, W. M. (2015). Semiclosure Technique For Treatment of Chronic Pilonidal Sinus. Zagazig University Medical Journal, 17(3).
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Published
Apr 13, 2022
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How to Cite
Eshraq Salim El-Sayed, Osama Hassan Gharib, Hatem Mohammad Abdel Moneim, Mohamed Ibrahim Fareed. (2022). Overview of Pilonidal Sinus Diseases: Diagnosis, Complications, and Treatment. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 546–552. https://doi.org/10.53555/jptcp.v29i04.4472
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