Overview of Pilonidal Sinus Diseases: Diagnosis, Complications, and Treatment

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Eshraq Salim El-Sayed, Osama Hassan Gharib, Hatem Mohammad Abdel Moneim, Mohamed Ibrahim Fareed


Pilonidal Sinus Diseases: Diagnosis, Complications, Treatment


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.

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