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Wounds 2022 Feb 15. Epub 2022 Feb 15.

Harran University, Şanlıurfa, Turkey.

Introduction: Pilonidal sinus (PNS) disease affects the skin and subcutaneous tissue of the natal cleft of the buttocks. The treatment is variable and depends on presentation and the extent of disease. The mainstay of surgical management for PNS disease is to excise all sinus tracts and pits. Read More

Cureus 2022 May 16;14(5):e25050. Epub 2022 May 16.

General Surgery, Albert Schweitzer Ziekenhuis, Dordrecht, NLD.

Purpose Pilonidal sinus disease (PSD) is a subcutaneous infection of the sacrococcygeal region due to entrapment of hair and/or debris. International guidelines recommend minimally invasive techniques and flap techniques. A Dutch guideline for the treatment of PSD is not available and this may lead to practice variation. Read More

Skin Appendage Disord 2022 May 9;8(3):256-260. Epub 2021 Dec 9.

Department of Dermatology, Universidade Federal Fluminense, Centro de Ciências Médicas, Hospital Universitário Antonia Pedro, Rio de Janeiro, Brazil.

Introduction: A fragment of hair penetrating the skin has been referred to as cutaneous pili migrans in the literature. The condition is regarded rare and the cause unknown.

Case Presentation: A 55-year-old female experienced painful sensations of the sole. Read More

Colorectal Dis 2022 Jun 9. Epub 2022 Jun 9.

Sechenov University.

Surgical treatment for recurrence of pilonidal sinus disease is the gold standard. There are a lot of surgical techniques proposed for recurrence, for example Limberg flap, V-Y plasty flap or Z plasty. They take into consideration many features: deficiency of soft tissue, lack of tissue tension etc. Read More

ANZ J Surg 2022 Jun 9. Epub 2022 Jun 9.

Department of Paediatric Surgery, Centro Hospitalar Universitário São João, Porto, Portugal.

Background: Pilonidal disease (PD) is a common and debilitating inflammatory condition with significant impact on quality of life. Minimally invasive techniques (MIT) have shown promising results comparing to traditional excision. Herein we present a comparison of two MIT techniques -sinusectomy (SE) and pit-picking plus laser ablation (PPL). Read More

Turk J Surg 2021 Dec 31;37(4):307-312. Epub 2021 Dec 31.

Clinic of General Surgery, Adatıp Hospitals, Istanbul, Turkey.

Objectives: This study aimed to compare the short term results of the marsupialization method for the treatment of patients with acute pilonidal abscess and chronic pilonidal sinus disease treated in single step and to investigate the feasibility of final pilonidal sinus treatment in single step in patients with pilonidal abscess.

Material And Methods: A total of 58 patients who were operated on using the marsupialization method were included in this study. Patients with acute pilonidal abscess were included in Group 1 (23 patients) and those with chronic pilonidal sinus disease were included in Group 2 (35 patients). Read More

Cir Cir 2022 ;90(3):345-352

Plastic and Reconstructive Surgery Service.

Introduction: Neoplastic degeneration is an uncommon but extremely serious complication of pilonidal sinus (PS) disease. We pretend to determine the factors that influence in the prognosis of the neoplastic disease assessing clinical features and histological findings.

Materials And Methods: We retrospectively studied the patients diagnosed of malignization of PS in our institution from 2000 to 2019. Read More

Cochrane Database Syst Rev 2022 05 20;5:CD013439. Epub 2022 May 20.

Division of Health Sciences, School of Medicine, University of Nottingham, Derby, UK.

Background: Sacrococcygeal pilonidal sinus disease is a common debilitating condition that predominantly affects young adults, with a profound impact on their activities of daily living. The condition is treated surgically, and in some cases the wound in the natal cleft is left open to heal by itself. Many dressings and topical agents are available to aid healing of these wounds. Read More

J Ayub Med Coll Abbottabad 2022 Apr-Jun;34(2):230-234

Department of Surgery, Hamdard University Hospital, Karachi, Pakistan.

Background: Pilonidal sinus disease (PNSD) is considered as the challenging disease for surgeons since decades. The term pilo-nidal is derived from Latin meaning "nest of hair". It is a commonly occurring disease usually involved young male adults. Read More

J Coll Physicians Surg Pak 2022 May;32(5):652-657

Department of Pediatric Surgery, Health Sciences University, Adana Medical Faculty, Adana City Training and Research Hospital, Adana, Turkey.

Objective: To compare the results of commonly used treatments (Karydakis Flap method and crystallized phenol application) in the treatment of pilonidal sinus.

Study Design: Comparative study.

Place And Duration Of Study: Adana Seyhan State Hospital, Adana City Hospital, and Hisar Intercontinental Hospital Pediatric Surgery Clinic, from January 2016 to December 2020. Read More

Cir Pediatr 2022 Apr 1;35(2):75-79. Epub 2022 Apr 1.

La Fe University and Polytechnic Hospital. Valencia (Spain).

Introduction: Pilonidal sinus (PS) is an infectious/inflammatory condition of the sacrococcygeal region, with frequent relapses. There is no clear consensus as to which management technique is best. The most widely used technique is en bloc resection (EBR), but less invasive methods (Gips procedure) are now being developed. Read More

Cureus 2022 Mar 17;14(3):e23248. Epub 2022 Mar 17.

Department of Surgery, Saint Louis University School of Medicine, St. Louis, USA.

A 63-year-old male with a 20-year history of a chronic, recurrent sacrococcygeal pilonidal cyst was referred to our outpatient clinic. He had received multiple surgical resections in the past with benign pathology. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. Read More

Wounds 2022 Apr;34(4):94-98

Harran University, Şanlıurfa, Turkey.

Introduction: Pilonidal sinus (PNS) disease affects the skin and subcutaneous tissue of the natal cleft of the buttocks. The treatment is variable and depends on presentation and the extent of disease. The mainstay of surgical management for PNS disease is to excise all sinus tracts and pits. Read More

Ann R Coll Surg Engl 2022 Apr 21. Epub 2022 Apr 21.

University Hospitals of Leicester NHS Trust, UK.

Introduction: Recurrence after surgery for pilonidal sinus disease is a recognised problem and patients often re-present months after discharge. We routinely treat primary and recurrent pilonidal sinus disease with Pilonidal sinus Laser-Assisted Closure (PiLAC). Long-term outcomes following PiLAC surgery was examined following clinical and telephone review. Read More

ANZ J Surg 2022 Apr 6. Epub 2022 Apr 6.

Epworth Eastern Private Hospital, Epworth HealthCare, Melbourne, Victoria, Australia.

ANZ J Surg 2022 05 28;92(5):1142-1148. Epub 2022 Mar 28.

Department of General Surgery, Queen Elizabeth II Jubilee Hospital, Brisbane, Victoria, Australia.

Background: Endoscopic pilonidal sinus treatment (EPSiT) is a novel minimally invasive technique for treating pilonidal sinus disease (PSD) involving endoscopic assessment and treatment. This retrospective, non-randomized, observational study is the first Australian study of EPSiT and its largest long-term study to date.

Methods: From January 2014 to November 2019, 137 patients with PSD underwent EPSiT. Read More

Asian J Surg 2022 07 26;45(7):1502-1504. Epub 2022 Mar 26.

Department of Anorectal, The Affiliated Hospital of Southwest Medical University, Luzhou, China. Electronic address:

Colorectal Dis 2022 Mar 28. Epub 2022 Mar 28.

Unit of General Surgery and Surgical Oncology, Department of Medicine, Surgery and Neurosciences, University of Siena, Siena, Italy.

Aim: We present the outcomes and the recurrences of 848 patients with pilonidal disease (PD) treated by biopsy punch excision (BPE) and we weigh our results against progressively obtained operative experience. BPE is a modified 'merged' version of both the Bascom 'pit picking' procedure and the Gips procedure. It employs biopsy punches of different calibre, depending on whether treatment is in the natal cleft (calibre as small as possible) or lateral (larger calibre punches or even small incision). Read More

Dis Colon Rectum 2022 Mar 24. Epub 2022 Mar 24.

Department of General Surgery, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.

Background: The incidence of pilonidal sinus may be increased in women with polycystic ovary syndrome.

Objective: The objective was to compare the prevalence and risk factors of pilonidal sinus disease in women with and without polycystic ovary syndrome in the same population.

Design: This was a case-control study. Read More

Dermatol Surg 2022 Jun 24;48(6):690-691. Epub 2022 Mar 24.

Surgery, SSR Medical College, Belle Rive, Mauritius.

Clin Case Rep 2022 Mar 16;10(3):e05598. Epub 2022 Mar 16.

Department of General Surgery, Poursina Medical and Educational Center Guilan University of Medical Sciences Rasht Iran.

Incomplete obliteration of urachus during the fetal period can lead to urachal abnormalities. One of these abnormalities is the urachal sinus that can be asymptomatic, or it can be symptomatic by becoming infected or being malignant, and it can mimic other diseases' symptoms. Although it is rare in adults, it should be considered a significant differential diagnosis in patients with abdominal pain or umbilical discharge. Read More

Front Surg 2022 3;9:793858. Epub 2022 Mar 3.

Department of Clinical Medicine and Surgery, University of Naples "Federico II", Naples, Italy.

Introduction: Although carcinomatous degeneration is a rare occurrence, some authors support the need for a histopathological examination after pilonidal cyst excision. Today, minimally invasive techniques are widely spread for the treatment of pilonidal sinus disease but opposed to standard procedures, these techniques could not allow to perform a histopathological examination because of the absence of a specimen. The aim of this two-institutions study is to evaluate whether histopathological examination of the pilonidal sinus excision material can be successfully performed after an endoscopic ablation of the cyst. Read More

Medeni Med J 2022 Mar;37(1):29-35

Kocaeli University Faculty of Medicine, Department of General Surgery, Kocaeli, Turkey.

Objective: Sacrococcygeal pilonidal disease is a chronic discharging wound that causes pain and loss of quality of life. Phenol application is an outpatient procedure with low complications and low recurrence rates. We evaluated the radiological, histological, and clinical results of phenol application. Read More

Pediatr Med Chir 2022 Mar 15;44(1). Epub 2022 Mar 15.

Division of Pediatric Surgery, Federico II University of Naples, Naples.

Pilonidal sinus is a common disease of the natal cleft, which can lead to complications including infection and abscess formation. Various operative techniques are available options for the treatment of this pathology, but the ideal technique is still debatable. Analyzing the literature we found out that more recently minimally invasive approaches have been described. Read More

BJS Open 2022 03;6(2)

Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.

Background: There are several surgical options for the management of pilonidal disease, including midline and off midline closure, but prospective studies are rare. The study hypothesis was that Karydakis flap surgery would result in shorter wound healing and fewer recurrences than excision of pilonidal sinus and suture in the midline.

Methods: A randomized clinical trial was conducted in two hospitals in Sweden between 2006 and 2015 to compare excision and suture in the midline with Karydakis flap surgery. Read More

Blood 2022 03;139(10):1599

ASL Toscana Nord Ovest.

J Drugs Dermatol 2022 Mar;21(3):313-314

Perifolliculitis capitis abscedens et suffodiens or dissecting cellulitis (DC) is a rare and chronic disease with a predilection for the occipital, vertex, and parietal scalp. DC is characterized by multinodular lesions with purulent drainage and sinus tract formation. It is classically seen in middle-aged males of African descent. Read More

Pol Przegl Chir 2021 Jun;94(1):20-27

Department of Pathologic and Topographic Anatomy, Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine.

Introduction: Despite the fact that the pilonidal cyst of the sacrococcygeal region is a long-known disease, the mechanism of accumulation or absence of hair in the cyst remains unclear, which affects the accuracy of the name of the disease, as well as understanding of its pathogenesis.

Aim: Aim to perform morphological examination of pilonidal cysts of the sacrococcygeal region, to determine the nature of the cysts, the frequency of hair in the cyst cavity and to determine the causes and mechanism of its accumulation in cysts.

Materials And Methods: A morphological study of skin areas with altered tissues of the sacrococcygeal region after radical surgical treatment of 235 patients with a coccygeal cyst of the sacrococcygeal region was carried out. Read More

Isr Med Assoc J 2022 Feb;24(2):120

Department of Surgery and Transplantation, Sheba Medical Center, Tel Hashomer, affiliated with the Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Isr Med Assoc J 2022 Feb;24(2):96-100

Department of Surgery and Transplantation, Sheba Medical Center, Tel Hashomer.

Background: Pilonidal sinus is a chronic, inflammatory condition. Controversy exists regarding the best surgical management for pilonidal sinus, including the extent of excision and type of closure of the surgical wound.

Objectives: To assess the short- and long-term outcomes and success rate of the trephine procedure for the treatment of pilonidal sinus. Read More