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Clin Colon Rectal Surg 2011; 24(1): 046-053
DOI: 10.1055/s-0031-1272823
© Thieme Medical Publishers

Pilonidal Disease

Amit Khanna1 , John L. Rombeau1
  • 1Department of Surgery, Temple University Hospital, Temple University School of Medicine, Philadelphia, Pennsylvania
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Publication History

Publication Date:
23 February 2011 (online)

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ABSTRACT

Pilonidal disease presents many therapeutic challenges to surgeons throughout the world. Its varied clinical presentations necessitate a wide range of treatments, thus underscoring the need to tailor the treatment to the patient and the severity of disease. Recent studies confirm the efficacy of smaller, more conservative operations for appropriate indications. When flap closures are performed, every attempt should be directed to placing sutures off (lateral) to the midline gluteal cleft. Meticulous attention to the details of immediate and long-term postoperative care is paramount.

KEYWORDS

Pilonidal disease - abscess - Bascom cleft lift - Karydakis flap

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John L RombeauM.D. 

Department of Surgery, Temple University Hospital, Temple University School of Medicine

3401 N. Broad St., 4 Parkinson/Zone C, Philadelphia, PA 19140

Email: john.rombeau@tuhs.temple.edu