Abstract
Pilonidal disease prevalent in patients aged 15–30years. It is twice as common in males than in females. The current accepted etiopathogenesis is a series of events starting with hair follicle traumatization in the natal cleft, followed by a granulomatous foreign body-type reaction in the subcutaneous tissue. In conjunction with local skin flora and mechanical friction, inflammation ensues. This may evolve into a chronic sinus containing hair, an abscess, or fistula. Treatment is surgical, and includes cyst excision with secondary wound healing, flap procedures, and video-assisted endoscopic ablative procedures.
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