Abstract

Pilonidal sinus disease is a soft tissue infection. It presents either acutely with abscess or the chronic form of sinus formation. The disease affects multiple body regions but the commonest is the sacrococcygeal region. There are different treatment strategies ranging from simple incision and drainage of an abscess to complex constructive procedures.

Highlights

  • Pilonidal disease is a commonly encountered disease with worldwide distribution

  • The commonest presentation was of chronic sinus and the main procedure was the Karydakis operation (93.1%)

  • Postoperative complications developed in 24.6% of all treated patients, and the recurrence rate was 4.5%

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Summary

Introduction

It is generally considered to be an acquired response to local infection seeping into the subcutaneous fatty tissue which contains hair follicles. It results in the formation of sinuses (tunnels) or cysts. Pilonidal disease affects different areas of the body, namely natural clefts or folds. It is predominantly seen in sacrococcygeal region it will be the focus of this study. Pilonidal sinus disease is a soft tissue infection. It presents either acutely with abscess or the chronic form of sinus formation. There are different treatment strategies ranging from simple incision and drainage of an abscess to complex constructive procedures

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