The place of the Suchorski method in the contemporary treatment of extensive pilonidal sinus disease – a literature review

Abstract

Pilonidal sinus disease (PSD) is a chronic inflammation of the sacrococcygeal area. It is more prevalent among men, mainly those in their 20s and 30s. Many patients develop an abscess in this region as the first sign of the disease. In such cases, abscess incision and drainage are necessary. Surgery is the only effective treatment for pilonidal cyst. Many surgical techniques have been developed, with each of them having specific indications. Regardless of the surgical strategy, the essence of each method should be to lift and flatten the gluteal cleft to prevent recurrence. The Suchorski method, which is also referred to as oblique excision in the literature, is a method with proven high efficiency and low recurrence rates. Cases where the external opening remains in close proximity to the anal canal are a particular indication for this technique. In such cases, it allows for the total excision of the cyst, while maintaining sphincter continuity. In this paper, we review papers on the efficacy of the Suchorski method compared to other techniques. Despite excellent treatment outcomes, the Suchorski technique still seems to be an underestimated method.