Pilonidal sinus: finding the righttrack for treatment

Author:

Hap Wojciech1,Frejlich Ewelina1,Rudno-Rudzińska Julia1,Kotulski Krzysztof1,Kurnol Krzysztof1,Hap Katarzyna2,Skalski Adam1,Kielan Wojciech1

Affiliation:

1. II Katedra i Klinika Chirurgii Ogólnej i Onkologicznej, Uniwersytet Medyczny we Wrocławiu, Kierownik: prof. dr hab. Wojciech Kielan

2. Katedra i Klinika Nefrologii i Medycyny Transplantacyjnej, Uniwersytet Medyczny we Wrocławiu, Kierownik: prof. dr hab. Marian Klinger

Abstract

Pilonidal cyst is a troublesome condition affecting usually young people. It significantly influences quality of life and causes low self-esteem. Despite its known pathophysiology and numerous therapeutic methods available, pilonidal cysts still constitute a significant problem in general surgery. A large number of surgical techniques indicates the lack of a single method that ensures therapeutic success, and frequent complications cause both patient’s dissatisfaction and frustration of the operator. In many cases, therapy is based on methods developed in a given healthcare center and their efficacy is usually not scientifically verified. Search for optimal strategy is also impeded by lack of an unambiguous clinical classification. In this article, we reviewed publications on various methods of managing pilonidal cyst, and we also presented surgical treatment used in our department. However, we did not manage to point out a surgical method with efficacy high enough to become standard treatment. It indicates the need for further search for new techniques that will give chances for successful treatment of pilonidal cyst.

Publisher

Index Copernicus

Subject

General Medicine,Surgery

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