2015/01/01 by Janina Kueper, Theo Evers, Kueper, Janina +15
Medicine · #610 Medical sciences #Anorectal Disease Treatments and Outcomes #Hidradenitis Suppurativa and Treatments #Medicine #Pelvic floor disorders treatments #epilation #family history #gentamycin #methylene blue #morphology #pilonidal sinus #recurrence
paper · doi:10.3205/iprs000061
openalex publication_date 2015/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19
Pilonidal sinus disease (PSD) most commonly presents in young men when hair follicles enter through damaged epithelium and cause an inflammatory reaction. This results in the formation of fistular tracts. We reviewed studies based on a shared cohort of patients who presented at German military hospitals with PSD. The effect of the morphology of the sinus, perioperative protocol, and aftercare of the surgical treatment on the recurrence of PSD were evaluated. The drainage of acute abscesses before surgery, the application of methylene blue during surgery and open wound treatment were generally found to reduce the recurrence rate. A positive family history, postoperative epilation and primary suture as the healing method were found to elevate the recurrence rate. Long-term follow up of over 15 years was found to be a vital component of patient care as only 60% of the overall recurrences recorded had taken place by year 5 postoperatively.