Hair epilation versus surgical excision as primary management of pilonidal disease in the pediatric population

Bütter, Andreana; Hanson, Melissa; VanHouwelingen, Lisa; Merritt, Neil; Seabrook, Jamie A.

doi:10.1503/cjs.011214

Cited by 27 publications

(19 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, virtually all methods show considerably high recurrence rates due to SPS pathophysiology. Additionally, reports in pediatric SPS management are limited and represent mostly retrospective reviews, thus results vary widely and recommendations are often contradictory [5,[12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

Barbosa-Sequeira

Coelho

Marinho

et al. 2018

Journal of Pediatric Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

Barbosa-Sequeira

Coelho

Marinho

et al. 2018

Journal of Pediatric Surgery

View full text Add to dashboard Cite

show abstract

“…Despite encouraging results with some long‐term efficacy, the number of treated patients remains limited. The only prospective controlled study that evaluated the LHR as a first‐line treatment vs. surgery concluded that recurrences were more common in the laser group . Thus, surgery remains the gold standard primary treatment of PNC despite its high percentage of recurrences.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, they rely on case reports or uncontrolled studies . To the best of our knowledge, only two studies compared the efficacy of LHR after surgery to surgery alone . In a prospective case–control study on 60 patients, two alexandrite laser sessions were performed, the first, 15 days before, and the other, 3 weeks after surgery .…”

Section: Discussionmentioning

confidence: 99%

“…The only prospective controlled study that evaluated the LHR as a first-line treatment vs. surgery concluded that recurrences were more common in the laser group. 6 Thus, surgery remains the gold standard primary treatment of PNC despite its high percentage of recurrences. Most studies have assessed the interest of LHR after the surgery procedure aiming to decrease the recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9][10][11][12] To the best of our knowledge, only two studies compared the efficacy of LHR after surgery to surgery alone. 6,13 In a prospective case-control study on 60 patients, two alexandrite laser sessions were performed, the first, 15 days before, and the other, 3 weeks after surgery. 13 No significant difference in terms of recurrences was found between the two groups.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Laser hair removal after surgery vs. surgery alone for the treatment of pilonidal cysts: a retrospective case–control study

Kelati

Lagrange

Duff

et al. 2018

Acad Dermatol Venereol

View full text Add to dashboard Cite

show abstract

Management of Pilonidal Disease

2023

View full text Add to dashboard Cite

ImportanceThe management of pilonidal disease continues to be a challenge due to high rates of recurrence and treatment-associated morbidity.ObservationsThere is a heterogeneous repertoire of treatment modalities used in the management of pilonidal disease and wide practice variation among clinicians. Available treatment options vary considerably in their level of invasiveness, associated morbidity and disability, risks of complications, and effectiveness at preventing disease recurrence. Conservative nonoperative management strategies, including persistent improved hygiene, depilation, and lifestyle modification, focus on disease prevention and minimization of disease activity. Epilation techniques using both laser and intense pulse light therapy are also used as primary and adjunct treatment modalities. Other nonoperative treatment modalities include phenol and fibrin injection to promote closure of pilonidal sinuses. The traditional operative management strategy for pilonidal disease involves excision of affected tissue paired with a variety of closure types including primary midline closure, primary off-midline closure techniques (ie, Karydakis flap, Limberg flap, Bascom cleft lift), and healing by secondary intention. There has been a recent shift toward more minimally invasive operative approaches including sinusectomy (ie, trephination or Gips procedure) and endoscopic approaches. Overall, the current evidence supporting the different treatment options is limited by study quality with inconsistent characterization of disease severity and use of variable definitions and reporting of treatment-associated outcomes across studies.Conclusions and RelevancePilonidal disease is associated with significant physical and psychosocial morbidity. Optimal treatments will minimize disease and treatment-associated morbidity. There is a need for standardization of definitions used to characterize pilonidal disease and its outcomes to develop evidence-based treatment algorithms.

show abstract

Hair epilation versus surgical excision as primary management of pilonidal disease in the pediatric population

Cited by 27 publications

References 5 publications

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

Laser hair removal after surgery vs. surgery alone for the treatment of pilonidal cysts: a retrospective case–control study

Management of Pilonidal Disease

Contact Info

Product

Resources

About