Pilonidal Cyst—Neither Pilonidal Nor Cyst

Hardaway, Robert M.

doi:10.1001/archsurg.1958.01280190145027

Cited by 48 publications

(15 citation statements)

References 7 publications

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“…There were exceptions who were mostly self-employed individuals, and, of course, housewives, who returned to work well before complete healing of the open wound. Hardaway (1958) reported that the average duration of patient stay in U.S. Military Hospital was 6.6 days with an early return to duty following discharge. A policy of early discharge from hospital and early return to work would depend on the individual's FIG.…”

Section: Discussionmentioning

confidence: 99%

A review of three popular methods of treatment of postanal (pilonidal) sinus disease

Notaras

1970

Journal of British Surgery

115

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Three popular surgical techniques for the treatment of postanal (pilonidal) sinus disease have been evaluated. The lay‐open technique appears to have several advantages over the open excision and the primary closure methods. As the aetiology of this condition is still disputed, and as a result of clinical facts obtained from this study, it is suggested that it be known as a postanal sinus rather than as a pilonidal sinus.

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Section: Discussionmentioning

confidence: 99%

A review of three popular methods of treatment of postanal (pilonidal) sinus disease

Notaras

1970

Journal of British Surgery

115

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“…[9] • It demonstrates foreign body giant cells associated with hair shafts that are embedded in chronic granulation tissue lining the abscess cavity and sinus tracts. [17,18] • Hair within the abscess cavity is present in approximately two thirds of cases in men and one third of those in woman. [19] Figure 1: Pathogenesis.…”

Section: Pathogenesismentioning

confidence: 99%

Pilonidal Disease- Review Article

Singh¹,

Agrawal²,

Singh³

et al. 2017

AIMDR

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Pilonidal disease is a very common anorectal problem that most often arises in the hair follicles of the natal cleft of the sacrococcygeal area. Successful management depends on adherence to well-described surgical principles based on knowledge of pathogenesis and the patient's presentation. Considerable morbidity from prolonged wound Care can be avoided in these typically healthy patients when their disease is cured at initial presentation.

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“…Cutaneous appendages (hair follicles, sweat or sebaceous glands, and musculi arrectores pilorum) are not found in the wall of sinuses [6,28,33,34]. Additional sinuses are frequent and have lateral openings.…”

Section: Pathologymentioning

confidence: 99%

Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options

Chintapatla

Safarani²,

Kumar

et al. 2003

Techniques in Coloproctology

212

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Sacrococcygeal pilonidal disease is a common and well recognized entity. For many years the cause of sacrococcygeal pilonidal sinus has been matter of debate. When the treatment is considered, there was a frequent lack of success of the surgical methods of excision regarding morbidity, healing, recurrence and cure. All these factors rendered the acquired thesis of pilonidal sinus disease to be more accepted. In dealing with the pathogenesis of pilonidal sinus disease, Karydakis attributed the hair insertion process to three main factors: the invader, i.e. the loose hair; the force, which causes the insertion; and the vulnerability of the skin to the insertion of hair at the depth of the natal cleft. The sinus is initiated from a small midline opening lined by stratified squamous epithelium. Additional sinuses are frequent and have lateral openings. Malignant transformation is rare but cases of squamous cell carcinoma and verrucous carcinoma have been reported. Pilonidal sinus disease consists in a symptoms complex with presentations ranging from asymptomatic pits to painful draining lesions that are predominantly located in the sacrococcygeal region. Asymptomatic pits do not require treatment. Options for treatment of acute abscess include aspiration, drainage without curettage, and drainage with curettage. The choice of a particular surgical approach depends on the surgeon's familiarity with the procedure and perceived result in terms of low recurrence of sinus and a quick healing of resulting cavity or surgical wound. Conservative nonoperative management, closed methods, laying of track, wide excision and open drainage, wide excision and primary closure, and limited excision are the methods currently used. From the profusion of studies, it is apparent that various methods are being tried and no one method is universally acceptable. Recurrence rates vary with the technique, operator and length of follow-up. Primary closure with a lateral approach appears to give the best results.

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Pilonidal Cyst—Neither Pilonidal Nor Cyst

Cited by 48 publications

References 7 publications

A review of three popular methods of treatment of postanal (pilonidal) sinus disease

A review of three popular methods of treatment of postanal (pilonidal) sinus disease

Pilonidal Disease- Review Article

Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options

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