PAEDIATRIC SURGERY.UKRAINE.2019.1(62):67-72; DOI 10.15574/PS.2019.62.67

Bodnar O., Randiuk R., Bodnar B., Vatamanesku L., Bocharov A.
Higher State Educational Establishment of Ukraine «Bukovinian State Medical University», Chernivtsi

This review highlights the epidemiological, clinical and diagnostic aspects of the pilonidal sinus. It was analyzed the modern methods of diagnosis and treatment of this pathology and revealed the problematic issues of relapse of the disease.

Key words: pilonidal sinus, surgical treatment, coloproctology.

REFERENCES

1. An VV, Rivkin VL. (2003). Emergency proctology. Irkutsk: Medpraktika-M: 144.

2. Bashankaev NA, Solomka YaA, Topchiy SN. (2003). Use of a deaf seam at radical operations for acute suppurative inflammation of the pilonidal sinus. Outpatient surgery. 2 (10):45–47.

3. Valieva EK. (2006). Optimization of surgical methods of treatment of patients with suppressed pilonidal sinus: dis. cand. honey. sciences. Bashkir State Medical University un-t Ufa:116.

4. Vorobiev GI. (2006). Basics of Coloproctology. Moscow: Medical Information Agency LLC: 432.

5. Datsenko BM, Datsenko AB, Mohammed AD. (2004). Optimization of the two-stage surgical treatment program for acute suppuration of the pilonidal sinus. Coloproctology. 3(9):61–62.

6. Kaiser Andreas M. (2011). Colorectal surgery. Moscow: BINOM Publishing House: 737.

7. Kondratenko PG, Gubergrits NB, Elin FE, Smirnov NL. (2006). Clinical Coloproctology: A Guide for Physicians. Kharkov:Fact: 385.

8. Lurin IA, Tsema EV. (2013). Etiology and pathogenesis of pilonidal disease. Coloproctology. 3:35–49.

9. Magomedova ZK, Chernyshov EV, Groschilin VS. (2015). Comparative analysis of the results of treatment of recurrent pilonidal sinuses and fistulas of the sacrococcygeal region. Med vestn South of Russia. 3:60–63.

10. Murtazaev TS. (2008). Clinical and anatomical rationale for the choice of the method of surgical treatment of the pilonidal sinus and its complications. Stavropol:152.

11. Popkov OV et al. (2017). Pilonidal sinus. Methods of surgical treatment. Military Medicine.1:101–106.

12. Tsema YeV. (2013). Comparative analysis of the results of surgical treatment of recurrent pilonidal sinus. Zhurn. klіn. that eksperim. honey. doslіzhen. 1;4:419–426.

13. Shelygin YuA, Grateful LA. (2012). Handbook of coloproctology. Moscow: Litterra:596.

14. Aldean I, Shankar P, Mathew J et al. (2005). Simple excision and primary closure of pilonidal sinus: a simple modification of conventional technique with excellent results. Colorectal Dis. 7:81–85. https://doi.org/10.1111/j.1463-1318.2004.00736.x; PMid:15606592

15. Arumugam P, Chandrasekaran T, Morgan A et al. (2003). The rhomboid flap for pilonidal disease. Colorectal Dis. 5:218–221. https://doi.org/10.1046/j.1463-1318.2003.00435.x; PMid:12780881

16. Bessa SS. (2013). Comparison of short-term results between the modified Karydakis flap and the modified Limberg flap in the management of pilonidal sinus disease: a randomized controlled study. Dis Colon Rect. 56(4):491–8. https://doi.org/10.1097/DCR.0b013e31828006f7; PMid:23478617

17. Chintapatla S, Safarani N, Kumar S. (2003). Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Tech Coloproctol. 7: 3–8. https://doi.org/10.1007/s101510300001; PMid:12750948

18. Cihan A, Ucan B, Comert M et al. (2006). Superiority of asymmetric modified limberg flap for surgical treatment of pilonidal disease. Dis Colon Rectum. 49: 244–249. https://doi.org/10.1007/s10350-005-0253-z; PMid:16322964

19. Daphan C, Tekelioglu H, Sayilgan C. (2004). Limberg Flap Repair for Pilonidal Sinus Disease. Dis Colon Rectum.47:233–237. https://doi.org/10.1007/s10350-003-0037-2; PMid:15043295

20. Enriquez-Navascues JM, Emparanza JI, Alkorta M, Placer C. (2014). Meta-analysis of randomized controlled trials comparing different techniques with primary closure for chronic pilonidal sinus. Tech Coloproctol. 18:863–72. https://doi.org/10.1007/s10151-014-1149-5; PMid:24845110

21. Ersoy OF, Karaca S, Kayaoglu HA. (2007). Comparison of different surgical options in the treatment of pilonidal desease: retrospective analysis of 175 patients. Kaohsiung J Med Sci. 23(2):67–70. https://doi.org/10.1016/S1607-551X(09)70377-8

22. Fabricius R, Wiuff L, Bertelsen CA. (2010). Treatment of pilonidal sinuses in Denmark is not optimal. Dan Med. Bul. 57(12):A 4200.

23. Fazeli M, Adel M, Lebaschi A. (2006). Comparison of 39 outcomes in Z-plasty and delayed healing by secondary intention of the wound after excision of the sacral pilonidal sinus: results of a randomized, clinical trial. Dis Colon Rectum. 49:1831–1836. https://doi.org/10.1007/s10350-006-0726-8; PMid:17080281

24. Golladay E. (2004). Outpatient adolescent surgical problems. Adolesc Med Clin. 15:503–520. https://doi.org/10.1016/j.admecli.2004.06.004; PMid:15625990

25. Hart J. (2002). Inflammation 2: its role in the healing of chronic wounds. J Wound Care. 11:245–249. https://doi.org/10.12968/jowc.2002.11.7.26416; PMid:12192842

26. Jeffery M, Billingham N, Billingham R. (2007). Pilonidal Disease and Hidradenitis Suppurativa. In: Wolff B, Fleshman J, Beck D et al (Eds). The ASCRS Textbook of Colon and Rectal Surgery. 1st ed. New York: Springer:228–239. https://doi.org/10.1007/978-0-387-36374-5_15

27. Jones DJ. (1992). Pilonidal sinus. ABC of colorectal diseases. BMJ. 305:410–412. https://doi.org/10.1136/bmj.305.6850.410; PMid:1392926 PMCid:PMC1883113

28. Kapan M, Kapan S, Pekmezci S et al. (2002). Sacrococcygeal pilonidal sinus disease with Limberg flap repair. Tech Coloproctol. 6:27–32. https://doi.org/10.1007/s101510200005; PMid:12077638

29. Kaymakcioglu N, Yagci G, Simsek A et al. (2005). Treatment of pilonidal sinus by phenol application and factors affecting the recurrence. Tech Coloproctol. 9:21–24. https://doi.org/10.1007/s10151-005-0187-4; PMid:15868494

30. Lindholt-Jensen CS, Lindholt JS, Beyer M et al. (2012). Nd-YAG treatment of primary and recurrent pilonidal sinus. Lasers Med Sci.27:505–508. https://doi.org/10.1007/s10103-011-0990-2; PMid:21927795

31. Mahdy T. (2008). Surgical treatment of the pilonidal disease: primary closure or flap reconstruction after excision. Dis Colon Rectum. 51:1816–1822. https://doi.org/10.1007/s10350-008-9436-8; PMid:18937009

32. Omer Y, Hayrettin D, Murat C, Mustafa Y, Evren D. (2015). Comparison of modified Limberg flap and modified elliptical rotation flap for pilonidal sinus surgery: a retrospective cohort study. Int J Surg. 16:74–77. https://doi.org/10.1016/j.ijsu.2015.02.024; PMid:25758346

33. Oncel M, Kurt N, Kement M. (2002). Excision and marsupialization versus sinus excision for the treatment of limited chronic pilonidal disease: a prospective, randomized trial. Tech Coloproctol. 6:165–69. https://doi.org/10.1007/s101510200037; PMid:12525910

34. Oueidat D, Rizkallah A, Dirani M et al. (2014). 25 years’ experience in the management of pilonidal sinus disease. Open J Gastro. 4:1–5. https://doi.org/10.4236/ojgas.2014.41001

35. Page BH. (1969). The entry of hair into a pilonidal sinus. Br J Surg.56:32. https://doi.org/10.1002/bjs.1800560107; PMid:5766317

36. Petersen S, Koch R, Stelzner S et al. (2002). Primary closure techniques in chronic pilonidal sinus. A survey of the results of different surgical approaches. Dis Colon Rectum. 45:1458–1467. https://doi.org/10.1007/s10350-004-6451-2; PMid:12432292

37. Sakr M, Elserafy M, Hamed H. (2012). Management of 634 Consecutive patients with chronic pilonidal sinus: a nine-year experience of a single institute. Surgical Science. 3:145–154. https://doi.org/10.4236/ss.2012.33029

38. Segre D, Pozzo M, Perinotti R, Roche B. (2015). Italian Society of Colorectal Surgery: The treatment of pilonidal disease: guidelines of the Italian Society of Colorectal Surgery (SICCR). Tech Coloproctol. 19:607–13. https://doi.org/10.1007/s10151-015-1369-3; PMid:26377583

39. Soll C, Dindo D, Steinmann D. (2011). Sinusectomy for primary pilonidal sinus: less no more. Surgery. 150(5):996–1001. https://doi.org/10.1016/j.surg.2011.06.019; PMid:21911239

40. Testini M, Piccinni G, Miniello S et al. (2001). Treatment of chronic pilonidal sinus with local anaesthesia: a randomized trial of closed compared with open technique. Colorectal Dis. 3:427–430. https://doi.org/10.1046/j.1463-1318.2001.00278.x; PMid:12790943

41. Topgul K, O zdemir E, Kilic K et al. (2003). Long-Term Results of Limberg Flap Procedure for Treatment of Pilonidal Sinus. A Report of 200 Cases. Dis Colon Rectum. 46:1545–1548. https://doi.org/10.1007/s10350-004-6811-y; PMid:14605577

Article received: Feb 12, 2019. Accepted for publication: Jun 17, 2019.