ETIOPATHOGENETIC ASPECTS OF PILONIDAL DISEASE
Abstract
The review presents various theories of the etiopathogenesis of pilonidal disease. To date, there is no single unifying theory of the origin and development of the disease. Two directions prevail – the congenital and acquired origin of pilonidal disease. Most authors, regardless of the theory of origin, note the presence of a deep crease between the buttocks as an important factor in the high risk of recurrence of pilonidal disease. The treatment of the disease is only surgical, with a wide range of operations.
References
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17. Oetzmann von Sochaczewski C., Gödeke J. Pilonidal sinus disease on the rise: a one-third incidence increase in inpatients in 13 years with substantial regional variation in Germany. Int J Colorectal Dis. 2021; 36 (10): 2135-2145. doi: 10.1007/s00384-021-03944-4
18. Imam A., Khalayleh H., Pines G., Khoury D., Mavor E., Pelta A. Pilonidal Sinus Management; Bascom Flap Versus Pilonidal Pits Excision: A Single-Center Experience. Ann Coloproctol. 2021; 37 (2): 109-114. doi: 10.3393/ac.2019.11.19.2
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20. Johnson D.E., Granville R., Lovett E., Runau F., Chaudhri S. Pilonidal sinus laser-assisted closure (PiLAC) – a low-morbidity alternative to excision with excellent long-term outcomes. Ann R Coll Surg Engl. 2023; 105 (2): 132-135. doi: 10.1308/rcsann.2022.0005
2. Bi S., Sun K., Chen S., Gu J. Surgical procedures in the pilonidal sinus disease: a systematic review and network meta-analysis. Sci Rep. 2020; 10 (1): 13720. doi: 10.1038/s41598-020-70641-7
3. Mahmood F., Hussain A., Akingboye A. Pilonidal sinus disease: Review of current practice and prospects for endoscopic treatment. Ann Med Surg (Lond). 2020; 57: 212-217. Published 2020 Aug 1. doi: 10.1016/j.amsu.2020.07.050
4. Kanlioz M., Ekici U., Tatli F., Karatas T. Pilonidal Sinus Disease: An Analysis of the Factors Affecting Recurrence. Adv Skin Wound Care. 2021; 34 (2): 81-85. doi: 10.1097/01.ASW.0000725168.11099.92
5. Gallo G., Carpino A., De Paola G. et al. Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience. Front Surg. 2021; 8: 723050. doi: 10.3389/fsurg.2021.723050
6. Ureña-Paniego C., Gamissans-Cañada M., Molina-Leyva A., Romaní J. Pilonidal Sinus Disease is Associated with Severe Hidradenitis Suppurativa in a Spanish Cohort. Acta Derm Venereol. 2023; 103: adv6569. doi: 10.2340/actadv.v103.6569
7. Дульцев Ю.В., Ривкин В.Л.. Эпителиальный копчиковый ход. Библиотека практического врача: важнейшие вопросы хирургии. М.: Медицина»; 1988. 128.
8. Azhough R., Azari Y., Taher S., Jalali P. Endoscopic pilonidal sinus treatment: A minimally invasive surgical technique. Asian J Endosc Surg. 2021; 14 (3): 458-463. doi: 10.1111/ases.12893
9. Bubenová M., Konečná D., Kala Z. Pilonidal sinus disease: Karydakis flap procedure in our patients. Sinus pilonidalis: léčba metodou Karydakis plastiky. Rozhl Chir. 2020; 99 (8): 350-355. doi: 10.33699/PIS.2020.99.8.350-355
10. Каманин А.А. Тактика диагностики и лечения рецидивного течения пилонидальной болезни. Клиническое наблюдение. Научно-практический журнал Федерального медико-биологического агенства. Клиническая больница. 2021; 3 (31): 29-32.
11. Garg P., Yagnik V.D., Dawka S. Pilonidal Sinus Is Like an Ordinary Abscess and Should Be Treated Like One. Dermatol Surg. 2022; 48 (6): 690-691. doi: 10.1097/DSS.0000000000003426
12. Otutaha B., Park B., Xia W., Hill A.G. Pilonidal sinus: is histological examination necessary? ANZ J Surg. 2021; 91 (7-8): 1413-1416. doi: 10.1111/ans.16446
13. Jarrett F. Operation for pilonidal sinus: Still debated. Am J Surg. 2022; 223 (4): 827-828. doi: 10.1016/j.amjsurg.2021.09.010
14. Kumar M., Clay W.H., Lee M.J., Brown S.R., Hind D. A mapping review of sacrococcygeal pilonidal sinus disease. Tech Coloproctol. 2021; 25 (6): 675-682. doi: 10.1007/s10151-021-02432-9
15. Fu C., Deng Y., Liu M. Limberg Flap for Recurrent Pilonidal Sinus. Dis Colon Rectum. 2023; 66 (6): e298. doi: 10.1097/DCR.0000000000002515
16. Brown S.R., Lund J.N. The evidence base for pilonidal sinus surgery is the pits. Tech Coloproctol. 2019; 23 (12): 1173-1175. doi: 10.1007/s10151-019-02116-5
17. Oetzmann von Sochaczewski C., Gödeke J. Pilonidal sinus disease on the rise: a one-third incidence increase in inpatients in 13 years with substantial regional variation in Germany. Int J Colorectal Dis. 2021; 36 (10): 2135-2145. doi: 10.1007/s00384-021-03944-4
18. Imam A., Khalayleh H., Pines G., Khoury D., Mavor E., Pelta A. Pilonidal Sinus Management; Bascom Flap Versus Pilonidal Pits Excision: A Single-Center Experience. Ann Coloproctol. 2021; 37 (2): 109-114. doi: 10.3393/ac.2019.11.19.2
19. Murphy D.C., Merson J. Pilonidal disease. JAAPA. 2022; 35 (10): 54-55. doi: 10.1097/01.JAA.0000873828.43069.a1
20. Johnson D.E., Granville R., Lovett E., Runau F., Chaudhri S. Pilonidal sinus laser-assisted closure (PiLAC) – a low-morbidity alternative to excision with excellent long-term outcomes. Ann R Coll Surg Engl. 2023; 105 (2): 132-135. doi: 10.1308/rcsann.2022.0005
Published
2024-06-30
How to Cite
БАЛАЦКИЙ, Е. Р.; ДЕМЧУК, В. О..
ETIOPATHOGENETIC ASPECTS OF PILONIDAL DISEASE.
University Clinic, [S.l.], n. 1 (50), p. 62-66, june 2024.
ISSN 1819-0464. Available at: <http://journal.dnmu.ru/index.php/UC/article/view/2053>. Date accessed: 01 apr. 2026.
Section
Reviews
