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Biofilm, Pilonidal Cysts and Sinuses pp 241–250Cite as

Minimally Invasive Surgical Approach to Complicated Recurrent Pilonidal Sinus

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Part of the book series: Recent Clinical Techniques, Results, and Research in Wounds ((RCTRRW,volume 1))

Abstract

Pilonidal sinus is a common disease of the sacrococcygeal area. Although many surgical treatment methods have been described, there is no ideal treatment, owing to the high recurrence rates, and available surgical techniques are still subject to debate. The existing treatment methods range from complete and large excision with or without wound closure to curettage of the sinus with a brush. Because of the high recurrence rates, pilonidal sinus can become a chronic and complicated disease, particularly when it is in the intergluteal area. Sometimes it may fistulize to the gluteal area, with secondary orifices opening to this region. In recent years, minimally invasive surgical techniques have become increasingly common in parallel with increasing experience and development of new instruments. When compared with large excisions, limited excision of the pilonidal sinus tract (fistula) may be a better treatment option regarding healing time and patient comfort. In this section, we explain why limited excision is a good treatment option not only in simple pilonidal sinus cases but also in complicated cases with recurrence and fistulization.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Edremit State Hospital, 10300, Edremit/Balikesir, Turkey

    Vahit Onur Gul M.D.

  2. Department of General Surgery, BezmialemVakif University School of Medicine, Istanbul, Turkey

    Sebahattin Destek

  3. Department of Biochemistry, Edremit State Hospital, 10300, Edremit/Balikesir, Turkey

    Serkan Ahıoglu

Authors
  1. Vahit Onur Gul M.D.
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  2. Sebahattin Destek
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  3. Serkan Ahıoglu
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Corresponding author

Correspondence to Vahit Onur Gul M.D. .

Editor information

Editors and Affiliations

  1. Tustin, CA, USA

    Melvin A. Shiffman

  2. Newport Beach, CA, USA

    Mervin Low

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Gul, V.O., Destek, S., Ahıoglu, S. (2017). Minimally Invasive Surgical Approach to Complicated Recurrent Pilonidal Sinus. In: Shiffman, M., Low, M. (eds) Biofilm, Pilonidal Cysts and Sinuses. Recent Clinical Techniques, Results, and Research in Wounds, vol 1. Springer, Cham. https://doi.org/10.1007/15695_2017_15

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  • DOI: https://doi.org/10.1007/15695_2017_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-03076-6

  • Online ISBN: 978-3-030-03077-3

  • eBook Packages: MedicineMedicine (R0)

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