medigraphic.com
Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC

2023, Number 3

<< Back Next >>

Dermatología Cosmética, Médica y Quirúrgica 2023; 21 (3)

Pilonidal disease: a proctological condition?
Questionnaire

Álvarez RFJ, Soto OJA, Quiñones VR

Language: Spanish
References: 25
Page: 250-257
PDF size: 372.02 Kb.


ABSTRACT

Pilonidal disease results from a granulomatous reaction caused by hair entrapment in the gluteal cleft and surrounding areas. The most affected group is young, economically active people. The understanding of its pathogenesis has modified the conception of this entity, which was considered a disease of a genetic nature. It is considered an acquired disease, closely related to the entrapment of hair in the sacrococcygeal region, together with predisposing factors such as obesity and anatomical characteristics. Current surgical techniques aim to modify the anatomy of the region. Thus, flap-based techniques have emerged in the last 30 years, with closures outside the midline. Although direct midline closure, marsupialization, closure by secondary intention, and other non-surgical procedures, which have been commonly used, have shown high recurrence. Through studies of case series and meta-analyses, it has been shown that the new techniques, especially those based on flaps, are those with the lowest level of recurrence. Due to the topography of the disease, it should be considered a pathology of a dermatological nature and not a proctological one. Therefore, the dermatologist surgeon can play an essential role in its resolution.


REFERENCES

  1. Seow-Choen F y Seow-En I, Pilonidal disease: a new look at anold disease, Semin Colon Rectal Surg 2022; 33(4):100909. Consultadoel 20 de enero de 2023. doi: 10.1016/j.scrs.2022.100909.

  2. Karydakis GE, Easy and successful treatment of pilonidal sinusafter explanation of its causative process, Aust n z j Surg 1992;62(5):385-9.

  3. Barth X, Tissot E y Monneuse O, Tratamiento quirúrgico dela enfermedad pilonidal, emc Téc Quir Apar Dig 2010; 26(3):1-7. Consultado el 20 de enero de 2023. doi: 10.1016/s1282-9129(10)70118-5

  4. Bendewald FP y Cima RR, Pilonidal disease, Clin Colon RectalSurg 2007; 20(2):86-95.

  5. Khanna A y Rombeau JL, Pilonidal disease, Clin Colon RectalSurg 2011; 24(1):46-53.

  6. De Parades V, Bouchard D, Janier M y Berger A, Pilonidal sinusdisease, J Visc Surg 2013; 150(4):237-47.

  7. Burnett D, Smith SR y Young CJ, The surgical management ofpilonidal disease is uncertain because of high recurrence rates”,Cureus 2018; 10(5):e2625. Consultado el 20 de enero de 2023.doi: 10.7759/cureus.2625.

  8. Bascom J, Pilonidal disease: origin from follicles of hairs andresults of follicle removal as treatment, Surgery 1980; 87(5):567-72.

  9. Søndenaa K, Andersen E, Nesvik I y Søreide JA, Patient characteristicsand symptoms in chronic pilonidal sinus disease, Int JColorectal Dis 1995; 10(1):39-42.FRANCISCO JAVIER ÁLVAREZ RUBIO Y COLS. ENFERMEDAD PILONIDAL

  10. Hull TL y Wu J, Pilonidal disease, Surg Clin North Am 2002;82(6):1169-85.

  11. Onder A, Girgin S, Kapan M, Toker M, Arikanoglu Z, Palanci Y etal., Pilonidal sinus disease: risk factors for postoperative complicationsand recurrence, Int Surg 2012; 97(3):224-9.

  12. Chintapatla S, Safarani N, Kumar S y Haboubi N, Sacrococcygealpilonidal sinus: historical review, pathological insight andsurgical options, Tech Coloproctol 2003; 7(1):3-8.

  13. Khodakaram K, Stark J, Höglund I y Andersson RE, Minimal excisionand primary suture is a cost-efficient definitive treatmentfor pilonidal disease with low morbidity: a population-based interventionaland a cross-sectional cohort study, World J Surg2017; 41(5):1295-302.

  14. Nixon AT y Garza RF, Pilonidal cyst and sinus, StatPearls, TreasureIsland (FL), StatPearls, 2022. Revisado el 8 de agosto de2022; consultado el 20 de enero de 2023. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK557770/.

  15. Pilipshen SJ, Gray G, Goldsmith E y Dineen P, Carcinoma arisingin pilonidal sinuses, Ann Surg 1981; 193(4):506-12.

  16. Humphries AE y Duncan JE, Evaluation and management ofpilonidal disease, Surg Clin North Am 2010; 90(1):113-24.

  17. Choy KT y Srinath H, Pilonidal disease practice points: an update,Aust J Gen Pract 2019; 48(3):116-8.

  18. Alptekin H, Yilmaz H, Kayis SA y Sahin M, Volume of the excisedspecimen and prediction of surgical site infection in pilonidalsinus procedures (surgical site infection after pilonidal sinus surgery),Surg Today 2013; 43(12):1365-70.

  19. Al-Khamis A, McCallum I, King PM y Bruce J, Healing by primaryversus secondary intention after surgical treatment for pilonidalsinus, Cochrane Database Syst Rev 2010; 2010(1):cd006213.doi: 10.1002/14651858.CD006213.pub3.

  20. Al-Salamah SM, Hussain MI y Mirza SM, Excision with or withoutprimary closure for pilonidal sinus disease, J Pak Med Assoc2007; 57(8):388-91.

  21. Milone M, Velotti N, Manigrasso M, Anoldo P, Milone F y DePalma GD, Long-term follow-up for pilonidal sinus surgery: a reviewof literature with meta-analysis, Surgeon 2018; 16(5):315-20. doi: 10.1016/j.surge.2018.03.009.

  22. Bubenova M, Mittlboeck M, Kulinna-Cosentini C, Teleky B yCosentini E, Pilonidal sinus disease: a 25-year experience andlong-term results of different surgical techniques, Eur Surg2022; 54(5):240-8. Consultado el 20 de enero de 2023. doi:10.1007/s10353-022-00767-7.

  23. Kitchen PR, Pilonidal sinus: experience with the Karydakis flap,Br J Surg 1996; 83(10):1452-5. doi: 10.1002/bjs.1800831040.

  24. Petersen S, Aumann G, Kramer A, Doll D, Sailer M y Hellmich G,Short-term results of Karydakis flap for pilonidal sinus disease,Tech Coloproctol 2007; 11(3):235-40. doi: 10.1007/s10151-007-0357-7.

  25. Guner A, Ozkan OF, Kece C, Kesici S y Kucuktulu U, Modificationof the Bascom cleft lift procedure for chronic pilonidal sinus:results in 141 patients, Colorectal Dis 2013; 15(7): e402-6.doi:10.1111/codi.12243.




2020     |     www.medigraphic.com