Treatment options for different types of sacrococcygeal pilonidal disease
10.3760/cma.j.cn441530-20251104-00417
- VernacularTitle:不同类型骶尾部藏毛疾病的治疗选择
- Author:
Junjie CHEN
1
;
Yabo HE
1
;
Guonian LI
1
;
Bolin YANG
1
;
Ping ZHU
1
Author Information
1. 南京中医药大学附属医院肛肠科，南京 210029
- Publication Type:Journal Article
- Keywords:
Pilonidal disease,sacrococcygeal region;
Treatment methods;
Surgery;
Wound healing;
Flap technique
- From:
Chinese Journal of Gastrointestinal Surgery
2025;28(12):1466-1471
- CountryChina
- Language:Chinese
-
Abstract:
The treatment of sacrococcygeal pilonidal disease (SPD) remains challenging due to its high recurrence rate and treatment-related complications. An ideal treatment plan for SPD should be simple to perform, reduce recurrence rates, enable patients to quickly return to normal daily activities, and be associated with a low incidence of complications. Various surgical techniques have been employed for the treatment of SPD, but discrepancies and controversies persist in current clinical practice. Non-surgical treatment is suitable for asymptomatic SPD patients. For patients in the acute abscess phase, drainage is the primary therapeutic goal, with avoidance of midline incisions. Minimally invasive procedures may be considered for patients with localized lesions after weighing the recurrence risk, aiming for faster recovery and better cosmetic outcomes. For recurrent SPD or cases with extensive lesions, excision followed by secondary healing or combined with flap techniques is required to pursue a lower recurrence risk. Based on clinical experience and literature review, this article summarizes the treatment strategies for different types of SPD, providing a reference for clinicians in formulating diagnosis and treatment plans.
