Surgical treatments of sacrococcygeal pilonidal sinus disease: current status and progress

VernacularTitle:手术治疗骶尾部藏毛疾病的现状与进展
Author: Wandi LI ¹ ; Jie LUAN ; Dali MU
Author Information

1. 中国医学科学院北京协和医学院整形外科医院乳房整形美容中心，北京　100144；中国中医科学院望京医院外一科，北京　100102
Keywords: Pilonidal sinus; Surgical flaps; Sacrococcygeal region
From: Chinese Journal of Plastic Surgery 2020;36(9):1062-1066
CountryChina
Language:Chinese
Abstract: Pilonidal sinus disease (PSD) is mostly located beneath the skin of the sacrococcygeal region, which is usually present as the sinus or cyst with inflammation. It is prevalent in Europe and North American except Asia. With the high misdiagnosis and recurrence rates, and postoperative complications, more and more attention has been drawn to the diagnosis and treatment. However, the gold standard for PSD treatment has not yet been established. Compared with the non-surgical procedures, there is a consensus that operative treatment is an efficient method. Moreover, surgical flaps such as Limberg flap, Dufourmentel flap, and Karydakis flap play a crucial part in therapy. This review introduced the features of PSD, therapeutic principles and methods, mainly reviewed the current status and progress of surgical treatments, summarized the recent research achievements to give clinicians thoughtful and practical advice.