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Clin Colon Rectal Surg. 2011 Mar;24(1):46-53. doi: 10.1055/s-0031-1272823.

Pilonidal disease.

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  • 1Department of Surgery, Temple University Hospital, Temple University School of Medicine, Philadelphia, Pennsylvania.


Pilonidal disease presents many therapeutic challenges to surgeons throughout the world. Its varied clinical presentations necessitate a wide range of treatments, thus underscoring the need to tailor the treatment to the patient and the severity of disease. Recent studies confirm the efficacy of smaller, more conservative operations for appropriate indications. When flap closures are performed, every attempt should be directed to placing sutures off (lateral) to the midline gluteal cleft. Meticulous attention to the details of immediate and long-term postoperative care is paramount.


Bascom cleft lift; Karydakis flap; Pilonidal disease; abscess

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