L17: Pilonidal Disease

Question 1

The term “pilonidal” is derived from the root words

Question 2

Pilonidal Disease (PD)

Answer 2

• The more modern nomenclature of“pilonidal disease” (PD) isused to describe the spectrum of disorders that may be encountered “pilonidal cyst, sinus, and abscess”.

Question 3

Age in Pilonidal Disease

Answer 3

Common in in the 2nd & 3rd decades of life

Question 4

Incidence of Pilonidal Disease

Question 5

Sex in Pilonidal Disease

Answer 5

2 : 1 (M:F)

Question 6

Etiology of Pilonidal Disease

Answer 6

The main etiology is unclear Acquired condition.

Question 7

RF for Pilonidal Disease

Answer 7

• Family history of disease
• Obesity (BMI >25)
• Poor hygiene
• Hirsutism
• Deep natal cleft anatomy
• Occupation with prolonged sitting (“Jeep disease’)
• Excessive sweating

Question 8

Sites of Pilonidal Disease

Answer 8

A. The most common site of occurrence is sacrococcygeal region

B. Rarer sites include: Interdigital cleft -Breast -Umbilicus

Question 9

Pathogensis of Pilonidal Disease

Answer 9

Question 10

CP of Pilonidal Disease

Answer 10

• Symptoms & Signs

Question 11

Symptoms of Pilonidal Disease

Answer 11

Question 12

Signs of Pilonidal Disease

Answer 12

Question 13

Recurrence in Pilonidal Disease

Answer 13

Question 14

Investigfations for Pilonidal Disease

Answer 14

Establishing adiagnosis israther simple & Does not require extensive testing or imaging.

Question 15

Threapeutic Goals in Pilonidal Disease

Answer 15

Question 16

Indications of Non-Operative TTT of PD

Answer 16

• Asymptomatic patients with no concerning findings
• Improvement in symptoms or quiescence in mild cases.

Question 17

Non-Operative TTT of PD

Answer 17

Question 18

Care Pathway in TTT of PD

Answer 18

Question 19

Target of surgery in PD

Answer 19

Question 20

Revise Flaps in PD

Answer 20

..

Question 21

Karydakis sliding flap

Answer 21