The treatment of pilonidal disease: guidelines of the Italian Society of Colorectal Surgery (SICCR)

Article Article scientifique Article The treatment of pilonidal disease: guidelines of the Italian Society of Colorectal Surgery (SICCR) eng 2015 author Segre D. author Pozzo-Reynaud Mariana Carina 23264 author Perinotti R. author Roche Bruno 134085 607-613 10.1007/s10151-015-1369-3 26377583 1123-6337 http://link.springer.com/10.1007/s10151-015-1369-3 The Italian Society of Colorectal Surgery (SICCR.) has prepared clinical practice guidelines to help its members to optimize the treatment of pilonidal disease, a very common condition, especially among young people, and therefore of great importance on a socioeconomic level. The SICCR committee of experts on pilonidal disease analyzed the international literature and evaluated current evidence. Nonoperative management includes gluteal cleft shaving, laser epilation as well as fibrin glue and phenol injection: reported healing rates and recurrence incidence are satisfactory but the majority of studies are small series with low-quality evidence. Surgical therapy which can be divided into two categories: excision of diseased tissue with primary closure using different techniques or excision with healing by secondary intention. On the whole, no clear benefit is demonstrated for one technique over the other. Gluteal cleft Pilonidal abscess Pilonidal cyst Pilonidal disease Pilonidal sinus Recurrence Dewey 617 57 Département de chirurgie 222 false 79 Chirurgie viscérale 104 1329 Chirurgie viscérale (HUG) 69 Groupe Bruno Roche (chirurgie colo-rectale) 92 Techniques in coloproctology 19 10 6d1adb5c-77a8-42af-9540-b17de22c77de Article (Published version) Restricted art%3A10.1007%2Fs10151-015-1369-3.pdf 400406 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

Title	Published in	Access level	OA Policy	Year	Views	Downloads

The treatment of pilonidal disease: guidelines of the Italian Society of Colorectal Surgery (SICCR)	Techniques in coloproctology			2015	746	2

Archive ouverte UNIGE

Pozzo-Reynaud, Mariana Carina