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Techniques in Coloproctology
Erschienen in: Techniques in Coloproctology 10/2015

01.10.2015 | Clinical Guidelines

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

verfasst von: D. Segre, M. Pozzo, R. Perinotti, B. Roche

Erschienen in: Techniques in Coloproctology | Ausgabe 10/2015

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Abstract

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.
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Metadaten
Titel
The treatment of pilonidal disease: guidelines of the Italian Society of Colorectal Surgery (SICCR)
verfasst von
D. Segre
M. Pozzo
R. Perinotti
B. Roche
Publikationsdatum
01.10.2015
Verlag
Springer Milan
Erschienen in
Techniques in Coloproctology / Ausgabe 10/2015
Print ISSN: 1123-6337
Elektronische ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-015-1369-3

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