Pilonidal Disease: Review of Recent Literature

Sacrococcygeal pilonidal disease is a common cause of patient’s referral to colorectal surgery services. Recently, numerous reports published about management of patients with pilonidal disease. In this review, we gathered all the recent ten years evidences indexed in the PubMed database. Surgical management has been changed from invasive excision and secondary healing to minimal invasive and non-operative, primary closure methods and flap based techniques. Developing laser epilation had promising effects on reducing recurrence rate. Most of surgical techniques efficacy are shown with well-controlled studies. Although recent evidences seems to describe current techniques efficacy but the absence of standardized pilonidal staging system made comparison of studies difficult and newer studies should be done regarding this issue.