Minimally invasive pilonidal sinus treatment: A narrative review

Abstract

The management of chronic pilonidal disease remains controversial, but recently, new minimal invasive approaches have been proposed. Whereas in the conventional surgical treatment an elliptical wedge of skin and subcutaneous tissue is created to remove the sinus and its lateral tracks, the basis for our new treatment is to create a minimal elliptical wedge of the subcutaneous tissue, including all the inflamed tissue and debris while leaving the overlying skin intact.

Keywords

• pilonidal sinus disease
• endoscopic treatment
• minimally invasive surgery