Mary Froehlich MD , Justin P. Wagner MD , Steven L. Lee MD, MBA
{"title":"Pilonidal disease surgery in the pediatric patient: less is more!","authors":"Mary Froehlich MD , Justin P. Wagner MD , Steven L. Lee MD, MBA","doi":"10.1016/j.scrs.2022.100911","DOIUrl":null,"url":null,"abstract":"<div><p>Sacrococcygeal pilonidal disease is common in the pediatric population and its incidence is increasing. Psychological stigmatization is common. Adolescent patients have unique challenges in body image, communication with family members and caregivers, and hygienic practices. Acute infection requires antibiotics and abscess require drainage. Chronic disease is managed with noninvasive therapies or minimally invasive surgical debridement procedures, which may be repeated for simple recurrences. Larger excision and off-midline flap reconstructions are reserved for complex and extensive disease or multiple recurrences that are refractory to less invasive excisional techniques. Common presentation of pediatric pilonidal disease, available therapies, anticipated outcomes, and a suggested treatment algorithm are presented in this article.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100911"},"PeriodicalIF":0.4000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043148922000525/pdfft?md5=f1f293154b94a645328cdd3da5613a31&pid=1-s2.0-S1043148922000525-main.pdf","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Colon and Rectal Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1043148922000525","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 1
Abstract
Sacrococcygeal pilonidal disease is common in the pediatric population and its incidence is increasing. Psychological stigmatization is common. Adolescent patients have unique challenges in body image, communication with family members and caregivers, and hygienic practices. Acute infection requires antibiotics and abscess require drainage. Chronic disease is managed with noninvasive therapies or minimally invasive surgical debridement procedures, which may be repeated for simple recurrences. Larger excision and off-midline flap reconstructions are reserved for complex and extensive disease or multiple recurrences that are refractory to less invasive excisional techniques. Common presentation of pediatric pilonidal disease, available therapies, anticipated outcomes, and a suggested treatment algorithm are presented in this article.
期刊介绍:
Seminars in Colon and Rectal Surgery offers a comprehensive and coordinated review of a single, timely topic related to the diagnosis and treatment of proctologic diseases. Each issue is an organized compendium of practical information that serves as a lasting reference for colorectal surgeons, general surgeons, surgeons in training and their colleagues in medicine with an interest in colorectal disorders.