Pilonidal sinus Latest Topics

Laser epilation Of Pilonidal disease

Sun, 06 Apr 2025 13:34:46 +0000

16/4/2023

Sun, 16 Apr 2023 10:46:52 +0000

[size=20px]A 16 year-old girl presents to your clinic with pilonidal disease. She previously had an incision and drainage performed, but continues to report intermittent pain, bleeding and drainage. On exam she has 3 midline pits, no current drainage of pus or blood and no obvious abscess cavity. Optimal management plan would be:

A Improved hygiene and laser epilation

B Improved hygiene, laser epilation and sinusectomy (pit excision) in clinic under local anesthesia

C Proceeding to the OR for pediatric endoscopic pilonidal sinus treatment (PEPSiT)

D Wide local excision of all pits and nidus of infection[/size]

15/11/2020

Sun, 15 Nov 2020 12:23:44 +0000

please write the answer and your justification, correct answer will be submitted after 48 hrs

[size=20px]A 17 year old male has had periodic pilonidal sinus infections. He has been treated with warm soaks, epilation and drainage of abscesses. He is planning to start college in 3 months and anxious to pursue surgical treatment.

Most appropriate initial surgical management of his symptomatic pilonidal sinus disease is:

A Sinusectomy

B Wide local excision & primary closure

C Wide local excision & open wound management

D Excision with Romberg advancement flap

E Excision with modified Limberg rotational flap[/size]