What are goals of surgical management for pilonidal disease?

Updated: Jun 11, 2018
  • Author: M Chance Spalding, DO, PhD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Surgical management is then tailored to the classification category. Although there are several treatment options for pilonidal disease in each category, they all have similar goals, as follows:

  • Wound healing with a low risk of recurrence
  • Short hospitalization
  • Maximal patient comfort
  • Low morbidity, with few wound-management problems

In addition, treatment should allow the patient to resume normal daily activities as quickly as possible.

Ideally, the method used to treat the patient should satisfy all of these goals. A definite shift has occurred among physicians toward treating these patients in an outpatient setting. Current proponents of nonoperative management point out that regardless of the therapy used, the pilonidal disease resolves after the age of 40 years. These physicians focus their efforts on conservative medical management of pilonidal disease rather than on a surgical cure for the disorder.

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