title: The treatment of pilonidal disease: guidelines of the Italian Society of Colorectal Surgery (SICCR).
abstract: The Italian Society of Colorectal Surgery (SICCR.) has prepared clinical practice guidelines to help its members to optimize the treatment of pilonidal disease, a very common condition, especially among young people, and therefore of great importance on a socioeconomic level. The SICCR committee of experts on pilonidal disease analyzed the international literature and evaluated current evidence. Nonoperative management includes gluteal cleft shaving, laser epilation as well as fibrin glue and phenol injection: reported healing rates and recurrence incidence are satisfactory but the majority of studies are small series with low-quality evidence. Surgical therapy which can be divided into two categories: excision of diseased tissue with primary closure using different techniques or excision with healing by secondary intention. On the whole, no clear benefit is demonstrated for one technique over the other.
authors.affiliation: Surgery Unit, Città di Bra Clinic, strada Montenero 1, 12042, Bra, CN, Italy. diego.segre@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Segre
authors.affiliation: Department of General Surgery, Degli Infermi Hospital, Biella, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Pozzo
authors.affiliation: Department of General Surgery, Degli Infermi Hospital, Biella, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Perinotti
authors.affiliation: Proctology Unit, University Hospital, Geneva, Switzerland.
authors.forename: B
authors.initials: B
authors.lastname: Roche
mesh_terms: D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002081:Buttocks / Q000473:pathology / Q000601:surgery; D003107:Colorectal Surgery / Q000592:standards*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D019468:Disease Management; D004322:Drainage; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006204:Hair Removal / Q000379:methods; D006801:Humans; D007558:Italy; D019800:Phenol / Q000627:therapeutic use; D010864:Pilonidal Sinus / Q000145:classification / Q000628:therapy*; D012008:Recurrence; D014014:Tissue Adhesives / Q000627:therapeutic use
chemical_list: D000891:Anti-Infective Agents, Local; D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D019800:Phenol
keywords: Gluteal cleft; Pilonidal abscess; Pilonidal cyst; Pilonidal disease; Pilonidal sinus; Recurrence