Pilonidal cyst

@article{HypplitodaSilva2000PilonidalC,
  title={Pilonidal cyst},
  author={Jos{\'e} Hypp{\'o}lito da Silva},
  journal={Diseases of the Colon \& Rectum},
  year={2000},
  volume={43},
  pages={1146-1156}
}
PURPOSE: The treatment of sacrococcygeal pilonidal cyst, despite being considered a well-defined clinical entity and opinion as to its acquired origin being almost unanimous, has some controversial aspects. Surgery is the principal method of treatment, and several techniques have been proposed. All of them try to reduce morbidity, to offer conditions of fast cicatrization, to have a low recurrence rate, and to offer cure. This study was understaken to review the available data in the literature… 

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TLDR
Surgical treatment for chronic PD should be directed at either excision and primary closure or marsupialization, and wide excision with secondary healing should be performed only for grossly infected and complex cysts.
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TLDR
Clinical and pathologic data on which are based the views on the treatment of pilonidal sinus are presented, which are commonly believed that the presence of a recurrent or persistent sinus after excision implies that some of the diseased tissue must have been left behind.
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TLDR
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TLDR
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TLDR
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TLDR
The gross and microscopic pathologic findings in 354 patients overwhelmingly favor the theory of acquired origin in most patients with pilonidal sinus, showing that there are two different types of the disease.
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TLDR
The extremely low recurrence rate following Z-plasty for pilonidal sinus results from the fact that the operation was planned with the true physiopathology of the disease in mind.
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TLDR
Prior to World War II the accepted treatment for pilonidal disease in the Army was excision, and this persists in civilian practice today; the Army, however, has come to accept a much more conservative treatment.
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Contrary to current concepts, shafts of hairs apparently are not the source of most pilonidal disease. Instead, follicles of hairs seem to be the source. Pilonidal disease progresses through five
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