Management of Pilonidal Disease and Hidradenitis Suppurativa

Surg Clin North Am. 2024 Jun;104(3):503-515. doi: 10.1016/j.suc.2023.11.003. Epub 2023 Dec 13.

Abstract

Pilonidal disease and hidradenitis suppurativa affect healthy young adults, causing discomfort and pain that leads to loss of work productivity and should be approached in a personalized manner. Patients with pilonidal disease should engage in hair removal to the sacrococcygeal region and surgical options considered. Hidradenitis suppurativa can be a morbid and challenging disease process. Medical management with topical agents, antibiotics, and biologics should be used initially but wide local excision should be considered in severe or refractory cases of the disease.

Keywords: Bascom; Hidradenitis suppurativa; Karydakis; Limberg; Pilonidal.

Publication types

  • Review

MeSH terms

  • Hair Removal / methods
  • Hidradenitis Suppurativa* / complications
  • Hidradenitis Suppurativa* / diagnosis
  • Hidradenitis Suppurativa* / surgery
  • Hidradenitis Suppurativa* / therapy
  • Humans
  • Pilonidal Sinus* / diagnosis
  • Pilonidal Sinus* / surgery
  • Pilonidal Sinus* / therapy