2nd International Pilonidal Conference Summary

2nd International Pilonidal Conference Summary
The meeting was again a success. Well received and a sell out! A brief summary of the presentations is presented. Several presenters have kindly made their presentation available for download.

Survey towards pilonidal classification

Survey towards pilonidal classification

There is no universally accepted and used classification of Sacrococcygeal Pilonidal Disease.

This leads to studies being non-generalizable with difficult to compare outcomes driving the tendency towards surgeon specific management.

A survey of pilonidal surgeons was perforemed to determine the necessary components of a classification  system.

International Pilonidal Sinus Disease Conference

International Pilonidal Sinus Disease Conference
The first International Pilonidal Sinus Society Meeting was a sellout and a huge success. Thank you to everyone who contributed. Read a summary of the presentations.

Berlin conference LIVE survery

Berlin conference LIVE survery
After several presentations on Pilonidal Disease classification, we conducted a live poll to help determine how surgeons make treatment decisions.

Bascom Cleft Lift

Bascom Cleft Lift

Bascom in 2002 described his Cleft Lift as a “modification of the successful method of Karydakis and Kitchen".

This relatively straightforward flap results in an off midline scar which is out of the ditch.

1955 – the Year That Taught Us so Much!

1955 – the Year That Taught Us so Much!

In 1955 researchers discovered:

- suction pressure in the subcutaneous tissue of the natal cleft

- due to its scales, hair is always propelled in the direction of the root

- all hairs within a pilonidal sinus are parallel

Limberg and Dufourmentel Flaps

Limberg and Dufourmentel Flaps
Rhombic transposition flaps (Limberg and Dufourmentel flaps) achieve a flattened natal cleft with a lateral scar.

Karydakis Flap

Karydakis Flap

The Karydakis flap is named after the Greek surgeon George Karydakis.

It is effective ie low risk of recurrence as it eliminates the natal cleft ("crack") and leaves the weakest point (the scar) away from the midline. The pilonidal sinus is also excised.

Unusual Sites of Pilonidal Sinus

Unusual Sites of Pilonidal Sinus

The typical pilonidal sinus occurs in the natal cleft i.e. sacrococcygeal region.

Other locations where pilonidal sinuses may occur include: penis shaft, axilla, intermammary area, groin, nose, neck, cltoris, suprapubic area, occiput, prepuce, chin, periungual region, breast, face and umbilicus.