Pilonidal disease is a very common affliction that affects mainly young, hirsute, obese males during their young adult years of life. Previous etiological theories of this ailment centred on congenital causes. The current understanding is that pilonidal disease is an acquired affliction. There is a myriad of methods of treatment for chronic pilonidal disease. Surgeons from all over the world are looking for effective, low-traumatic methods of treating epithelial coccygeal passage. Analysis of literature data showed a great variability of surgical approaches in the treatment of this pathology. Such treatments vary from the creation of large skin flaps to the simple instillation of chemicals into the sinuses. As a result of this situation, a unified approach to the surgical tactics of treating the epithelial coccygeal passage has not yet been determined. The current favored treatments however are toward the use of the less invasive options compared to the large extensive flaps. Favored options include minimally invasive techniques as well as simple lay-open and marsupialization, lasers & endoscopes.
Audience Take Away Notes:
- be acquainted with the current state of knowledge of the pathogenesis of the pilonidal disease
- understand the main advantages and disadvantages of each laser technique used to treat it,
- know the recommendations for the management of acute pilonidal abscess.
I am a Consultant Laparoscopy Gastrointestinal & Anorectal surgeon @ Ratandeep Surgical Hospital &Endoscopy Clinic / MARENGO CIMS Hospital Ahmedabad / CURA Hospital Ahmedabad / EPIC Hospital Ahmedabad / ICON Hospital Ahmedabad. I am into Exclusive anorectal practice for the last 33 years. I have organized workshops where around 184 surgeons all over Asia had hands-on training for hemorrhoidal artery ligation & rectoanal repair & Lasers in anorectal surgery. I have been invited as a faculty to multiple national and international conferences. I am an author of the Amazon bestseller “Anorectal Surgery Made Easy – With Two Interactive DVD ROMs”. I have received the Best Paper Award For “Anal Tonometry – A Newer Diagnostic Aid In Anal Disorders” – @ Gujsurgcon 2005. I am an Elsevier and Publons certified peer reviewer for international journals. My research paper: DG-RAR for the treatment of symptomatic grade III and grade IV hemorrhoids: a 12-month multi-center, prospective observational study – Was Published in “European Surgery” in “Feb 2013”. With “The association of colon & rectal surgeons of India – I am a task force member for framing practice parameters for the management of hemorrhoids for surgeons of India. I have been an organizing committee member to a good number of conferences and workshops and organizing chairman to the successful “AAS Proctocon 2022” held in Ahmedabad on 13th November2022.