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World Journal of Surgery
Published in: World Journal of Surgery 5/2017

01-05-2017 | Invited Commentary

Treating Pilonidal Disease: You Do Not Need to Detonate a Naval Mine to Catch a Fish

Author: Moshe Schein

Published in: World Journal of Surgery | Issue 5/2017

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Excerpt

What we call today pilonidal disease (PND) has been written about by surgeons for around 150 years ago. As always the case, British authors refer to British “discoverers” while Americans cite their own countrymen as the pilonidal pioneers. But as there were always some humans with hairy and sweaty rumps, the condition must be as old as humanity: the “Knight’s bottom” in the Fourteen century—resulting from long hours on a saddle—is probably a historical precursor of the WW II “jeep disease.” …
Literature
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Khodakaram K, Stark J, Höglund I et al (2017) Minimal excision and primary suture is a cost-efficient definitive treatment for pilonidal disease with low morbidity: a population-based interventional and a cross-sectional cohort study. World J Surg. doi:10.​1007/​s00268-016-3828-z
2.
3.
Gips M, Melki Y, Salem L, Weil R, Sulkes J (2008) Minimal surgery for pilonidal disease using trephines: description of a new technique and long-term outcomes in 1,358 patients. Dis Colon Rectum 51:1656–1662CrossRefPubMed
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Goodall P (1961) The aetiology and treatment of pilonidal sinus. A review of 163 patients. Br J Surg 49:212–218CrossRefPubMed
5.
Armstrong JH, Barcia PJ (1994) Pilonidal sinus disease. The conservative approach. Arch Surg 129:914–917CrossRefPubMed
Metadata
Title
Treating Pilonidal Disease: You Do Not Need to Detonate a Naval Mine to Catch a Fish
Author
Moshe Schein
Publication date
01-05-2017
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 5/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-017-3905-y

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