# Pilonidal Cyst — GCMD Library living collection

Everything in the library about pilonidal cyst — built automatically from dossiers that name it.

Updated: n/a · 3 episodes · 19 cited statements

## Episodes
### Evidence & Research
- [Revisión de la Bibliografía: Quiste Pilonidal](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290) — podcast · 16:57 · [machine version](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290.md)
- [Carga mental de la enfermedad pilonidal y mejora de la calidad de vida tras el tratamiento en adolescentes](https://library.globalcastmd.com/watch/carga-mental-de-la-enfermedad-pilonidal-y-mejora-de-la-calidad-de-vida-tras-el-t-7226) — video · [machine version](https://library.globalcastmd.com/watch/carga-mental-de-la-enfermedad-pilonidal-y-mejora-de-la-calidad-de-vida-tras-el-t-7226.md)

### Case-Based Learning
- [Pilonidal Cyst Case Presentation: Update Course 2015](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982) — video · 5:08 · [machine version](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982.md)

## Chapters
- [0:01](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=1) Case presentation and timing of definitive surgery (Ep 1)
- [0:54](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=54) Bascom pit-picking technique (Ep 1)
- [2:19](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=139) Risk factors affecting management (Ep 1)
- [2:43](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=163) Surgical options for definitive management (Ep 1)
- [3:34](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=214) Management of recurrent disease (Ep 1)
- [4:20](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=260) Laser hair removal as adjunct (Ep 1)
- [0:05](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=5) Introduction and case presentation (Ep 2)
- [2:07](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=127) Systematic review of surgical techniques and recurrence rates (Ep 2)
- [7:24](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=444) EPSiT outcomes in pediatric and adolescent patients (Ep 2)
- [13:10](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=790) Phenol crystal injection versus primary excision (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/carga-mental-de-la-enfermedad-pilonidal-y-mejora-de-la-calidad-de-vida-tras-el-t-7226?t=0) Quality of life impact of pilonidal disease and minimally invasive surgical treatment in adolescents (Ep 3)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- After 2-3 recurrences of pilonidal cyst, definitive surgery is indicated rather than repeat I&D. (opinion) [Ep 1 · 0:30](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=30)
- The Bascom technique involves excising 1-millimeter pits at skin level under local anesthesia, allowing secondary healing, with 70% not recurring by their data (though no control group exists). (clinical) [Ep 1 · 0:54](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=54)
- For large draining sinuses or recurrence after pit excision, formal OR excision of the entire affected area with off-midline layered closure and drain placement is performed. (clinical) [Ep 1 · 1:28](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=88)
- Physical exam findings including deep gluteal fold and heavy hair burden are high-risk factors for pilonidal disease recurrence. (clinical) [Ep 1 · 2:25](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=145)
- For severely infected pilonidal disease, open excision with wet-to-dry dressing changes or wound VAC is an option. (clinical) [Ep 1 · 2:50](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=170)
- Post-operative management with prone positioning until wound healing is critical for preventing recurrence; pilonidal disease is fundamentally a wound healing problem. (opinion) [Ep 1 · 3:43](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=223)
- Plastic surgery consultation for flap reconstruction with strict prone post-operative positioning is used for multiply recurrent pilonidal disease. (clinical) [Ep 1 · 3:54](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=234)
- One patient reported laser hair removal as the most painful procedure they had experienced, completing only half a session and refusing further treatment. (clinical) [Ep 1 · 4:28](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=268)
- Laser hair removal for pilonidal disease is expensive and insurance reimbursement has not been successful. (clinical) [Ep 1 · 4:46](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=286)
- Gips technique involves central excision of skin which is then closed completely — Alberto Torres (clinical) [Ep 2 · 5:30](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=330)
- EPSiT and EPSIT are techniques that use tract irrigation — Alberto Torres (clinical) [Ep 2 · 5:30](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=330)
- Minimally invasive techniques for pilonidal cyst can be performed with simple instruments available in most operating rooms in Latin America, including curette and punch biopsy tools (opinion) [Ep 2 · 6:38](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=398)
- Follow-up duration matters because patients may not return for clinical consultation after initial months, potentially missing late recurrences — Carolina (opinion) [Ep 2 · 11:38](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=698)
- Recurrence rates vary with different surgical techniques for pilonidal cyst, with open techniques showing higher recurrence than minimally invasive approaches — Alberto Torres (clinical) [Ep 2 · 12:24](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=744)
- Phenol injection causes significant pain (clinical) [Ep 2 · 14:33](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=873)
- There is no comparison data between phenol injection and minimally invasive techniques like Gips (opinion) [Ep 2 · 14:51](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=891)
- Conventional surgery recurrence rates are not comparable to minimally invasive techniques — Carolina (opinion) [Ep 2 · 15:18](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=918)
- Minimally invasive surgery is more reliable and represents significant benefit for patients compared to conventional approaches — Carolina (opinion) [Ep 2 · 15:32](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=932)
- Minimally invasive techniques simplify pilonidal cyst management compared to traditional surgery (opinion) [Ep 2 · 16:11](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=971)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- The Karydakis flap is superior to excision only and comparable to the modified Limberg flap for pilonidal disease. — The host summarizing the discussion [Ep 1 · 3:10](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=190)
- The modified elliptical rotation flap has short-term results comparable to Limberg and Karydakis flaps, though less data exists. — The host summarizing the discussion [Ep 1 · 3:10](https://library.globalcastmd.com/watch/pilonidal-cyst-case-presentation-update-course-2015-982?t=190)
- This is a prospective observational study conducted in the United States that evaluated quality of life in patients with pilonidal cysts before and after minimally invasive surgery. — Cecilia Gigena summarizing a resource [Ep 3 · 0:00](https://library.globalcastmd.com/watch/carga-mental-de-la-enfermedad-pilonidal-y-mejora-de-la-calidad-de-vida-tras-el-t-7226?t=0)
- The study included 101 patients with pilonidal cysts who underwent minimally invasive surgery. — Cecilia Gigena summarizing a resource [Ep 3 · 0:00](https://library.globalcastmd.com/watch/carga-mental-de-la-enfermedad-pilonidal-y-mejora-de-la-calidad-de-vida-tras-el-t-7226?t=0)
- Before surgery, daily activities were affected in 66% of patients, sports capacity in 57%, school attendance in 45%, and social activities in 22%. — Cecilia Gigena summarizing a resource [Ep 3 · 0:00](https://library.globalcastmd.com/watch/carga-mental-de-la-enfermedad-pilonidal-y-mejora-de-la-calidad-de-vida-tras-el-t-7226?t=0)
- After surgery, daily activities were affected in only 7% of patients, sports in 8%, school attendance in 2%, and social activities in 4%. — Cecilia Gigena summarizing a resource [Ep 3 · 0:00](https://library.globalcastmd.com/watch/carga-mental-de-la-enfermedad-pilonidal-y-mejora-de-la-calidad-de-vida-tras-el-t-7226?t=0)
- Minimally invasive surgery for pilonidal cysts appears to be highly beneficial for patient quality of life. — Cecilia Gigena summarizing a resource [Ep 3 · 0:00](https://library.globalcastmd.com/watch/carga-mental-de-la-enfermedad-pilonidal-y-mejora-de-la-calidad-de-vida-tras-el-t-7226?t=0)
- Systematic analysis shows open excision with midline closure has 16% recurrence rate for pilonidal cyst — Jose Campos summarizing the discussion [Ep 2 · 3:37](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=217)
- Off-midline closure technique has 8% recurrence rate for pilonidal cyst — Jose Campos summarizing the discussion [Ep 2 · 3:37](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=217)
- Minimally invasive techniques and marsupialization have 6% recurrence rate for pilonidal cyst — Jose Campos summarizing the discussion [Ep 2 · 3:37](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=217)
- In retrospective study of EPSiT in children and adolescents, 115 patients underwent 115 procedures — Jose Campos summarizing the discussion [Ep 2 · 10:14](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=614)
- Short-term follow-up was defined as 2 months in the EPSiT study — Jose Campos summarizing the discussion [Ep 2 · 10:26](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=626)
- Long-term follow-up was defined as 30 months or more in the EPSiT study — Jose Campos summarizing the discussion [Ep 2 · 10:26](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=626)
- Short-term recurrence rate after EPSiT was 8% — Jose Campos summarizing the discussion [Ep 2 · 10:26](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=626)
- Long-term recurrence rate after EPSiT was 15% — Jose Campos summarizing the discussion [Ep 2 · 10:26](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=626)
- Recurrence appears higher with longer follow-up after EPSiT — Jose Campos summarizing the discussion [Ep 2 · 10:26](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=626)
- All patients in the EPSiT study were treated with minimally invasive technique — Jose Campos summarizing the discussion [Ep 2 · 10:48](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=648)
- Only one patient in the EPSiT study required two procedures — Jose Campos summarizing the discussion [Ep 2 · 10:48](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=648)
- Complications in the EPSiT study were low: 5 infections and 1 bleeding not requiring transfusion — Jose Campos summarizing the discussion [Ep 2 · 10:48](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=648)
- Randomized trial from Turkey compared phenol crystal injection versus primary excision for pilonidal cyst in adolescents — Jose Campos summarizing the discussion [Ep 2 · 13:13](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=793)
- Phenol crystal injection was much faster than surgical excision — Jose Campos summarizing the discussion [Ep 2 · 13:13](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=793)
- Recurrence rate with phenol crystal injection was 8% — Jose Campos summarizing the discussion [Ep 2 · 13:13](https://library.globalcastmd.com/watch/revisi-n-de-la-bibliograf-a-quiste-pilonidal-6290?t=793)

## Changelog
- Nov 7: 3 items added automatically

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