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Burden of pilonidal disease and improvement in quality of life after treatment in adolescents

Video Published 2023-10-04 Updated 2026-06-02

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Topic Overview

Prospective US study of 101 adolescents with pilonidal disease demonstrates significant quality-of-life improvement after minimally invasive surgery. Pre-operative impairment in daily activities (66%), sports (57%), and school attendance (45%) dropped to <10% post-operatively across all domains.

Key Takeaways

  • Pilonidal disease significantly impairs adolescent quality of life, reducing daily activities by 66% and sports participation by 57% pre-treatment.
  • Minimally invasive pilonidal treatment dramatically improves functional outcomes, with post-op activity limitations dropping to just 7%.
  • School/work attendance improves from 45% impairment pre-surgery to only 2% post-surgery after minimally invasive pilonidal repair.
  • Social functioning is least affected (23% pre-op impairment) but still improves to 4% after minimally invasive treatment.
  • Study of 101 US adolescents demonstrates minimally invasive approaches should be considered first-line for pilonidal disease management.

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