A Practitioner’s Guide to Pilonidal Sinus Disease

Pravin Jaiprakash Gupta
Fine Morning Hospital and Research Center, Gupta Nursing Home, Nagpur, India

Series: Allergies and Infectious Diseases
BISAC: MED022090

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Pilonidal disease is a chronic infection of the skin in the region of the buttock crease. The condition results from a reaction to hairs embedded in the skin, commonly occurring in the cleft between the buttocks. The disease is more common in men than women and frequently occurs between puberty and age 40. It is also common in obese people and those with thick, stiff body hair. Pilonidal disease is a disease of young people, usually men, which can result in an abscess, draining sinus tracts, and moderate debility for some.

This is a condition dealt with by general practitioners, accident and emergency departments, general surgeons, colorectal surgeons, plastic surgeons, district nurses and wound-care specialists. It is an unglamorous condition that, despite its prevalence, seldom achieves priority within a busy clinical practice. However, its complex debilitating nature and negative economic effects for the predominantly affecting the young working population should not be underestimated.

The primary goal of this book is to remain for all the time the most thorough, useful, readable, and understandable handbook presenting the pilonidal sinus disease. It is designed to be equally useful to students, trainees, and experts in the field. It remains a discipline in which the knowledge and skill of a surgeon combine for the welfare of all patients.

This book contains seven chapters, of which the first five elaborates etiology, pathogenesis, presentations of the disease, conservative management and surgical options for sacrococcygeal pilonidal sinus disease while the sixth chapter briefs about post operative care and nursing management of the patients of pilonidal sinuses and the last chapter describes the other uncommon but important sites of pilonidal disease as well as complications attendant to the disease. Adequate illustrations have also been inserted with regard to specific presentations and treatment options appropriately. As its title indicates, this book is neither a fully detailed textbook on pilonidal sinus disease for the novice nor a comprehensive reference for the expert.

Emphasis is placed on readily understandable descriptions of diagnostic and therapeutic procedures, accompanied by explanatory schematic drawings as well as pictures of the described text. A useful short glossary is also provided. Each chapter starts with key summary points and ends with summary points and adequate references. The majority of the book is illustrated with occasional black and white diagrams.

The chapters are well structured throughout, with good use of tables, illustrations and summaries, to facilitate an easy dip into the subject. References at the end of each chapter are useful for those wanting to learn more about the areas covered.

Nonetheless, in contrast to many standard surgical textbooks this small volume is clearly international in its perspective. It will be apparent to the reader that patient management in several areas of pilonidal surgery may still differ widely from region to region even in our ever more interconnected world, yet each chapter has been written to assess rigorously the level of evidence upon which operative and nonoperative treatment recommendations are made. As the quality of available evidence advances in a number of surgical areas, the author believes that clinical management will perforce and become more uniform in most countries. The author plans to update this small volume frequently so that its readers can be assured of an accurate assessment of evidence based surgical practice to keep pace with the advancements in technologies and techniques. (Imprint: Nova Biomedical )

Preface

Chapter 1- Introduction to Pilonidal Sinus Disease

Chapter 2- Pathophysiology of Pilonidal Sinus Disease

Chapter 3- Presentations of Pilonidal Sinus Disease

Chapter 4- Management of Pilonidal Sinus Disease

Chapter 5- Surgical Treatment of Pilonidal Sinus Disease

Chapter 6- Pre and Postoperative Care of the Patients with Pilonidal Sinus Disease

Chapter 7- Other Pilonidal Sinus Diseases

Acknowledgement

Index

"I applaud this recent book by Dr Pravin Gupta, (an expert in the field of proctology) that dedicates itself to the management of this difficult condition. This is long overdue and is a timely addition to the available literature on this important subject. For me, it has always been a little mysterious why the management of pilonidal disease has become the perview of the coloproctologist. The book beautifully defines the nature of the disease, its etiopathogenesis, its clinical assessment and its management and it is an opportune tome for the practicing clinician unlike no other that I am aware of currently in the field." READ MORE... - Andrew Zbar, MD (Lond) MBBS FRCS (Ed) FRACS FSICCR (Hon), Professor of Surgery , Chaim Sheba Medical Center Israel

"A Practitioners Guide to Pilondial Sinus Disease by Pravin J. Gupta is a hybrid between a definitive textbook and a working handbook. It is comprehensive and detailed enough to be the former, well written, illustrated and referenced with a complete bibliography. On the other hand it is relatively small, but by no means brief, totaling 92 pages which could be considered the latter." READ MORE... - Herand Abcarian, M.D., FACS

"A Practitioners Guide to Pilonidal Sinus Disease is a comprehensive guidebook for surgical practitioners. It gives a good insight into presentation and pathophysiology of pilonidal sinus disease, along with thorough descriptions of most of the approaches in management and surgical techniques used in the treatment of it. This book offers a good insight into this condition that causes trouble to a great number of people around the world, and starting as a small problem could lead to severe complications in case of inadequate treatment. I find this book very useful and really enjoyed reading it." - Jelena Petrovic, MD, Surgeon, Department for Colorectal Surgery, Clinical Center of Serbia

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