ReviewLangenbeck's archives of surgery2016
German national guideline on the management of pilonidal disease.
Review in Langenbeck's archives of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Multicenter Randomized Controlled Trial of Mobilized Gluteus Maximus Muscle Fascia Flap Versus Primary Closure in the Treatment of Primary and Recurrent Pilonidal Sinus Disease.
Randomized comparative clinical study between two treatment strategies in patients with pilonidal sinus: conventional care versus negative pressure therapy.
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 122 citations in OpenAlex.
- German National Guideline on the management of pilonidal disease: update 2020.Langenbeck's archives of surgery · 2021Guideline
- Outcomes of minimally invasive pit-picking treatment in adolescents with uncomplicated pilonidal disease: a retrospective single-center study.Pediatric surgery international · 2026Article
- [Research on deep learning-based pathological image classification of pilonidal sinus].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026Article
- The New Minimally Invasive Techniques for Pilonidal Sinus Disease Surgery: Choosing the Right Technique for the Right Patient-A Narrative Review.Medicina (Kaunas, Lithuania) · 2026Review
- Sacrococcygeal Pilonidal Sinus Disease: A Decade-In-Review of Patient-Reported Outcome Measures.ANZ journal of surgery · 2026Article
- Exploratory pilot study of minimally invasive therapy: laser ablation combined with acellular dermal matrix implantation for recurrent sacrococcygeal pilonidal disease.Frontiers in bioengineering and biotechnology · 2026Article
- Article
- Practice patterns of paediatric surgeons on treating pilonidal sinus disease - a national survey study.International journal of colorectal disease · 2025Article
- Prospective nationwide audit of short-term outcomes after surgery for chronic pilonidal sinus disease in the Netherlands.Techniques in coloproctology · 2025Observational
- Our Experience With Four or More Crystallised Phenol Applications in Pilonidal Sinus Disease.International wound journal · 2025Article
- Impact of surgical case load on recurrence rates in pilonidal sinus disease: a cross-study data synthesis.International journal of colorectal disease · 2025Article
- Acute pilonidal abscess: Prospective nationwide audit in the Netherlands.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
- Long-term follow-up of pilonidal sinus disease treated by radial laser surgery.Langenbeck's archives of surgery · 2024Article
- Treatment options for patients with pilonidal sinus disease: PITSTOP, a mixed-methods evaluation.Health technology assessment (Winchester, England) · 2024Observational
- Surgeons' Experience and Practices in Managing the Pilonidal Sinus in the Kurdistan Region of Iraq.Cureus · 2024Article
- Pilonidal sinus: an overview of historical and current management modalities.Updates in surgery · 2024Review
- Pilonidal reality calls for action.The British journal of surgery · 2024Article
- Efficacy of laser obliteration with limited excision of pilonidal sinus.The Journal of international medical research · 2024Observational
- Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe present national guideline aims to provide recommendations for physicians involved in the treatment of patients with pilonidal disease. It has been published previously as an extended version in German language.
methodsThis is a systemic literature review. The present guideline was reviewed and accepted by an expert panel in a consensus conference.
resultsSome of the present guideline conclusions were based on low- to moderate-quality trials. Therefore, an agreement was necessary in those cases to provide recommendations. However, recommendations regarding the most frequently used surgical procedures were based on numerous prospective randomized trials.
conclusionsAn asymptomatic pilonidal disease does not require treatment. A pilonidal abscess should be incised. After regression of the acute inflammation, a definitive treatment method should be applied. An excision is the standard treatment method for the chronic pilonidal disease. Open wound healing is associated with a low postoperative morbidity rate; however, it is complicated by a long healing time. The minimally invasive procedures (e.g., pit picking surgery) represent a potential treatment option for a limited chronic pilonidal disease. However, the recurrence rate is higher compared to open healing. Excision followed by a midline wound closure is associated with a considerable recurrence rate and increased incidence of wound complications and should therefore be abandoned. Off-midline procedures can be adopted as a primary treatment option in chronic pilonidal disease. At present, there is no evidence of any outcome differences between various off-midline procedures. The Limberg flap and the Karydakis flap are most thoroughly analyzed off-midline procedures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.