Modified Sinotomy with Marsuplization versus Excision with Lay Open in Treatment of Pilonidal Sinus Disease

Abstract

In the 20th century, pilonidal disease gained prominence and practical importance amongst World War II soldiers with high incidence of the disease, so it came to be known as (Jeep disease). According to United States Army publications, nearly 80,000 United States soldiers were admitted and treated at United States Army Hospitals between the years 1941-1945. Prompt return of soldiers to the field was important, several articles proposed a variety of surgical treatments aimed at this goal during that time (Gul et al., 2015). Pilonidal sinus disease (PSD) is a common infection of the skin in the gluteal cleft, with a prevalence of 0.7% in the general population, more commonly affecting males (male to female ratio: 4:1) between the ages of 15 and 38 years with exceptional occurrence before puberty or after the age of 60 (Hamza et al., 2018). The disease was initially thought to be congenital, due to the failure of fusion in the dorsal midline resulting in entrapment of hair follicles in the sacrococcygeal region; however, more recent research strongly favors an acquired etiology. The etiology of this disease is not fully understood, some are believed to be congenital in origin,