علاج داء الجيب الشعري المزمن مع جيب تصريف مزمن

Patients with chronic disease will most often present with chronic draining sinus disease in the intergluteal fold.

Those with chronic disease, but without an abscess, can be treated with fibrin glue alone or in conjunction with surgical excision to prevent recurrence.

Excision and primary closure or healing by secondary intention, including marsupialization, are primary therapy options for chronic pilonidal disease with sinuses.

Despite a lack of high-quality evidence for the best nonoperative approach, the main goal of any method is to achieve complete hair and debris removal to resolve the chronic low-grade inflammation.

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