A pilonidal cyst is a common benign condition located posterior and superior to the anal region.
Symptoms include:
• Pruritus
• Discharge
• Pain accompanied by erythema and swelling of the area
It may occur at any age but is more frequently observed in younger individuals.
Contributing factors include dense hair growth, sedentary lifestyle, and inadequate local hygiene.
Diagnosis is established through simple clinical examination by a surgeon.
Patients diagnosed with a pilonidal cyst must undergo surgical treatment; there is no alternative therapy.
Surgical intervention prevents symptom progression and the formation of sinus tracts, which can significantly affect quality of life.
This technique represents a newer surgical method for the management of pilonidal cysts.
Through a very small opening (2–3 mm), the cyst and any associated sinus tracts are cleaned.
A specialised endoscopic instrument is required to perform the video-assisted/endoscopic treatment of the pilonidal cyst.
The procedure is carried out under general (or epidural) anaesthesia.
Following endoscopic debridement and removal of the cyst wall under direct vision through the small opening, no large open wound is created, and no sutures are placed for wound closure.
The small access opening is allowed to heal by secondary intention.
Postoperative course:
• No pain
• No large wound
For approximately 15–20 days, meticulous local hygiene with small quantities of normal saline is required.
Specialised surgical training is essential. I was personally trained by the Italian surgeon LOGO, who pioneered this technique.
