Pilonidal Sinus Resources

Pilonidal Sinus Downloads

Info - Flyer, forms, bibliography for Pilonidal Sinus

Knowledge is better than belief

On the one hand, here you will find our bibliography so that you can read the references to our opinion for yourself.

Practical: Our forms

Furthermore, we have compiled all of the internal forms so that you can prepare yourself perfectly for your appointment in our practice.

Informative: Our flyers

For your information you will find all information material of our practice as PDF files here.

For those of you who want to know more...
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    Info flyer practice german

    Pilonidal Sinus - OP

    What should be considered before the Pilonidal Sinus operation, how does the outpatient treatment proceed, what is the aftercare like?
    Info flyer: Treatment procedure at Pilonidal Sinus OP

    Laser treatment

    Laser therapy at Pilonidal Sinus Info Flyer
    Info flyer: Laser at Pilonidal Sinus

    Laser applications

    Information flyer about laser technology and application at Pilonidal Sinus, hair removal, hemorrhoids and varices
    Laser treatments in proctology - Information for patients

    Info Flyer Practice English

    Pilonidal Surgery (e)

    Info Flyer Pilonidal Sinus Treatment english
    Info flyer: Outpatient pilonidal surgery

    laser treatment

    Info Flyer Laser Therapy Pilonidal Sinus
    Info flyer: Laser in Pilonidal Sinus Treatment

    Forms / Forms

    Registration private patients (d)

    Registration private liquidation company Medas (german)

    Registration for Private Patients (e)

    Registration for Private Patients (english)

    Private medical treatment contract

    Private medical treatment contract practice Dr. Bernhard Hofer

    Contract for Private Patients

    Treatment Contract for Private Patients

    Application for assumption of costs IGV

    Consent Application Individual decision

    Data release declaration IGV

    Consent to data transfer for billing via health care contract for company health insurance funds


    Pilonidal Sinus general, wound care

    Ardelt, M., Dittmar, Y., Kocijan, R., Rödel, J., Schulz, B., Scheuerlein, H., & Settmacher, U. (2016). Microbiology of the infected recurrent sacrococcygeal pilonidal sinus. International Wound Journal, 13(2), 231-237.

    Armstrong, D. G., Bohn, G., Glat, P., Kavros, S. J., Kirsner, R., Snyder, R., & Tettelbach, W. (2015). Expert Recommendations for the Use of Hypochlorous Solution: Science and Clinical Application. Ostomy/wound management, 61(5), S2-S19.

    Aysan, E., Ilhan, M., Bektas, H., Kaya, E. A., Sam, B., Buyukpinarbasili, N., & Muslumanoglu, M. (2013). Prevalence of sacrococcygeal pilonidal sinus as a silent disease. Surgery Today, 43(11), 1286-1289.

    Bascom, J. (1980). Pilonidal disease: origin from follicles of hairs and results of follicle removal as treatment. Surgery, 87(5), 567-572.

    Bosche, F., Luedi, M., Cyprus, D., Moersdorf, P., Krapohl, B., & Doll, D. (2017). The Hair in the Sinus: Sharp-Ended Rootless Head Hair Fragments can be Found in Large Amounts in Pilonidal Sinus Nests. World Journal of Surgery, 42(2), 567-573.

    Carter, D., Blair, S., Cokcetin, N., Bouzo, D., Brooks, P., Schothauer, R., & Harry, E. (2016). Therapeutic Manuka Honey: No Longer So Alternative. Frontiers in Microbiology, 7,

    Cubukçu, A., Carkman, S., Gönüllü, N. N., Alponat, A., Kayabaşi, B., & Eyüboğlu, E. (2001). Lack of evidence that obesity is a cause of pilonidal sinus disease. The European journal of surgery = Acta chirurgica, 167(4), 297-298. 

    Curtis, A. (2018). Why use manuka honey? The Veterinary Nurse, 9(10), 513-524.

    Dahl, H. D., & Henrich, M. H. (1992). Light and scanning electron microscopy studies of the pathogenesis of pilonidal sinus and anal fistula [Light and scanning electron microscopy study of the pathogenesis of pilonidal sinus and anal fistula]. Langenbeck's archive for surgery, 377(2), 118-124

    Davis, K. A., Mock, C. N., Versaci, A., & Lentrichia, P. (1994). Malignant degeneration of pilonidal cysts. The American surgeon, 60(3), 200-204.

    Delshad, H., Dawson, M., Melvin, P., Zotto, S., & Mooney, D. (2019) Pit-picking resolves pilonidal disease in adolescents. Journal of pediatric surgery, 54(1), 174-176.

    Dill D. (2013) Challenges in nail surgery. Ingrown nails: high risk of recurrence even with surgery. Symposium "Hair and Nails". aesthetic dermatology & cosmetology volume 5, page15

    Doll, D., Bosche, F., Hauser, A., Moersdorf, P., Sinicina, I., Grunwald, J., Reckel, F., & Luedi, M. (2018). The presence of occipital hair in the pilonidal sinus cavity-a triple approach to proof. International Journal of Colorectal Disease, 33(5), 567-576.

    Fernández, L. G., Matthews, M. R., & Seal, L. (2020). Intraabdominal lavage of hypochlorous acid: A New Paradigm for the Septic and Open Abdomen. Wounds : a compendium of clinical research and practice, 32(4), 107-114.

    (2011). Fluid Lavage of Open Wounds (FLOW): A Multicenter, Blinded, Factorial Pilot Trial Comparing Alternative Irrigating Solutions and Pressures in Patients With Open Fractures. The Journal of Trauma: Injury, Infection, and Critical Care, 71(3), 596-606.

    Girma, A., Seo, W., & She, R.. (2019). Antibacterial activity of varying UMF-graded manuka honeys. PLoS ONE, 14(10),

    Gold, M. H., Andriessen, A., Bhatia, A. C., Bitter, P., Jr, Chilukuri, S., Cohen, J. L., & Robb, C. W. (2020). Topical stabilized hypochlorous acid: The future gold standard for wound care and scar management in dermatologic and plastic surgery procedures. Journal of cosmetic dermatology, 19(2), 270-277.

    Harriott, M. M., Bhindi, N., Kassis, S., Summitt, B., Perdikis, G., Wormer, B. A., Rankin, T. M., Kaoutzanis, C., Samaha, M., Stratton, C., & Schmitz, J. E. (2019). Comparative Antimicrobial Activity of Commercial Wound Care Solutions on Bacterial and Fungal Biofilms. Annals of plastic surgery, 83(4), 404-410. 

    Jackman, R. (1962). The etiology of pilonidal sinus. Diseases of the Colon & Rectum, 5(1), 28-36-28&ndash-ndash;36-28-36.

    Kucera, J., Coley, I., O'Hara, S., Kosnik, E., & Coley, B. (2014). The simple sacral dimple: diagnostic yield of ultrasound in neonates. Pediatric Radiology, 45(2), 211-216.

    Lord, P. (1975). Anorectal problems: Etiology of pilonidal sinus. Diseases of the Colon & Rectum, 18(8), 661-664

    Main, R. (2008). Should chlorhexidine gluconate be used in wound cleansing? Journal of Wound Care, 17(3), 112-114.

    Martino, A., De Martino, C., Pisapia, A., Maharajan, G., & Evangelista, M. (2011). Squamous-cell carcinoma arising in a pilonidal sinus: case report and review of the literature. BMC Geriatrics, 11(Suppl1), A28-A28.

    Mayo, O.H. (1833). Observations on injuries and disease of rectum. Burgess and Hill, London, pp 45 - 46

    Midtgaard, H. G., & Eiholm, S. (2012). Pilonidalsygdom er en benign lidelse [Pilonidal disease is a benign condition]. Ugeskrift for laeger, 174(46), 2855-2859.

    Ommer, A., Berg, E., Breitkopf, C., Bussen, D., Doll, D., Fürst, A., Herold, A., Hetzer, F., Jacobi, T., Krammer, H., Lenhard, B., Osterholzer, G, Petersen, S., Ruppert, R., Schwandner, O., Sailer, M., Schiedeck, T., Schmidt-Lauber, M., Stoll, M., Strittmatter, B., & Iesalnieks, I. (2014).S3 guidance: Sinus pilonidalis. coloproctology, 36(4), 272-322.

    Page, B. (1969). The entry of hair into a pilonidal sinus. British Journal of Surgery, 56(1), 32-32

    Karydakis, G. (1974). New approach to the problem of pilonidal sinus. Lancet (London, England), 2(7843), 1414-5.

    Søndenaa, K., Andersen, E., Nesvik, I., & Søreide, J. (2004). Patient characteristics and symptoms in chronic pilonidal sinus disease. International Journal of Colorectal Disease, 10(1), 39-42.

    Tezel, E. (2007). A new classification according to navicular area concept for sacrococcygeal pilonidal disease. Colorectal Disease, 9(6)

    Tezel, E., Leventoglu, S., & Wysockı, A. (2019). Trends toward atailored approach for pilonidal sinus disease. coloproctology, 41(2), 121-126.

    Wilson, P., Hayes, E., Barber, A., & Lohr, J. (2016) Screening for Spinal Dysraphisms in Newborns With Sacral Dimples. Clinical Pediatrics, 55(11), 1064-1070.

    Yildiz, T., Elmas, B., Yucak, A., Turgut, H. T., & Ilce, Z. (2017). Risk factors for pilonidal sinus disease in teenagers. Indian journal of pediatrics, 84(2), 134-138.

    Ypsilantis, E., Carapeti, E., & Chan, S. (2015). The use of topical 10% metronidazole in the treatment of non-healing pilonidal sinus wounds after surgery. International Journal of Colorectal Disease, 31(3), 765-767.

    Hair Removal

    Alijanpour, R., & Aliakbarpour, F. (2017). A randomized clinical trial on the comparison between hair shaving and snipping prior to laser hair removal sessions in women suffering from hirsutism. Journal of Cosmetic Dermatology, 16(1), 70-75.

    Fernandez, A., França, K., Chacon, A., & Nouri, K. (2013). From flint razors to lasers: a timeline of hair removal methods. Journal of Cosmetic Dermatology, 12(2), 153-162.

    Kiene, J., Maiman, R., & DeKlotz, C. (2020). Severe irritant reaction following sequential waxing and use of a chemical depilatory cream in an adolescent. Pediatric Dermatology, 37(1), 190-191.

    Lim, V., Simmons, B., Maranda, E., Afifi, L., Kallis, P., & Jimenez, J. (2016). Sugaring-Modern Revival of an Ancient Egyptian Technique for Hair Removal. JAMA Dermatology, 152(6), 660-660.

    Laser Treatments

    Bringmann, W.: low-level laser therapy. 2015, Füchtenbusch-Verlag Starnberg (Textbook)

    Cartlidge, E. (2007). Theodore Maiman 19272007. Physics World, 20(6)

    Conroy, F. J., Kandamany, N., & Mahaffey, P. J. (2008). Laser depilation and hygiene: preventing recurrent pilonidal sinus disease. Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 61(9), 1069-1072.

    Maiman, T.H. (1960): Stimulated Optical Radiation in Ruby. Nature, No. 4736

    Raulin C. and Karzai S. (eds.), Laser and IPL Technology in Dermatology and Aesthetic Medicine , DOI: 10.1007/978-3-642-03438-1_2, © Springer- Verlag Berlin Heidelberg 2011

    Plastic closure techniques

    Bascom, J., & Bascom, T. (2002). Failed pilonidal surgery: new paradigm and new operation leading to cures. Archives of Surgery, 137(10), 1146-1150.

    Bozkurt, M., & Tezel, E. (2005). Management of pilonidal sinus with the limberg flap. Diseases of the Colon & Rectum, 41(6), 775-777

    Favuzza, J., Brand, M., Francescatti, A., & Orkin, B. (2015). Cleft lift procedure for pilonidal disease: technique and perioperative management. Techniques in Coloproctology, 19(8), 477-482.

    Maruyama, Y. (2001). Sacral adipofascial turn-over flap for the excisional defect of pilonidal sinus. Plastic & Reconstructive Surgery, 108(7), 2006-2010-2006.

    Petersen, S., Aumann, G., Kramer, A., Doll, D., Sailer, M., & Hellmich, G. (2007). Short-term results of Karydakis flap for pilonidal sinus disease. Techniques in Coloproctology, 11(3), 235-240.

    Wysocki, A.P., & Doll, .D. (2019). Missing Points in Pilonidal Disease: Management. Diseases of the Colon & Rectum, 62(4),

    FiLaC / SiLaC/EPSiT

    Dessily, M., Dziubeck, M., Chahidi, E., & Simonelli, V. (2019). The SiLaC procedure for pilonidal sinus disease: long-term outcomes of a single institution prospective study. Techniques in Coloproctology, 23(12), 1133-1140.

    Giamundo P, Geraci M, Tibaldi L, Valente M (2013) Closure of fistula-in-ano with laser-FiLaC™: an effective novel sphincter-saving procedure for complex disease. Colorectal Dis 16:110-115

    Meinero, P., Mori, L., & Gasloli, G. (2013) Endoscopic pilonidal sinus treatment (E.P.Si.T.). Techniques in Coloproctology, 18(4), 389-392.

    Milone, M., Musella, M., Di Spiezio Sardo, A., Bifulco, G., Salvatore, G., Sosa Fernandez, L., Bianco, P., Zizolfi, B., Nappi, C., & Milone, F. (2014). Video-assisted ablation of pilonidal sinus: A new minimally invasive treatment-A pilot study. Surgery, 155(3), 562-566.

    Wilhelm, A. (2011). A new technique for sphincter-preserving anal fistula repair using a novel radial emitting laser probe. Techniques in Coloproctology, 15(4), 445-449.

    Treatment without surgery

    Allegranzi, B., Bischoff, P., de Jonge, S., Kubilay, N. Z., Zayed, B., Gomes, S. M., Abbas, M., Atema, J. J., Gans, S., van Rijen, M., Boermeester, M. A., Egger, M., Kluytmans, J., Pittet, D., Solomkin, J. S., & WHO Guidelines Development Group (2016). New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. The Lancet. Infectious diseases, 16(12), e276-e287.

    Armstrong, J., & Barcia, P. (1994). Pilonidal Sinus Disease: The Conservative Approach. Archives of Surgery, 129(9), 914-918.

    Arslan NC, Degirmenci AK, Ozdenkaya Y, Terzi C. Wound Irrigation with Chlorhexidine Gluconate Reduces Surgical Site Infection in Pilonidal Disease: Single-Blind Prospective Study. Surg Infect (Larchmt). 2020 Mar;21(2):143-149. 

    Berríos-Torres, S., Umscheid, C., Bratzler, D., Leas, B., Stone, E., Kelz, R., Reinke, C., Morgan, S., Solomkin, J., Mazuski, J., Dellinger, E., Itani, K., Berbari, E., Segreti, J., Parvizi, J., Blanchard, J., Allen, G., Kluytmans, J., Donlan, R., & Schecter, W. (2017). Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surgery, 152(8), 784-791.

    Breidablik, H., Lysebo, D., Johannessen, L., Skare, Andersen, J., & Kleiven, O. (2020). Effects of hand disinfection with alcohol hand rub, ozonized water, or soap and water: time for reconsideration? The Journal of Hospital Infection, 105(2), 213-215.

    Cherian, P., Gunson, T., Borchard, K., Tai, Y., Smith, H., & Vinciullo, C. (2013). Oral antibiotics versus topical decolonization to prevent surgical site infection after Mohs micrographic surgery-a randomized, controlled trial. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 39(10), 1486-1493. 

    Cooper R. A. (2007). Iodine revisited. International wound journal, 4(2), 124-137. https://doi.org/10.1111/j.1742-481X.2007.00314.x

    Castelain F, Girardin P, Moumane L, Aubin F, Pelletier F. Anaphylactic reaction to povidone in a skin antiseptic. Contact dermatitis. 2016 Jan;74(1):55-6. doi: 10.1111/cod.12473. PMID: 26690279.

    Edmiston, C., & Leaper, D. (2017). Should preoperative showering or cleansing with chlorhexidine gluconate (CHG) be part of the surgical care bundle to prevent surgical site infection?. Journal of Infection Prevention, 18(6), 311-314.

    Fernandez, R., & Griffiths, R. (2012). Water for wound cleansing. The Cochrane database of systematic reviews, (2), CD003861

    Harris, C., Sibbald, R., Mufti, A., & Somayaji, R. (2016). Pilonidal sinus disease: 10 Steps to Optimize Care. Advances in Skin & Wound Care, 29(10), 469-478.

    Le Pabic F, et al. First case of anaphylaxis to iodinated povidone. Allergy 58: 826-827, No. 8, Aug 2003 - France

    Liu, J., Werner, J., Kirsch, T., Zuckerman, J., & Virk, M. (2018). Cytotoxicity evaluation of chlorhexidine gluconate on human fibroblasts, myoblasts, and osteoblasts. Journal of Bone and Joint Infection, 3(4), 165-172.

    McDonnell, G., & Russell, A. D. (1999). Antiseptics and disinfectants: activity, action, and resistance. Clinical microbiology reviews, 12(1), 147-179.

    Okano, M., Nomura, M., Hata, S., Okada, N., Sato, K., Kitano, Y., Tashiro, M., Yoshimoto, Y., Hama, R., & Aoki, T. (1989). Anaphylactic symptoms due to chlorhexidine gluconate. Archives of Dermatology, 125(1), 50-52.

    Willy, C., Scheuermann-Poley, C., Stichling, M., von Stein, T., & Kramer, A. (2017). Importance of wound irrigation solutions and fluids with antiseptic effect in therapy and prophylaxis : Update 2017. The Trauma Surgeon, 120(7), 549-560.

    pit picking

    Bosche, F., Luedi, M., Cyprus, D., Moersdorf, P., Krapohl, B., & Doll, D. (2017). The Hair in the Sinus: Sharp-Ended Rootless Head Hair Fragments can be Found in Large Amounts in Pilonidal Sinus Nests. World Journal of Surgery, 42(2), 567-573.

    Buie, L. (1944). Jeep Disease. Southern Medical Journal, 37(2), 103-109-103-109.

    Chintapatla, S., Safarani, N., Kumar, S., & Haboubi, N. (2003). Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Techniques in Coloproctology, 7(1), 3-8.

    Hodge, R.M. (1880). Pilonidal sinus. Boston Med Surg J 103:485-6, 493, 544

    Multani, J., & Kives, S. (2015). Dermoid cysts in adolescents. Current Opinion in Obstetrics and Gynecology, 27(5), 315-319.

    Palmer, W. (1959). Pilonidal disease A new concept of pathogenesis. Diseases of the Colon & Rectum, 2(3), 303-307-303&ndash-ndash;307-303-307.

    Page, B. (1969). The entry of hair into a pilonidal sinus. British Journal of Surgery, 56(1), 32-32.

    Patey D.H., Scarff R.W. (1946): Pathology of postanal pilonidal sinus; its bearing on treatment. Lancet. 1946 Oct 5;2(6423):484-6. 

    Bascom, J. (1983). Pilonidal disease Long-term results of follicle removal. Diseases of the Colon & Rectum, 26(12), 800-807-800&ndash-ndash;807-800-807.

    Colov, E., & Bertelsen, C. (2013). Short convalescence and minimal pain after out-patient Bascom's pit-pick surgery... Danish medical bulletin, 58(12), A4348A4348-AA4348.

    Ehrl, D., Choplain, C., Heidekrueger, P., Erne, H., Rau, H., & Broer, P. (2017). Treatment Options for Pilonidal Disease... The American surgeon, 83(5), 453-457.

    Iesalnieks, I., Deimel, S., Kienle, K., Schlitt, H., & Zülke, C. (2011). Pit-picking surgery in patients with pilonidal sinus. The surgeon, 82(10), 927-931.

    Iesalnieks, I., Deimel, S., & Schlitt, H. (2014). "Pit-picking" surgery in patients with pilonidal sinus. The surgeon, 86(5), 482-485.

    Lord, P., & Millar, D. (1965). Pilonidal sinus: A simple treatment. British Journal of Surgery, 52(4), 298-300.

    Oliveira, A., Barroso, C., Osório, A., & Correia-Pinto, J. (2019). Minimally Invasive Surgical Treatment of Pilonidal Disease: Mid-Term Retrospective Analysis of a Single Center. Frontiers in Pediatrics, 7,


    Johnson, E. (2018). Expert Commentary on Pilonidal Disease: Management and Definitive Treatment. Diseases of the Colon & Rectum, 61(7), 777-779.

    Tiwari, R., Sharma, V., Pandey, R., & Shukla, S. (2020). Nicotine addiction: neurobiology and mechanism. Journal of Pharmacopuncture, 23(1), 1-7.

    Acne inversa

    Saunte, D., & Jemec, G. (2017). Hidradenitis suppurativa. JAMA, 318(20), 2019-2032.

    Ayurvedic medicine