J Korean Orthop Assoc.  2019 Apr;54(2):197-202. 10.4055/jkoa.2019.54.2.197.

Wide Excision Using Indigo-Carmine to Minimize the Recurrence of a Pilonidal Cyst: Technical Note

  • 1Department of Orthopaedic Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. kwj9383@hanmail.net
  • 2Department of Orthopaedic Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.


The cause of a pilonidal cyst is unclear, and treatment is still under debate. In Korea, the incidence of this disease is lower than that of Western countries, and it has often been misdiagnosed as a simple abscess. When pilonidal cysts are diagnosed, the principle of treatment is not to leave a residue, and a wide excision is needed to reduce the recurrence rate. This paper introduces a wide excision technique using Indigo-carmine dye to minimize the recurrence of a pilonidal cyst.


pilonidal cyst; sacrococcygeal region; skin neoplasms/therapy
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