Pilonidal sinus disease: a review. Part one.

This article is in two parts. The overall aim is to review the literature relating to the management of pilonidal sinus disease and to explore the impact the disease has on those who suffer with it, predominantly young people. Part one reviews the literature and provides the rationale for the study design. Part two will detail the study and outline implications for practice. In addition to stimulating debate of the pathophysiology of pilonidal sinus disease and its surgical management, most importantly, this study is designed to increase understanding of the impact the disease has on young people and the professional lessons that can be learned to support those who live with it over many months and sometimes years.