25 years’ experience in the management of pilonidal sinus disease
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TLDR
Data showed that excision with packing had the highest cure rate (85%), followed by excision and primary closure (65%), and then phenol (55%), and the surgeon’s familiarity with the techniques were important factors in the choice of treatment modality.Abstract:
Pilonidal sinus disease is a common medical condition
that accounts for almost 15% of anal suppurations with high morbidity. Its
management is subject to many variations. In this study, a 25-year experience
from 1984 to 2009 of treating pilonidal sinus disease is being reported. A
total of 252 patients were included in the study. They were treated by phenol
injection, excision and primary closure, or excision and packing. Data showed
that excision with packing had the highest cure rate (85%), followed by
excision and primary closure (65%), and then phenol (55%). As for the healing
duration, the shortest was for excision and primary closure, followed by the
phenol injection. However, excision and packing had the least recurrence rate
(12%), compared to phenol and excision with primary closure 26.5% and 23%,
respectively. The authors recommended excision and packing. However, hospital
stay, missed days of work, recurrence rates, and the surgeon’s familiarity with
the techniques were important factors in the choice of treatment modality.read more
Citations
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Journal ArticleDOI
Common surgical procedures in pilonidal sinus disease: A meta-analysis, merged data analysis, and comprehensive study on recurrence.
Verena K. Stauffer,Markus M. Luedi,Peter Kauf,M. Schmid,Maja Diekmann,Katharina Wieferich,Beat Schnüriger,Dietrich Doll +7 more
TL;DR: Recurrence in PSD is highly dependent on surgical procedure and by follow-up time; both must be considered when drawing conclusions regarding the efficacy of a procedure.
Journal ArticleDOI
Impact of geography and surgical approach on recurrence in global pilonidal sinus disease.
Dietrich Doll,Andriu Orlik,Katharina Maier,Peter Kauf,Marco Schmid,Maja Diekmann,Andreas Vogt,Verena K. Stauffer,Markus M. Luedi +8 more
TL;DR: The analysis shows that recurrence rates in PSD not only depend on therapeutic approaches and follow-up time but also on geography, and primary asymmetric closure and various flap techniques remain superior regardless of the geographical region.
Journal ArticleDOI
Comparison of Primary Midline Closure, Limberg Flap, and Karydakis Flap Techniques in Pilonidal Sinus Surgery.
Murathan Erkent,İbrahim Tayfun Şahiner,Mesut Bala,Murat Kendirci,Murat Baki Yildirim,Ramazan Topcu,Settar Bostanoğlu,Mete Dolapci +7 more
TL;DR: When low recurrence rates, patient comfort, and cosmetic results are evaluated together, KF in particular emerges as a method preferred by physicians and patients.
Journal Article
Treatment options for pilonidal sinus.
TL;DR: Off-midline repair is now considered the standard of care for pilonidal sinus disease, however, no statistically significant difference has been noted between primary versus secondary closure or between the Karydakis flap and Limberg flap.
Journal ArticleDOI
Preauricular Pilonidal Sinus: The first reported case
TL;DR: To the authors' knowledge, this is the first reported case in which pilonidal sinus occurs in preauricular area in a 22-year-old male, who presented with pain and pus discharge from the right pre auricular area since two years.
References
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Journal ArticleDOI
Patient characteristics and symptoms in chronic pilonidal sinus disease.
TL;DR: Male sex, adolescence or youth, and a familial disposition seem to be associated with the development of pilonidal sinus disease, and local trauma and overweight are the most important conditioning factors for development of symptomatic pil onidal sinuses disease.
Journal ArticleDOI
Pilonidal sinus: finding the right track for treatment.
TL;DR: En bloc excision of pilonidal sinus with secondary healing should be abandoned and emphasis given to development of treatments, such as primary asymmetric closure, which have more potential.
Journal ArticleDOI
Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta-analysis
TL;DR: In this paper, a systematic review and meta-analysis of randomised controlled trials was conducted to determine the relative effects of open healing compared with primary closure for pilonidal sinus.
Journal ArticleDOI
New approach to the problem of pilonidal sinus
TL;DR: Almost 1687 cases of pilonidal sinus have been treated by an operation which places resistant skin at the depth of the intergluteal fold, and follow-up suggests a low recurrence-rate.
Journal ArticleDOI
Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options
TL;DR: Pilonidal sinus disease consists in a symptoms complex with presentations ranging from asymptomatic pits to painful draining lesions that are predominantly located in the sacrococcygeal region and no one method is universally acceptable.