A review of pilonidal sinus lesions and a method of treatment

Flannery, B. P.; Kidd, H. A.

doi:10.1136/pgmj.43.499.353

Cited by 13 publications

(4 citation statements)

References 21 publications

(14 reference statements)

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“…In asymptomatic cases, a painless sinus opening in the midline of the natal cleft region may be found. Most patients complain of pain in the intergluteal region with or without discharge, discomfort when sitting and intermittent swelling [1,4,12]. Our patients' main complaints were pain, discharge (clear fluid or pus) and local swelling, consistent with the literature.…”

Section: Discussionsupporting

confidence: 87%

Comparison of Common Surgical Procedures in Non‐complicated Pilonidal Sinus Disease, a 7‐Year Follow‐Up Trial

et al. 2019

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Background Pilonidal disease is a common problem in primary health care which may require immediate surgical referral. Although various management options have been proposed, so far there is no gold standard treatment. The aim of the present study was to determine which of the following techniques was superior as regards postoperative complications and recurrence, midline unshifted adipofascial turn-over flap, midline shifted adipofascial turn-over flap or Karydakis flap. Methods A randomized clinical trial was conducted in the Department of General Surgery. Patients with noncomplicated pilonidal sinus were enrolled in the study from April 2009 to January 2012. All patients were randomized the day of surgery at the coordinating center by means of a computer program. Patients were randomized to receive midline unshifted adipofascial turn-over flap, midline shifted adipofascial turn-over flap or Karydakis flap. All procedures were performed under local anesthesia and patients were discharged 6 h after surgery. Demographic characteristics, skin color, body hair type, family history, preoperative complaints and duration of symptoms, cyst size, intraoperative iatrogenic cyst rupture, the presence of a tuft of hairs in the cyst, surgical techniques, duration of drainage, length of hospital stay, postoperative complications and recurrence were evaluated. Results One hundred and ninety-two patients with non-complicated pilonidal sinus were enrolled. Seventy-two patients were randomized to midline unshifted adipofascial turn-over flap, 67 patients to midline shifted adipofascial turn-over flap and 53 patients to Karydakis flap. The mean age was 25.66 ± 7.67 years. At 76-month follow-up, the overall complications and recurrence rates were not significantly different between groups (p [ 0.05). Conclusion In cases of non-complicated pilonidal sinus, we recommend surgical management using local anesthesia, outpatient surgery and the surgical approach with which the surgeon is most familiar.

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Section: Discussionsupporting

confidence: 87%

Comparison of Common Surgical Procedures in Non‐complicated Pilonidal Sinus Disease, a 7‐Year Follow‐Up Trial

et al. 2019

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“…The simpler methods of treatment, such as diathermy coagulation (Jacobsen, 1959;Flannery and Kidd, 1967) and incision and brush technique (Lord and Millar, 1965), have the disadvantage that in each technique an incision is made over the sinus. This means that postoperatively the wound has to be dressed and frequent medical supervision is required.…”

Section: Discussionmentioning

confidence: 99%

Pilonidal sinus treated by phenol injection

Shorey

1975

British Journal of Surgery

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“…[23] After inflammation has subsided, a permanent treatment can be applied. [23] • ProcedureSimple incision implies a midline incision through the mouths of the pits and is effective in those cases of so-called raphe cannulization where infection spreads from pit to pit [33,34] . After unroofing the tract it is cleaned and drained.…”

Section: Simple Incision and Drainagementioning

confidence: 99%

Pilonidal Disease- Review Article

Singh¹,

Agrawal²,

Singh³

et al. 2017

AIMDR

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Pilonidal disease is a very common anorectal problem that most often arises in the hair follicles of the natal cleft of the sacrococcygeal area. Successful management depends on adherence to well-described surgical principles based on knowledge of pathogenesis and the patient's presentation. Considerable morbidity from prolonged wound Care can be avoided in these typically healthy patients when their disease is cured at initial presentation.

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A review of pilonidal sinus lesions and a method of treatment

Cited by 13 publications

References 21 publications

Comparison of Common Surgical Procedures in Non‐complicated Pilonidal Sinus Disease, a 7‐Year Follow‐Up Trial

Comparison of Common Surgical Procedures in Non‐complicated Pilonidal Sinus Disease, a 7‐Year Follow‐Up Trial

Pilonidal sinus treated by phenol injection

Pilonidal Disease- Review Article

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