Long-Term Effects of Postoperative Razor Epilation in Pilonidal Sinus Disease

Petersen, Sven; Wietelmann, Kai; Evers, Theo; Hüser, Norbert; Matevossian, Edouard; Doll, Dietrich

doi:10.1007/dcr.0b013e3181972505

Cited by 78 publications

(31 citation statements)

References 23 publications

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“…Why is being in the military a major pilonidal risk factor worldwide? What hair needs to meticulously controlled, if shaving increases recurrence rate [8]? Is it the intergluteal hair?…”

mentioning

confidence: 99%

If You Detonate Dynamite, You Should Know Your Fish

Doll

2017

World j. surg.

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“…Why is being in the military a major pilonidal risk factor worldwide? What hair needs to meticulously controlled, if shaving increases recurrence rate [8]? Is it the intergluteal hair?…”

mentioning

confidence: 99%

If You Detonate Dynamite, You Should Know Your Fish

Doll

2017

World j. surg.

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“…Some evidence suggests that removing hair may increase recurrence rates following surgery. 25 We do not advise depilation following surgery and only remove hair intra-operatively to facilitate the procedure (Fig 5).…”

Section: Discussionmentioning

confidence: 99%

Outcomes in the repair of pilonidal sinus disease excision wounds using a parasacral perforator flap

Venus

Titley

2012

annals

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Outcomes in the repair of pilonidal sinus disease excision wounds using a parasacral perforator flap MR Venus, OG Titley University Hospitals Birmingham NHS Foundation Trust, UK aBsTraCT INTRODUCTION The ideal treatment for pilonidal sinus disease has yet to be defined. There are many approaches described in the literature. METHODS Thirty-five consecutive patients who underwent wide excision of pilonidal sinus disease had the wound repaired using a parasacral perforator flap. Outcomes were assessed by case notes analysis and follow-up telephone and postal questionnaires. RESULTS There were ten minor complications including six minor wound edge dehiscences. There were two ischaemic complications, with one flap loss. There were 3 recurrences of pilonidal disease at a mean follow-up of 33 months, giving a 5-year recurrence free rate of 86%. Of the patients questioned, all would recommend the procedure to someone else despite 69% being dissatisfied with the cosmetic outcome. CONCLUSIONS This series indicates that the parasacral perforator flap technique is able to repair pilonidal sinus excision wounds successfully with minimal morbidity and a low recurrence rate at a mean of follow-up of 33 months. The study suggests that it may be a technique best reserved for recurrent cases of pilonidal sinus disease. Patients feel the procedure is successful despite reservations regarding the cosmetic outcome.

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“…As a matter of fact, removal of the hair in the natal cleft can prevent inflammation and recurrence of PNS. Nevertheless, regular razor epilation of hair increased the recurrence rate of PNS (66). Razor hair epilation can insert hair into skin and thus, it can aid in PNS recurrence and inflammation.…”

Section: Role Of Laser Hair Removal (Lhr)mentioning

confidence: 99%

Nd:YAG Laser (1064 nm) in Management of Pilonidal Sinus

Badawy¹

2012

Nd YAG Laser

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Long-Term Effects of Postoperative Razor Epilation in Pilonidal Sinus Disease

Cited by 78 publications

References 23 publications

If You Detonate Dynamite, You Should Know Your Fish

If You Detonate Dynamite, You Should Know Your Fish

Outcomes in the repair of pilonidal sinus disease excision wounds using a parasacral perforator flap

Nd:YAG Laser (1064 nm) in Management of Pilonidal Sinus

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