Pilonidal Disease

Khanna, Amit; Rombeau, John L.

doi:10.1055/s-0031-1272823

Cited by 115 publications

(115 citation statements)

References 28 publications

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“…7 Management is variable and guided by the clinical presentation and extensiveness of the disease. 14,[16][17][18] Many procedures right from conservative management to various surgical procedures including shaving, incision and drainage, phenol application, cryosurgery, excision with primary closure, excision and open packing, excision with marsupialization, and recently, flap surgeries. None of them is considered as perfect as far recurrence of diseases is concern.…”

mentioning

confidence: 99%

Prospective randomized study of surgical treatment of pilonidal sinus; primary midline closure after elliptical excision versus rhomboid excision with limberg flap reconstruction versus open excision and healing by secondary intention

et al. 2017

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Background: Best surgical treatment of pilonidal sinus is always challenging for a surgeon in term of recurrence. Evaluation of surgical treatment of pilonidal sinus; primary midline closure after elliptical excision versus rhomboid excision with limberg flap reconstruction versus open excision and healing by secondary intention of sacrococcygeal pilonidal disease.Methods: In this prospective randomized study of 75 patients of sacrococcygeal pilonidal sinus were divided into 3 equal groups through randomly assigning the type of surgery. 25 patients of each group. Group I was operated by primary midline closure after elliptical excision, Group II rhomboid excision with limberg flap reconstruction and Group III open excision and healing by secondary intention.Results: Data was assessed between three groups in term of operative time, healing time and recurrence over a follow up period of 1 year. Mean operative time in group I (primary midline closure after elliptical excision) was 38.7±5.1 minutes, group II (Rhomboid excision with Limberg flap reconstruction) was 124.2±5.6 minutes, group III (Open excision and healing by secondary intention) was 20.6±5.6 minutes. Mean healing time for group I was 19.0±7.4 days, for group II was 17.0±8.0 days and for group III was 60±9.6 days. Recurrence occurred in 3 patients in group I and nil in group II and III.Conclusions: Rhomboid excision with limberg flap reconstruction is better choice than primary midline closure after elliptical excision and open excision in terms of healing time and reoccurrence in cases of sacrococcygeal pilonidal sinus.

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mentioning

confidence: 99%

Prospective randomized study of surgical treatment of pilonidal sinus; primary midline closure after elliptical excision versus rhomboid excision with limberg flap reconstruction versus open excision and healing by secondary intention

et al. 2017

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“…This is a common source of morbidity and loss of work productivity in healthy young adults (3) . A large number of surgical techniques (with varying complexity) have been described in the literature for the treatment of this disease; many of which are unfamiliar to general surgeons.…”

Section: Discussionmentioning

confidence: 99%

“…If given the opportunity to drain spontaneously, this may act as a portal of further invasion and eventually formation of a foreign body granuloma. Infection may result in abscess formation (3) . Microscopically, the sinus where the hair enters is lined with stratified squamous epithelium with slight cornification.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Rhomboidal Flap in Recurrent Pilonidal Sinus

Hassan

Mostafa²,

Al-Kaseer³

2018

The Egyptian Journal of Hospital Medicine

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Background: A pilonidal sinus (PNS) is a small cyst or abscess that occurs in the cleft at the top of the buttocks. A PNS usually contains hair, dirt, and debris. It can cause severe pain and can often become infected. If it becomes infected, it may ooze pus and blood and have a foul odor. The exact cause of pilonidal sinuses is unclear. It is generally thought they are caused by loose hairs pushing into the skin. They could also be caused by deep layers of skin being stretched and moved, leading to a hair follicle rupturing. Aim of the Work: The prospective study aimed at evaluating the outcomes of management of recurrent pilonidal sinuses by rhomboid flap. Patients and Methods: A prospective study of cases with recurrent pilonidal sinus, was done at the department of general surgery at In Al-Azhar University hospitals over the period from July 2017 with medium follow up period of three months. Results: Age: ranged between 17 to 36 years with mean = 24.7±5.57. Sex: included 12 male and 8 female. Conclusion: Based on this study, it seems to us that the rhomboid flap is a good alternative for recurrent sacrococcygeal pilonidal sinus, especially for complex sinuses, and it could be appropriate for cases where simpler techniques have failed. It permits early return to complete activity, does not require prolonged postoperative attention, and has very low recurrence rate and postoperative morbidity which may compensate the inconveniences related to an unfavorable cosmetic look.

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“…According to a study, about 85% patients require surgery ultimately. (9) Many conservative methods are used and are more acceptable to patients in spite of knowing about the possibility of a recurrence. Injections of Phenol or Fibrin glue after debridements of the track are widely used methods.…”

Section: Review Of Literaturementioning

confidence: 99%

“…Recurrence rates after primary closure may be as high as 38%. 9 Flap procedures are suitable for complex or recurrent pilonidal disease, but they require expertise. Flap procedures and excisions by assymetrical incisions take care of correction of the anatomically deep intergluteal cleft, which is the major factor in preventing recurrence.…”

Section: Review Of Literaturementioning

confidence: 99%

Pilonidal Sinus Disease: A Study of Thirty Six Cases

Datey¹,

Vashistha²,

Gupta³

et al. 2015

jemds

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Pilonidal disease is a common acquired surgical problem, which becomes the cause of marked discomfort and absentism amongst young men. It occurs in the cleavage of intergluteal cleft and is infamous for the recurrences following surgery and the associated prolonged wound care. Pilonidal sinus disease usually presents with an acute abscess, which later becomes a sinus with recurrent similar abscesses. Pilonidal sinus disease is of acquired origin and has multifactorial etiology. Many options are available in the management inclusive of conservative methods and operative procedures. Pilonidal sinus disease has remarkable recurrence rates after all the described surgical procedures. We studied cases of pilonidal sinus disease for their demographic pattern, clinical presentation and the applied surgical procedure. Recurrent pilonidal sinuses were evaluated for the possible cause of failure after previous surgical procedure. We present the article with thorough review of recent literature on pilonidal sinus disease.

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Pilonidal Disease

Cited by 115 publications

References 28 publications

Prospective randomized study of surgical treatment of pilonidal sinus; primary midline closure after elliptical excision versus rhomboid excision with limberg flap reconstruction versus open excision and healing by secondary intention

Prospective randomized study of surgical treatment of pilonidal sinus; primary midline closure after elliptical excision versus rhomboid excision with limberg flap reconstruction versus open excision and healing by secondary intention

Evaluation of Rhomboidal Flap in Recurrent Pilonidal Sinus

Pilonidal Sinus Disease: A Study of Thirty Six Cases

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