Pilonidal Sinus Disease: A 10-Year Review Reveals Occupational Risk Factors and the Superiority of the Minimal Surgery Trephine Technique

Levinson, Tal; Sela, Tamar; Chencinski, Shmuel; Derazne, Estela; Tzur, Dorit; Elad, Hadar; Kreiss, Yitshak

doi:10.7205/milmed-d-14-00729

Cited by 31 publications

(21 citation statements)

References 19 publications

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“…In a larger population study, Levinson and colleagues evaluated 3400 patient records in the Israeli military, where the Gips technique is the standard-of-care, and compared outcomes and convalescence times with that of civilian hospitals where there is no standard treatment. This analysis showed sick days to be reduced from 38 days to 25 days with the minimally invasive Gips technique [15].…”

Section: Discussionmentioning

confidence: 95%

“…For adolescents, the activity restrictions mandated through the perioperative period and the painful, embarrassing side effects associated with recurrences often lead to a disruption of schooling and social life during an important time in development [3,10]. Minimally invasive approaches such as sinusectomy are associated with minimal social disruption and no activity restrictions [11][12][13][14][15]. Additionally, smaller studies have shown promising results in the application of laser epilation in the primary or secondary management of pilonidal disease [16][17][18][19].…”

mentioning

confidence: 99%

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Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

Delshad

Henry

Mooney

2020

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

Delshad

Henry

Mooney

2020

Journal of Pediatric Surgery

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“…Whereas the recurrence rate may seem high, it should be noted that the same method can be used repeatedly with similar results, suggesting that over 90% can be healed with 1-2 operations [17,18,30].…”

Section: Schlüsselwörtermentioning

confidence: 97%

“…Gips popularized this method by using trephines instead of a scalpel for the excision. Results of the Lord and Millar/ Gips technique in over 7000 patients have been described in 9 reports [4,7,11,18,19,22,28,30]. The reported recurrence rates vary from 3 to 28%, with around 25% in the larger studies with longer follow-up.…”

Section: Excision Of Sinuses Through Minimal Separate Excisionsmentioning

confidence: 99%

Less invasive pilonidal sinus surgical procedures

Andersson

2019

coloproctology

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Less invasive pilonidal sinus surgical proceduresMinimally invasive surgery for pilonidal disease is simple, safe, and cost-efficient, with low morbidity, rapid healing, and a rapid return to normal activity. Although recurrence rates seem high at first glance, the procedures can be successfully repeated for recurrences, achieving healing rates of over 90% for 1-2 interventions. Future welldesigned trials are necessary to aid patient selection.

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“…Pilonidal sinus disease was first defined in the literature in 1833 by Herbert Mayo as sinus containing hair (1). Generally, it can be seen at all ages, but is most common in the second and third decades with incidence identified as 26/100.000 (0.026) (2). It is reported to be two times more common in males compared to females (3).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Pilonidal Sinus Morphology on Surgical Selection

Gumusoglu¹,

Ertürk²

2019

btd

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ÖZAmaç: Biz bu çalışmamızda, cerrahi tedavi uygulanan pilonidal sinüs tanılı hastalarımızın histo-patolojik verilerinden yola çıkarak, kliniğimizde seçilen cerrahi tekniğin belirlenmesinde göz önüne alınan morfolojik parametreleri retrospektif olarak ortaya çıkarmayı ve ileride uygulanacak olan cerrahi girişimlerin seçiminde kullanılabilir algoritmaların oluşturulması için bir temel oluşturabilmeyi amaçladık.Yöntemler: Bu çalışmada, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Genel Cerrahi Anabilim Dalı'nda 2007 ile 2011 yılları arasında pilonidal sinüs tanısı ile farklı cerrahlar tarafından opere edilen 594 hastanın histopatoloji raporları retrospektif olarak incelendi. Piyesin boyutu, orifis sayısı ve çapı, eksizyon materyalinin boyutu, cerrahi sınır (fistül ağzının en yakın cerrahi sınıra olan mesafesi) parametreleri elde edildi. Histo-patolojik verilerin yanı sıra, hastaların yaş ve cinsiyetlerinin operasyon seçimine etkisi de araştırıldı.Bulgular: Limberg flebi ile onarım, %68,7'lik oran ile en çok tercih edilen yöntem olarak belirlendi. Limberg grubunda fleb alanı ve cerrahi sınır diğer üç ameliyat grubundan anlamlı olarak yüksek bulunmuştur (p<0,05). Marsupiyalizasyon yönteminin, limberg, karydakis ve primer tamir ameliyatlarına göre, her geçen yıl kendi içinde anlamlı düzeyde daha fazla tercih edildiği gözlenmiştir (p<0,05). Tüm yöntemler incelendiğinde Karydakis ve primer tamir uygulanan kadınların erkek hastalara göre oranı, diğer iki yöntemdeki orandan anlamlı fazla bulunmuştur (p<0,001).Sonuç: Patolojik verilerden yola çıkarak yaptığımız inceleme sonucunda cerrahların pilonidal sinüs tedavi yöntemi tercihinde hastanın cinsiyetine, hastalığın derecesine, iyileşme sürecine, uyguladıkları cerrahi yönteme alışkanlıklarına ve rezeksiyon materyalinin genişliğine göre karar verdikleri görülmektedir. Anahtar Kelimeler: Pilonidal sinüs, limberg, karydakis, primer tamir, marsupiyalizasyonObjective: In this study we aimed to reveal the morphological parameters which are taken into account when determining the surgical technique and to define an algorithm to determine the surgical procedure for future patients, based on the histopathological data of patients who underwent surgical treatment for pilonidal disease, retrospectively. Methods:In this study histopathology reports of 594 patients who were operated by different surgeons between 2007 and 2011 at Istanbul University Cerrahpasa School of Medicine General Surgery Department were evaluated retrospectively. By evaluating the histopathology reports of patients retrospectively, we acquired data on specimen size, number and radius of orifice, size of excision material and surgical margin. Besides histopathological findings, we also researched the effects of patient age and gender on the surgical selection. Results:The Limberg flap was the most preferred method with a ratio of 68.7%. The Limberg flap region and surgical margin were significantly higher than the other three surgical groups (p<0.05). Unlike the limberg, karydakis and primary repair methods; patie...

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Pilonidal Sinus Disease: A 10-Year Review Reveals Occupational Risk Factors and the Superiority of the Minimal Surgery Trephine Technique

Cited by 31 publications

References 19 publications

Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol

Less invasive pilonidal sinus surgical procedures

The Effects of Pilonidal Sinus Morphology on Surgical Selection

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