Pilonidal Sinus Excision: New Vision

Nada, Mona; Salama, Tamer M Said

doi:10.4172/2161-1076.1000274

Cited by 2 publications

(6 citation statements)

References 11 publications

(11 reference statements)

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“…20-35 years and the mean age was 26.82 in females (SD = 8.43) and 27.21 in males (SD = 8.03). Studies conducted by Khan et al, 18 Priyadarshi, 19 Kement et al 20 showed similar finding, while mean age was 27.16 in study conducted by Nada et al 1 Maximum number of respondents was students followed by IT industry employees, 7.08% were obese and almost 75% were overweight. Occupation and lifestyle play an important role in causation and recurrence of PSD.…”

Section: Discussionmentioning

confidence: 61%

“…Pilonidal sinus disease is a chronic inflammation resulting from invasive hair into skin, mostly seen in sacrococcygeal natal cleft and usually presented by inflammation, abscess and sinus formation. 1 During the Second World War, pilonidal disease very commonly appeared in jeep drivers, Proctologist Louis Buie described it as, "jeep disease". 2 The prevalence in Asia and Africa is less as compared to Europe and north America.…”

Section: Introductionmentioning

confidence: 99%

“…9 Clinical presentation may vary from asymptomatic inflammation, acute abscess to chronic condition characterised by complications like multiple sinus tracks. 1,10,11 It is an acquired condition in which hair, due to movements of buttock, is invaded into the skin of natal cleft 12 the foreign body reaction provoked by the broken or overturned hair leads to hair filled abscess cavity. This folliculitis is characterised by mid line pits.…”

Section: Introductionmentioning

confidence: 99%

“…13,14 The condition, though not life threatening, is socially embarrassing and adversely affect the quality of life of patients. 1 The ideal treatment for a pilonidal sinus varies according to the clinical presentation of the disease. For acute pilonidal abscess physicians focus more on conservative management while surgical management is required in chronic and complex or recurrent disease.…”

Section: Introductionmentioning

confidence: 99%

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Laser pilonidotomy — a new approach in management of complex pilonidal sinus disease: an exploratory study

Porwal¹,

Gandhi²,

Kulkarni³

2020

Journal of Coloproctology

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Background The treatment of pilonidal sinus disease still remains challenging mainly because of multiple factors responsible for wound healing and its recurrence. With recent advances in surgical field, use of laser found to be an effective technique in the destruction of a pilonidal cyst. Laser Piolonidotomy is a new promising technique. Methodology An exploratory study was planned with the Aim, to evaluate a new technique for the excision of pilonidal sinus. Objectives were to investigate its effectiveness in terms of operation time, healing time, and the duration of hospitalization, resumption of normal activity the degree of postoperative complications and rate of recurrence and patient’s satisfaction. All the patients with pilonidal sinus were categorized and laser pilonidotomy was planned for patients satisfying inclusion criteria. Data collected in pre-structured, pre-tested proforma and analyzed using SPSS. Results Mean duration of Procedure was 33 min (SD = 11), mean duration of Hospital Stay was 12 h (SD = 3), resumption of normal activity within 4 days (SD = 2), mean duration for Complete Wound Healing by secondary intention 6 Weeks (SD = 1.25). Among complications, infection reported in 1.08%. The difference between the mean pre and post-operative VAS score was statistically highly significant (p < 0.0001). Recurrence rate was 3.24%. Success rate was 96.75% and Overall patient’s satisfaction was 97.84%. Conclusion Laser Pilonidotomy is effective in destruction of a pilonidal cyst with good success rate, fewer complications and with high patient’s satisfaction.

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Section: Discussionmentioning

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Laser pilonidotomy — a new approach in management of complex pilonidal sinus disease: an exploratory study

Porwal¹,

Gandhi²,

Kulkarni³

2020

Journal of Coloproctology

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“…They left the skin open. 9 The aim of our study was to compare between the excision and primary midline closure (closed method) with applying suction drain versus the partial midline closure technique. We evaluated the efficacy of the two techniques in management of pilonidal sinus disease in terms of recovery, wound complications and recurrence rate.…”

Section: Introductionmentioning

confidence: 99%

Closed Technique with Suction Drain versus Partial Closure Technique in Midline Repair of Pilonidal Sinus: A Comparative Study

Khalil¹,

Elshawy²,

Elbarbary³

et al. 2021

OAS

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Background: Pilonidal sinus (PNS) is a common disorder that mainly affects young adults. It can be asymptomatic or presented by discomfort, inflammation, abscess or sinus formation. Despite current advances in surgical techniques, the best option to treat PNS is not yet well defined. Many studies reported techniques that involved excision of the sinus and closure of the deep and superficial layers but leaving the skin open. Aim: We aim to compare between the excision and primary midline closure with suction drain versus the partial closure technique as treatment options for PNS in terms of recovery, wound complications and recurrence rate. Patients and Methods: A prospective comparative study at Ain Shams University Hospitals that included 80 patients with PNS was conducted from January 2018 to June 2019. They were divided randomly into group A; 40 patients that had the midline closed method with suction drain and group B; 40 patients that underwent the partial closure technique. Both groups were followed up for 1 year, detecting healing time, wound complications, return to usual activities and recurrence rate. Results: We detected significant differences between both groups as regards to pain and discomfort postoperatively, favoring the partial closure group. Mean time to wound healing was significantly shorter among group A (14.43 ± 3.13) though mean time of return to usual activities was faster among the partial closure group (14.45 ± 1.15). There were no statistically significant differences between both groups as regards to wound infection, dehiscence or hematoma formation. Wound seroma was more among group A. Conclusion:The partial midline closure technique showed comparable results to the closed method with suction drain in management of PNS disease. Indeed, it shows less postoperative complications and a faster return to usual daily activity. Yet, more studies are required to demonstrate its reproducibility.

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Pilonidal Sinus Excision: New Vision

Cited by 2 publications

References 11 publications

Laser pilonidotomy — a new approach in management of complex pilonidal sinus disease: an exploratory study

Laser pilonidotomy — a new approach in management of complex pilonidal sinus disease: an exploratory study

Closed Technique with Suction Drain versus Partial Closure Technique in Midline Repair of Pilonidal Sinus: A Comparative Study

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