Pilonidal sinus: minimal excision and primary closure under local anesthesia

Elgohary, Hussein; Oraby, Ehab M

doi:10.4103/1110-1121.167393

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…In our study, none of the patients developed a postoperative hematoma. Other studies report 2.7%-4% postoperative bleeding, which was greater than in our study [ 7 , 11 ]. The explanation behind this was that there was no dead space left at the operation site [ 13 ].…”

Section: Discussioncontrasting

confidence: 78%

“…The management of the pilonidal sinus disease is controversial and includes various conservative and surgical treatment options, but, many a time, it leads to unsatisfactory results [ 7 , 10 - 12 ]. The ideal treatment option should be of low cost, with a shorter admission time, no recurrence, minimal inconvenience, and less time off work [ 7 , 10 - 11 ]. Surgical techniques include incision and drainage, marsupialization, excision, and healing by primary or secondary intention and the techniques involve various flap procedures [ 7 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The ideal treatment option should be of low cost, with a shorter admission time, no recurrence, minimal inconvenience, and less time off work [ 7 , 10 - 11 ]. Surgical techniques include incision and drainage, marsupialization, excision, and healing by primary or secondary intention and the techniques involve various flap procedures [ 7 , 12 ]. While there are studies suggesting that outcomes from flap repair are better, other studies suggest that the primary closure method could have a recurrence rate of zero [ 12 - 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is a descriptive study and the sampling technique was nonprobability consecutive sampling. The sample size was calculated as 45 patients, keeping in consideration a 95% level of significance, an absolute precision of 5%, and a recurrence rate of 3% [ 7 - 8 ]. However, we included all the 112 patients who presented with pilonidal disease to this private setup during the study period.…”

Section: Methodsmentioning

confidence: 99%

“…At present, the surgical management options include the surgical excision of the pilonidal sinus with primary or secondary healing, Karydaki's flap reconstruction, and Limberg's flap transposition. However, controversies regarding ideal surgical management are common, with each method having its own pros and cons [ 7 ]. In our study, we completely excised pilonidal sinus, its track, and the linked sudoriferous gland area en-bloc and closed the wound.…”

Section: Introductionmentioning

confidence: 99%

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Excision of the Gluteal Cleft Pilonidal Sinus, Its Track, and the Sudoriferous Gland Area En-bloc with Primary Repair in the Management of this Disease

Hamza

Nadeem

Yasmeen

et al. 2018

Cureus

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IntroductionPilonidal disease is a common disease mostly affecting young males with a significant reduction in their working capabilities, hence, ideal and simple management of this disease is very important. Our study objective was to assess the recurrence rate of pilonidal sinus disease in patients with a complete excision of the pilonidal sinus, its track, and the sudoriferous gland area en-bloc with primary repair.MethodsThis descriptive study was conducted at Al-Noor Surgery, Chakwal, Pakistan, from February 2015 to July 2017. All patients who presented with acute and chronic pilonidal disease in the natal cleft, irrespective of age and gender, were included. We excluded from the study patients who had asymptomatic or recurrent pilonidal disease, previous pilonidal surgery, patients belonging to American Society of Anesthesiologists (ASA) Class III or above, immunodeficient patients, patients having bleeding disorders, patients on chemotherapy, and those diagnosed with comorbidities, e.g., anemia, tuberculosis, diabetes, and liver disease. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 21 (IBM Corp., Armonk, NY, US).ResultsDuring the study period, a total of one 112 patients were included. The male-to-female ratio was 55:1. The most common age group was the 21-25 age group. Chronic pilonidal disease was the most common presentation. Mean operative time was 22.09±3.65 minutes. There were no complications like bleeding, hematoma, edema, infection, and wound dehiscence. There was no recurrence in the six months follow-up. Hospital stay was 3.13±0.62 hours.ConclusionSimple excision of acute and chronic pilonidal sinus, its track, and the linked sudoriferous gland area en-bloc, followed by primary repair, is an effective approach to deal with this pathology.

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Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Excision of the Gluteal Cleft Pilonidal Sinus, Its Track, and the Sudoriferous Gland Area En-bloc with Primary Repair in the Management of this Disease

Hamza

Nadeem

Yasmeen

et al. 2018

Cureus

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Sacrococcygeal Pilonidal Sinus Disease

Saber¹,

Bayumi

2017

Biofilm, Pilonidal Cysts and Sinuses

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Assessment of the effect of platelet rich plasma on the healing of operated sacrococcygeal pilonidal sinus by lay-open technique: a randomized clinical trial

Gohar¹,

Ali²,

Ismail³

et al. 2020

BMC Surg

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Background Sacrococcygeal pilonidal sinus disease (PSD) is an infection of the skin and subcutaneous tissue at the upper part of the natal cleft of the buttocks. Excision and healing by granulation “lay-open” method is still more preferable than other methods of midline closure or using flaps but the healing time is lengthy. The present study was performed to assess the healing promotion effect of platelet-rich plasma (PRP) on the pilonidal sinus wounds treated by the lay-open method. Methods One hundred patients suffering from PSD were randomly divided into two groups, they were treated by the lay-open method, at General surgery department, Kafr El-Sheik University hospital, Egypt, during the period from December 2018 to December 2019. Group (A) was adopted the regular dressing postoperatively, while group (B) was treated with PRP injection into the wound at 4 and 12 postoperative days. Results Accelerated rate of wound healing was detected in group (B) in day 10, with a significant difference detected in days 15, 20, 25 and 30 postoperative, with a mean time of complete healing 45 ± 2.6 days in group B, while it was 57 ± 2.4 days in group A with a p-value of 0.001 which indicates considerable effect in the treated group. Conclusions PRP injection is an effective new technique in accelerating the healing of pilonidal wound after surgery, with a significant decrease in post-operative pain, complications and an early return to work. Trial registration retrospectively registered. Trial registration number: 12/35/1016 issued on December 2018 from the Institution Review Board at Kafr El Sheikh University. ClinicalTrials.gov identifier: NCT04430413

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Pilonidal sinus: minimal excision and primary closure under local anesthesia

Cited by 3 publications

References 9 publications

Excision of the Gluteal Cleft Pilonidal Sinus, Its Track, and the Sudoriferous Gland Area En-bloc with Primary Repair in the Management of this Disease

Excision of the Gluteal Cleft Pilonidal Sinus, Its Track, and the Sudoriferous Gland Area En-bloc with Primary Repair in the Management of this Disease

Sacrococcygeal Pilonidal Sinus Disease

Assessment of the effect of platelet rich plasma on the healing of operated sacrococcygeal pilonidal sinus by lay-open technique: a randomized clinical trial

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