Practice Parameters for the Management of Pilonidal Disease–Do No Further Harm?

Doll, Dietrich

doi:10.1097/dcr.0000000000000076

Cited by 6 publications

(5 citation statements)

References 11 publications

(2 reference statements)

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“…It has a prevalence of approximately 26 cases per 100 000 people. It is more common in young men, with a 3:1 to 4:1 male to female ratio . Pilonidal sinus is a cavity in the subcutaneous tissue in the coccygeal area.…”

Section: Introductionmentioning

confidence: 99%

A new minimally invasive treatment of pilonidal sinus disease with the use of a diode laser: a prospective large series of patients

Pappas¹,

Christodoulou

2018

Colorectal Disease

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Section: Introductionmentioning

confidence: 99%

A new minimally invasive treatment of pilonidal sinus disease with the use of a diode laser: a prospective large series of patients

Pappas¹,

Christodoulou

2018

Colorectal Disease

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“…Moreover, 74 (92.5%) of the patients were male. The mean body mass index (BMI) was 27 ± 4 and the mean number of sinuses was 2.6 ± 1.7 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). In addition, the number of sinuses was between 1 and 3 in 65 (81%) of the patients.…”

Section: Resultsmentioning

confidence: 99%

“…Sacrococcygeal pilonidal sinus (SPS) disease is a common disease that occurs in the presacral area due to excessive hair growth in the intergluteal region, poor hygiene, and prolonged sitting 1 . SPS disease is more common in young and male individuals, and this rate is 3-4 times higher than in women 2,3 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effectiveness of laser and crystallized phenol in the treatment of sacrococcygeal pilonidal sinus

TaÓkin,

Ózçetin

2024

CIRUE

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Background:The aim of this study was to compare the effectiveness of crystallized phenol and laser in the treatment of sacrococcygeal pilonidal sinus (SPS) disease. Results: A total of 80 patients (40 crystallized phenol, 40 laser) were included in the study. The procedure time was significantly shorter in the crystallized phenol group than in the laser group (543 and 837 s, p < 0.001). While there was no significant difference in recurrence and patient satisfaction between the groups (p > 0.05), the visual pain scale pain score and post-procedural complications were significantly lower in the laser group (p < 0.05). There was no significant difference between the number of sinuses and recurrence, bleeding, pain, and patient satisfaction (p > 0.05). Conclusions: Crystallized phenol and laser used in the treatment of SPS disease have a low recurrence and similar long-term patient satisfaction. However, laser treatment has fewer intraoperative complications and post-operative pain severity than crystallized phenol.

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“…It is more common in cases where there is excessive hair density in the intergluteal region, low socialability, insufficient self-care and sitting for a long time. SPS disease is more commonly observed in male and young population, three to four times higher than in female population [1][2][3]. In the literature, in the management of pilondal sinus; it has been reported that the pain situation after the application is low, the method can be applied with local anesthetics, and of course, it should include methods that have low recurrenceratesandareadvantageous in terms of cost [4,5].…”

Section: Introductionmentioning

confidence: 99%

Comparison of success rates of laser surgery and crystallized phenol treatment in pilonidal sinus treatment

Halaclar

2023

Med-Science

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The main purpose of this study is to compare the efficacy of crystallized phenol and laser among treatment options in pilonidal sinus (SPS) discomfort in the sacrococcygeal region. A total of 190 patients were included in this retrospective archive research. Moreover, cases with missing or unclear data were not included in the study. Most patients were men [123 (64.3%) vs. 67 (35.3%); p<0.001]. There was no difference between the two groups in terms of age [31.37±8.92 vs. 31.20±8.85; p=0.92]. The majority of those who have applied laser were men [80 (80%) vs. 20 (20%); p<0.001]. It was determined that the majority of those who underwent laser were smokers [38 (67.9%) vs. 18 (32.1%); p<0.007]. The rate of phenol application was found to be slightly higher in females [47 (52.2%) vs. 43 (47.8%)]. In terms of comorbidity, there was no difference between the cases treated with phenol and laser [14 (40%) vs. 21 (60%); p=0.33]. There was no statistically significant difference in terms of the 12th month [84 (46.4%) vs. 97 (53.6%); p=0.312] or 24th month [82 (46.1%) vs. 92 (53.9%); p=0.167] recurrence rates for cases treated with phenol and laser. Moreover, there was no statistically significant difference between the two groups for cases who had reoperation [phenol: 13 (61.9%) vs. laser: 8 (38.1%); p=0.157]. Bleeding after the procedure was detected only in patients who underwent laser [0 (0.0%) vs. 6 (100%); p<0.03]. There was no difference in terms of infection in both groups [3 (50%) vs. 3 (50%); p=1.00]. With regard to the body mass index, no difference was found between the two groups that were treated with phenol or laser. However, regarding the visual analog scale (VAS), it was significantly lower in the phenol group [1.38±1.63 vs. 0.87±1.37; p=0.002]. In conclusion, while phenol is more advantageous in terms of pain and bleeding complications, laser treatment is preferred in men and smokers.

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Practice Parameters for the Management of Pilonidal Disease–Do No Further Harm?

Cited by 6 publications

References 11 publications

A new minimally invasive treatment of pilonidal sinus disease with the use of a diode laser: a prospective large series of patients

A new minimally invasive treatment of pilonidal sinus disease with the use of a diode laser: a prospective large series of patients

Comparison of the effectiveness of laser and crystallized phenol in the treatment of sacrococcygeal pilonidal sinus

Comparison of success rates of laser surgery and crystallized phenol treatment in pilonidal sinus treatment

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