Sacrococcygeal Pilonidal Sinus Disease

Saber, Aly; Bayumi, Emad K.

doi:10.1007/15695_2017_13

Cited by 4 publications

(3 citation statements)

References 40 publications

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“…Dead hair insertion into existing sinus pits or skin abrasions that arises from rotational movements of the buttocks during walking is the main problem in overweight and obese people. [12] Chamberlain and Vawter were the first to describe a familial tendency of PSD in 1974, [13] and this has been confirmed by Bradley, [8] Onder A et al [14] and Doll et al [15] who reported that 23% to 38% of PSD patients had a family history and concluded that it was a predisposing factor. In this study, family history of the disease is significantly more frequent in patients having hypertrichosis (p=0.035), and hypertrichosis in family members was significantly more frequent in patients with hypertrichosis (p<0.001).…”

Section: Discussionmentioning

confidence: 89%

Obesity, hypertrichosis and sex steroids, are these factors related to pilonidal sinus disease?

Ekici

Ferhatoğlu

2019

Sisli Etfal

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P ilonidal sinus disease (PSD) is a common, chronic inflammatory disease of the skin and subcutaneous fatty tissue. PSD most often involves the sacrococcygeal region but can occur on the fingers or navel. PSD is mostly observed in a young adult male and is responsible for significant work and school absenteeism. [1] PSD was first described by Mayo in 1833, and the first treatments were described by Anderson in 1844. [2] Symptoms may vary from asymptomatic pits to abscesses that require drainage. [3] The aetiology of PSD has been an ongoing subject of debate, but it is currently thought to be acquired. [4] In 1992, Karydakis described the involvement of the skin and hair in the deep intergluteal cleft in the development of PSD. [5] This study evaluated the effects of hypertrichosis, family history, obesity and sex steroids in 298 patients with PSD. MethodsThe medical records of 618 patients treated at the General Surgery Clinic of Malatya State Hospital for primary PSD between January 2014 and December 2017 were evaluated retrospectively. Three patients with psychiatric disorders, five with diabetes mellitus, seven with active abscesses, six receiving steroid therapy for other medical conditions and 13 without regular clinical follow-up were excluded from Objectives: Pilonidal sinus disease causes chronic inflammation of the skin and subcutaneous fatty tissue, and it commonly localises in the sacrococcygeal region. This study evaluated the effects of hypertrichosis, family history, obesity and sex steroids in 298 patients with pilonidal sinus disease. Methods: The medical records of 618 patients treated at the General Surgery Clinic of Malatya State Hospital for primary pilonidal sinus disease between January 2014 and December 2017 were evaluated retrospectively. Results: Female sex and family histories of pilonidal sinus disease and hypertrichosis were significantly higher in patients with than without hypertrichosis (p=0.030, p=0.035, p<0.001). The mean progesterone level was significantly lower in female patients with hypertrichosis than female patients without hypertrichosis (p=0.003). Conclusion:Being overweight or obese, having an occupation that requires long-time sitting and having a family history predisposed to developing pilonidal sinus disease.

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Section: Discussionmentioning

confidence: 89%

Obesity, hypertrichosis and sex steroids, are these factors related to pilonidal sinus disease?

Ekici

Ferhatoğlu

2019

Sisli Etfal

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“…Having been previously considered to be due to etiological reasons of congenital origin (11), PSD is now widely accepted as a disease acquired as a result of presence of hair in the gluteal sulcus (8). According to congenital theory, PSD is thought to be formed either by residual epithelium in the skin and spinal canal or by the introduction of hair follicles into the cavity formed as a consequence of the mal fusion of the dermal layers in the early embryologic period (6). On the other hand, according to the acquired theory, free hairs are gathered at the deep natal cleft, and a follicle penetrates the dermis by the friction power.…”

Section: Etiologymentioning

confidence: 99%

“…PSD can appear as an abscess, a chronic sinus which causes persistent discharge, or a silent cyst in the acute or chronic process (5). PSD has been reported with an incidence of 12-26 in 100.000 populations (6,7). Studies have shown that PSD is 3-7 times higher in males than females (4,8,9).…”

Section: Introductionmentioning

confidence: 99%

Fasciocutaneous Elliptical Rotation Flap for Pilonidal Sinus Disease and Its Outcomes

Gündoğdu

2020

Turk J Surg

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Pediyatrik Pilonidal Sinüs Hastalığında Klasik Açık Cerrahi Tekniğine Göre Deri Dokusunda Kayıp Olmaksızın Ters 'ᗡ' Tekniği

Kabaklıoğlu

Kaya

2021

Düzce Tıp Fakültesi Dergisi

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Aim: Although the pilonidal sinus disease is commonly treated with surgical methods, search for optimal surgical procedures and minimally invasive methods continues. The aim of this study was to evaluate the inverted 'ᗡ' technique which provides a tension-free closure with minimal tissue loss, by comparing with the classical open surgery technique. Material and Methods: Sixty-five patients, 37 (56.9%) male and 28 (43.1%) female, with a mean age of 15.85±1.82 years, admitted between January 2014 and October 2020 and underwent inverted 'ᗡ' surgery and classical midline open surgery were retrospectively evaluated. Results: As an early postoperative complication, bleeding was observed in 2 (7.4%) patients in inverted 'ᗡ' group and 3 (11.1%) patients had wound infection. The same complications were 4 (10.5%) and 4 (10.5%) in classical group, respectively. The time to return to full activities was statistically different between two groups (10.36±0.43 versus 11.30±0.93 days, p<0.001). During the follow-up period, 1 (3.7%) recurrence in the inverted 'ᗡ' group and 9 (23.7%) recurrences in the classical group were statistically significant (p=0.037). Conclusion:The present technique aims to remove the pathological tissue that causes sacrococcygeal pilonidal disease by the subcutaneous surgical work area under the flap created through the 'ᗡ' incision and to close it without tension, away from the midline without tissue loss. We believe that the operation involving the 'ᗡ' incision and primary suture method should be considered as the first choice in the pediatric patient group because of being a simple and effective surgical technique for sacrococcygeal pilonidal disease treatment.

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Sacrococcygeal Pilonidal Sinus Disease

Cited by 4 publications

References 40 publications

Obesity, hypertrichosis and sex steroids, are these factors related to pilonidal sinus disease?

Obesity, hypertrichosis and sex steroids, are these factors related to pilonidal sinus disease?

Fasciocutaneous Elliptical Rotation Flap for Pilonidal Sinus Disease and Its Outcomes

Pediyatrik Pilonidal Sinüs Hastalığında Klasik Açık Cerrahi Tekniğine Göre Deri Dokusunda Kayıp Olmaksızın Ters 'ᗡ' Tekniği

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