Treatment of pilonidal sinuses by phenol injections

Schneider, Ines; Thaler, K.; Köckerling, F.

doi:10.1007/bf00292250

Cited by 57 publications

(46 citation statements)

References 14 publications

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“…• Techniques such as shaving [6 art-10], phenol administration [28] , and cryosurgery [29] originally used to treat the disease were found to be inadequate. [21] • Role of Antibiotics Bacterial colonization of pilonidal sinuses has historically Ranged from 50 to 70%, typical isolates including Staphylococcus aureus and anaerobes such as bacteroides [30][31][32] Studies Suggest that there is no role for empirical antibiotics in the management of surgically excised pilonidal disease and that antibiotics should be reserved for patients with clinical evidence of infection.…”

Section: Managementmentioning

confidence: 99%

“…[9] • Reported recurrence rates, however, Vary widely from 6.5% to 40.5%. [45,46] Excision without primary closure • Indication -Excision is used for chronic and recurrent pilonidal sinuses.…”

Section: Section: Surgerymentioning

confidence: 99%

“…[27,28] • It may be performed as an outpatient procedure with low risk of primary failure or infection while accelerating healing and reducing the frequency of dressing changes.…”

Section: Section: Surgerymentioning

confidence: 99%

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Pilonidal Disease- Review Article

Singh¹,

Agrawal²,

Singh³

et al. 2017

AIMDR

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Pilonidal disease is a very common anorectal problem that most often arises in the hair follicles of the natal cleft of the sacrococcygeal area. Successful management depends on adherence to well-described surgical principles based on knowledge of pathogenesis and the patient's presentation. Considerable morbidity from prolonged wound Care can be avoided in these typically healthy patients when their disease is cured at initial presentation.

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Section: Managementmentioning

confidence: 99%

Section: Section: Surgerymentioning

confidence: 99%

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Pilonidal Disease- Review Article

Singh¹,

Agrawal²,

Singh³

et al. 2017

AIMDR

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“…Nevertheless, it should not be forgotten that the actual problem after excision of the sinus tract is reconstruction of the removed region. In addition, today, the treatment of pilonidal sinus disease has been tried in different non-surgical methods such as phenol administration, cryosurgery and shaving [23][24][25]. Rhomboid excision and Limberg flap method have been reported to have a faster recovery time, lower recurrence and postoperative complication rate than excision and primer closure [26,27].…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment with rhomboid excision and Limberg flap technique under spinal anesthesia of 23 young with pilonidal sinus disease

Öztürk

Yoldaş²,

Karagöz³

2018

j-ebr

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A B S T R A C T Aim:To present the experience of treatment with Limberg flap procedure under spinal anesthesia in 23 young patients with pilonidal sinus disease. Methods: This was a retrospective study of 23 young patients who underwent surgery for pilonidal sinus disease under spinal anesthesia between January 2011 and November 2017 in the Division of Pediatric Surgery. All patients were evaluated for age, sex, clinical diagnosis, and body mass index, and infection, duration of symptoms, treatment, healing time, recurrences, complications and results. Results: Of the 23 patients, 4 (17%) were male, and 19 (83%) were female. The mean age of the patients was 15.21 ± 2.8 years and the mean symptom duration was 4 ± 2.6 months. In 13 patients (56.5%), there was one or more sagittal lines in the midline and the mean sinus number of the patients was 2.12 ± 0.60. Pain was the most important complaint affecting the quality of life of the patient. The mean body mass index was 26.33 ± 2.54 kg / m2, and 47.8% (n = 11) were high BMI and 53.2% were normal BMI. One patient had temporary headache and one patient had urinary retention. Wound infection occurred in 2 patients (8.6%). Recurrence was not observed in patients. Conclusion: In this study, pilonidal sinus disease was treated with Limberg flap procedure under spinal anesthesia. The combination of these two applications in patients with pilonidal sinus may provide significant advantages, such as rapid recovery and short hospital stay, early return to daily activities, low complications, and recurrence rates.

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“…Such diversity suggests that no single technique has emerged as the favourite to prevent recurrence of this condition. 3 These include conservative nonexcisional care, 4 phenol injection, [5][6][7][8] pit excision and tract brushing (Millar-Lord procedure), 9,10 Bascom procedure, [11][12][13] excision and leaving the wound to granulate, [14][15][16][17] excision and marsupialisation, 17,18 excision and primary closure with mid-line or asymmetric incisions, [14][15][16][17][18][19][20] or excision and closure using local flaps. The latter include Karydakis procedure, [21][22][23][24] Romboid and Limberg flaps, [25][26][27][28] Z-plasty, [29][30][31] and V-Y flaps, [32][33][34][35] or other reconstructions.…”

Section: Discussionmentioning

confidence: 99%

Sinus Excision, Release of Coccycutaneous Attachments and Dermal-Subcuticular Closure (XRD Procedure): A Novel Technique in Flattening the Natal Cleft in Pilonidal Sinus Treatment

Marzouk

AbouZeid

Antoniou

et al. 2008

annals

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INTRODUCTION The objective of this study was to analyse, prospectively, the outcome of a new technique -excision of pilonidal sinus and flattening the natal cleft by division of the coccycutaneous attachments at the lower end of the incision.PATIENTS AND METHODS Sixty-six consecutive patients with chronic pilonidal sinuses were treated between 1995 and 2001. The procedure consisted of an elliptical, wide, local excision, release of the coccycutaneous attachments and primary closure using dermal-subcuticular closure (XRD). Suction drains were used until drainage was minimal. The height of skin level at the lower angle of the wound from the coccyx was measured intra-operatively before and after division of the coccycutaneous attachments. Postoperatively, patients were assessed for hospital stay, return to normal activity, complications and recurrence.RESULTS Sixty-four patients (97%) were males, median age 27 years. The height of skin level rose from a mean of 1.8 cm (95% CI, 1.78-1.85) to a mean of 3.8 cm (95% CI, 3.77-3.88; P < 0.001). Morbidity affected 12 patients (18%), epidermal separation of the lower wound angles (6 patients), seromas (5 patients) and 1 wound dehiscence at 2 weeks. All other wounds healed primarily without dehiscence. There were no recurrences after a median follow-up of 22.5 months (range, 12-38 months).CONCLUSIONS Release of the coccycutaneous attachments is an easy technique to learn, which seems to be an effective way of flattening the natal cleft and may result in lower recurrence rate. This technique should be tried in uncomplicated pilonidal sinus disease before more complex procedures are attempted. MARZOUK ABOU-ZEID ANTONIOU HAJI BENZIGER NOVEL TECHNIQUE IN FLATTENING THE NATAL CLEFT IN PILONIDAL SINUS TREATMENT

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Treatment of pilonidal sinuses by phenol injections

Cited by 57 publications

References 14 publications

Pilonidal Disease- Review Article

Pilonidal Disease- Review Article

Surgical treatment with rhomboid excision and Limberg flap technique under spinal anesthesia of 23 young with pilonidal sinus disease

Sinus Excision, Release of Coccycutaneous Attachments and Dermal-Subcuticular Closure (XRD Procedure): A Novel Technique in Flattening the Natal Cleft in Pilonidal Sinus Treatment

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