Video-assisted treatment of pilonidal disease, using a combination of diathermy ablation and phenol application

Gecim, Ibrahim Ethem; Goktug, Ufuk Utku; Celasin, Haydar; Balcı, Deniz

doi:10.1136/bcr-2016-214629

Cited by 7 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, since its introduction, this approach has gained momentum among surgeons because of relatively absent postoperative pain, good aesthetic results, low infection rate, and low long-term recurrence rate (10)(11)(12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Treatment of Pilonidal Sinus Disease: State of Art and Review of the Literature

et al. 2022

View full text Add to dashboard Cite

Background: Pilonidal sinus disease (PSD) is a chronic troublesome pathology of the natal cleft of the sacrococcygeal region, with an estimated incidence of 26 cases in every 100,000 inhabitants. The aim of this review is to give a snapshot of the current literature on the endoscopic approach to PSD.Methods: A search on endoscopic treatment of pilonidal disease was performed according to PRISMA guidelines, adopting the following search terms: (pilonidal OR sacrococcygeal) and (endoscopic OR VAAPS OR EPSiT OR minimally invasive OR video-assisted OR video assisted).Results: Thirty-four articles were included in the final analysis, among which 23 were on adults and 11 were on pediatric population. The endoscopic approach is associated with painless postoperative pain, good aesthetic results, short time off work, and high patient satisfaction.Despite these advantages in short-term outcomes, results on recurrence rate in a long-term follow up are needed to definitively confirm the importance of this technique.Conclusions: The endoscopic approach is associated with significant postoperative advantages over other standard surgical approaches, and it should be included in the surgical portfolio for the treatment of PSD. According to the Italian guidelines, this technique could be considered as the gold standard for limited PSD. However, the favorable short-term-outcomes and lack of reliable data on long-term follow-up must be a stimulus to perform further high-quality studies to give definitive conclusions on this technique.

show abstract

Section: Introductionmentioning

confidence: 99%

Endoscopic Treatment of Pilonidal Sinus Disease: State of Art and Review of the Literature

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The techniques mentioned above are blind methods, for this reason, recently, researchers have started to apply a combined treatment method by adding video-assisted or EPSiT procedures. In this way, they reported that the sinus anatomy would be evaluated better, all the hairs could be cleaned, and it would be ensured that the entire epithelium was destroyed [5,13,[16][17][18][19][20]. We performed the laser-EPSiT combination with the same goals and achieved successful results.…”

Section: Discussionmentioning

confidence: 99%

“…More recently, laser applications have also been used for the treatment of PSD [5,[13][14][15][16][17]. And nowadays, efforts are still ongoing to find the optimal treatment by combining the listed methods [5,[18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Early Outcomes of Laser-Endoscopic Pilonidal Sinus Treatment Combination and Comparison With the Combination of Cautery-Phenol-Endoscopic Pilonidal Sinus Treatment

DÖNMEZ¹,

Uludağ²

2022

Cureus

View full text Add to dashboard Cite

IntroductionAlthough there are several methods used in the treatment of pilonidal sinus, research is still ongoing for the most effective method. Minimally invasive surgical methods, alone or in combination, are currently considered the closest treatment modalities to the ideal. The purpose of this study was to evaluate the early outcomes of laser-endoscopic pilonidal sinus treatment combination and compare it with the combination of phenol-cautery-endoscopic pilonidal sinus treatment. Materials and methodsThis is a retrospective study of 42 patients with pilonidal sinus disease treated between September 2020 and April 2022. A total of 26 participants in group one were treated with the laser-endoscopic pilonidal sinus treatment combination, and the remaining 16 in group two were treated with the cautery-phenolendoscopic pilonidal sinus treatment combination. Both primary and recurrent patients over 16 years of age without active infection were included. In the postoperative period, each patient was followed up at the outpatient clinic. Perioperative and follow-up data were recorded. ResultsPatients were predominantly male. There was no significant difference between the two groups with regards to the time to return to daily life, pain-free walking, recovery time, and recurrence. However, in group one, the operation time was statistically shorter (p = 0.02), and the rate of sitting on the toilet without pain on the day of surgery was significantly higher (p = 0.029). In addition, none of the patients in this group needed painkillers and all returned to work earlier. ConclusionThe combination of laser-endoscopic pilonidal sinus treatment is a feasible procedure with a 92.3% complete recovery rate according to the early results. However, studies with a larger sample size and longer follow-up period are required to confirm the validity of our results.

show abstract

“…Recurrence rates have been reported to be lower than standard excisional operations [61]. Modifications include the injection of phenol in the tract [62,63]. When compared to the traditional Limberg flap, endoscopic treatment of pilonidal disease may have higher recurrence rates but is associated with fewer postoperative complications [64].…”

Section: Endoscopic/video-assisted Ablation Of Pilonidal Sinus (Vaaps)mentioning

confidence: 99%

Pilonidal Disease and Hidradenitis Suppurativa

Bhama

Davis

2021

The ASCRS Textbook of Colon and Rectal Surgery

View full text Add to dashboard Cite

Pilonidal disease is an acquired chronic, infectious disease typically of the natal cleft with an unknown etiology, thought to be due to a combination of environmental and patient-specific factors.• The treatment for pilonidal disease should not result in worsening of quality of life than the disease itself. Incision and drainage for acute infections is mandatory, but further surgical treatment should be individualized. • Several operative strategies exist for the treatment of pilonidal disease; surgeons should be familiar with the various options available, though no single option has proven superior. • Wound care following pilonidal excision can have a major impact on quality of life and several nonoperative treatment strategies exist. • Hidradenitis suppurativa (HS) is a chronic, relapsing, inflammatory skin condition that typically occurs after puberty. The primary clinical presentation is painful inflamed nodules in the apocrine gland-bearing regions that progress to abscesses, sinus tracts, and scarring. • The overall disease burden is disproportionate to the estimated prevalence, and patients with HS not seen and evaluated by dermatologists and surgeons may not get timely and appropriate treatment. • Therapy is initially medical and consists of antibiotics both orally and topically as well as immune modulators to manage the chronic inflammation. • Surgery is an important treatment for both acute abscess formation and painful scarring and deformity. Excision with primary closure and skin grafting can result in cure for patients with recalcitrant disease.

show abstract

Video-assisted treatment of pilonidal disease, using a combination of diathermy ablation and phenol application

Cited by 7 publications

References 6 publications

Endoscopic Treatment of Pilonidal Sinus Disease: State of Art and Review of the Literature

Endoscopic Treatment of Pilonidal Sinus Disease: State of Art and Review of the Literature

Evaluation of the Early Outcomes of Laser-Endoscopic Pilonidal Sinus Treatment Combination and Comparison With the Combination of Cautery-Phenol-Endoscopic Pilonidal Sinus Treatment

Pilonidal Disease and Hidradenitis Suppurativa

Contact Info

Product

Resources

About