Search Our Scientific Publications & Authors

Tech Coloproctol 2020 Jul 9. Epub 2020 Jul 9.

Department of Surgery, Randers Regional Hospital, Skovlyvej 15, 8930, Randers NØ, Denmark.

Background: Chronic non-healing wounds are a major problem after closed incision pilonidal surgery. Freshly collected autologous adipose tissue injected into perianal fistulas in patients with Crohn's disease seems to promote healing. We investigated this technique in patients with non-healing wounds after cleft-lift surgery for pilonidal sinus disease (PSD). Read More

Turk J Surg 2020 Mar 18;36(1):59-64. Epub 2020 Mar 18.

Department of Internship, Bezmialem Vakif University School of Medicine, Istanbul, Turkey.

Objectives: Pilonidal sinus disease (PSD), most commonly seen in young men, is a chronic disease resulting from the pilosebaceous in the sacrococcygeal region. There is still no standardization in surgical treatment. In this study, the effectiveness, follow up outcomes and quality of life level were compared between Karydakis flap (KF) and Limberg flap (LF) operations. Read More

J Craniofac Surg 2020 Jun 24. Epub 2020 Jun 24.

Department of Otolaryngology, Head and Neck Surgery, Gulhane Medical School, Ankara, Turkey.

Objective: The postauricular region (PR) is an anatomic area that has been neglected until now, due to the fact that the significant cosmetic changes and features of this region are often overlooked. There are limited and inconsistent data about postauricular masses in the literature and the definition of the PR and its borders remain unclear. The aim of the present study was to define the PR and evaluate benign and malignant masses that may arise in the PR. Read More

Turk J Surg 2019 Dec 16;35(4):278-284. Epub 2019 Dec 16.

Sana'a University, Medical Surgery, Sana'a, Yemen.

Objectives: This study aimed to estimate simple excision and tension free primary closure and to study its effectiveness in terms of operating and healing time, duration of hospital stay, degree of post operation complications, and rate of recurrence.

Material And Methods: This is study included 78 patients, of whom 71 were (91%) males and 7 (9%) females, who underwent excision and tension free closure. The procedure was based on bilateral side flaps, which were released and dissected 2-3 cm from the edge of the wound. Read More

Cureus 2020 May 15;12(5):e8129. Epub 2020 May 15.

Surgery, University Medical Center Groningen, Groningen, NLD.

Purpose Phenolisation is a minimally invasive treatment option in patients with primary pilonidal disease. However, most studies focus on patients with primary pilonidal sinus disease, while data of patients with recurrent pilonidal disease are very scarce. The purpose of this study was to evaluate phenolisation of the sinus tract in patients with recurrent pilonidal sinus disease after previous surgery for SPSD. Read More

Plast Reconstr Surg Glob Open 2019 Dec 31;7(12):e2553. Epub 2019 Dec 31.

Department of Plastic, Reconstructive and Aesthetic Surgery, Baskent University, Ankara, Turkey.

Int J Surg Case Rep 2020 Jun 6;72:96-98. Epub 2020 Jun 6.

University of Health Science, Istanbul Haydarpasa Education and Research Hospital, Department of General Surgery Istanbul, Turkey. Electronic address:

Background: Pilonidal sinus usually arises in the area of natal cleft in young men. Hair accumulation in the wound in the perianal region is very rare. Although pelvic magnetic resonance imaging (MRI) is used in the differential diagnosis of perianal region diseases, it is not possible to diagnose perianal pilonidal sinus by MRI. Read More

Tech Coloproctol 2020 May 26. Epub 2020 May 26.

Department of Colon & Rectum Surgery, University of Health Science, Ankara Bilkent City Hospital, General Surgery, Çankaya, 06800, Ankara, Turkey.

Int J Surg Case Rep 2020 11;70:172-177. Epub 2020 May 11.

Department of Oncology Radiotherapy, Consorcio Hospitalario Provincial of Castellón, Spain.

Introduction: Pilonidal sinus is a very common disease. Malignant transformation occurs in 0,1% of patients. We present a case of squamous cell carcinoma arised from recurrent pilonidal disease, managed by multimodal treatment. Read More

Indian J Dermatol Venereol Leprol 2020 Jul-Aug;86(4):451-453

Department of Dermatology, Máxima Medical Center Eindhoven, Eindhoven, The Netherlands.

Sisli Etfal Hastan Tip Bul 2019 26;53(3):263-266. Epub 2019 Aug 26.

Department of General Surgery, Okan University Faculty of Medicine, Istanbul,Turkey.

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. Read More

Pediatr Int 2020 Apr 30. Epub 2020 Apr 30.

Department of Pediatric Surgery, Başkent University, Faculty of Medicine, Adana, Turkey.

Background: Pilonidal sinus disease (PSD) is commonly seen in young adults but may also affect adolescents. Our goal was to present results from operated patients, with a focus on the original Limberg flap that we have standardised for the first time.

Methods: This study was a retrospective review of 60 teenaged patients who underwent surgery in a single paediatric surgery centre over approximately 15 years. Read More

Cureus 2020 Mar 20;12(3):e7338. Epub 2020 Mar 20.

General Surgery, Warwick Hospital, Warwick, GBR.

Introduction The management of the chronic pilonidal disease is variable and the principles of treatment are aimed to eradicate the sinus tract, promote wound healing, prevent disease recurrence, and improve the quality of life of the patient. This study aims to compare the effectiveness of excision and primary closure, and Bascom's technique in the management of pilonidal sinus disease. Methods  The study was performed at a tertiary hospital from April to October 2011. Read More

Ann R Coll Surg Engl 2020 Apr 17:1-4. Epub 2020 Apr 17.

Whiston Hospital, St Helens and Knowsley NHS Trust, Rainhill, Prescot, UK.

Introduction: Pilonidal disease is a chronic condition involving the sacrococcygeal area. It can have a significant impact on quality of life, social activities and occupation. Surgery is the mainstay of treatment. Read More

J Clin Nurs 2020 Jul 23;29(13-14):2557-2571. Epub 2020 Apr 23.

Academic Vascular Surgical Unit, Hull York Medical School, University of Hull, Hull and East Yorkshire NHS Trust, Hull, UK.

Aims And Objectives: To explore surgeons' and nurses' perspectives of managing surgical wounds healing by secondary intention.

Background: Every year, more than 10 million surgical operations are performed in the NHS in the UK. Most surgical wounds heal by primary intention, where the edges of the wound are brought together with staples, sutures, adhesive glue or clips. Read More

Cureus 2020 Mar 2;12(3):e7159. Epub 2020 Mar 2.

Surgery, The University Medical Center Groningen, Groningen, NLD.

Introduction Sexual function is one of the aspects upon which quality of life (QoL) is based. Although previous studies have evaluated the influence of sacrococcygeal pilonidal sinus disease (SPSD) on QoL, no data are available on the influence of SPSD on sexual function in a highly active sexual population based on the age range. The aim of this prospective study was to evaluate whether SPSD has a negative impact on sexual function and whether this is influenced by the surgical treatment of SPSD. Read More

Cir Pediatr 2020 Apr 1;33(2):61-64. Epub 2020 Apr 1.

Servicio de Cirugía Pediátrica. Hospital Universitario La Paz. Madrid.

Introduction: Pilonidal sinus (PS) is a highly frequent condition in teenagers. There is no consensus on which type of closure should be carried out following surgical removal. Our objective is to compare primary closure (PC) results with secondary closure (SC) or deferred closure results. Read More

Int J Colorectal Dis 2020 Jun 4;35(6):1117-1124. Epub 2020 Apr 4.

Department of General Surgery, Bezmialem Vakıf University School of Medicine, 34000, Istanbul, Turkey.

Background: Various surgical procedures are available for the treatment of pilonidal sinus diseases (PSD), but the best surgical approach remains controversial. Minimally invasive surgical procedures are more popular than surgery. This study aimed to evaluate the efficacy of sinusectomy with primary closure (SPC) in comparison with excision and primary closure (EPC) in primary or recurrent cases. Read More

Am J Surg 2020 05 14;219(5):737-740. Epub 2020 Mar 14.

Providence Sacred Heart Medical Center, 217 West Cataldo Ave, Spokane, WA, 99201, USA.

Introduction: Limited data exists regarding outcomes for the Bascom cleft lift procedure for pilonidal disease.

Methods: Single-center retrospective review of patients who underwent a Bascom cleft lift from 2013 to 2018. Univariate analysis was performed to determine associations between patient-specific characteristics and post-operative complications. Read More

Acta Dermatovenerol Alp Pannonica Adriat 2020 Mar;29(1):3-6

Department of Dermatology, Zealand University Hospital, Roskilde, Denmark.

Introduction: Umbilical erythema, itching, pain, and suppuration among hidradenitis suppurativa (HS) patients form a group of symptoms that is not described in the medical literature.

Methods: A review of the medical literature combined with a case series of patients experiencing umbilical symptoms in relation to HS. These were collected among 348 HS patients connected to the Department of Dermatology at Zealand University Hospital, Roskilde, Denmark, and members of the Danish HS Association's Facebook page (Patientforeningen HS Danmark), who were asked to complete a questionnaire to better describe their symptoms. Read More

Int J Colorectal Dis 2020 Jul 6;35(7):1193-1199. Epub 2020 Mar 6.

Department of Surgery, Regional Hospital of Lugano, Lugano, Switzerland.

Purpose: Pilonidal sinus disease (PD) is a common acquired disease, responsible for discomfort and time off work. There is currently no consensus on the best surgical therapy. We aimed at comparing conservative sinusectomy (S) to excision and paramedian primary closure (PC). Read More

Zhonghua Shao Shang Za Zhi 2020 Feb;36(2):106-109

Burn and Plastic Surgery Center, the 940th Hospital of the Joint Logistic Support Force of PLA, Lanzhou 730050, China.

To explore the effects of free perforator propeller flap from buttock in repairing deep wound of buttock. From February 2016 to May 2018, 27 patients with buttock skin and soft tissue defects caused by various reasons were admitted to the Burn and Plastic Surgery Center of the 940th Hospital of the Joint Logistic Support Force of People's Liberation Army, including 19 males and 8 females, aged from 28 to 70 years. Among the protopathy, there were 14 cases of pressure sores, 7 cases of scar carcinoma, 2 cases of low-temperature scald, 2 cases of abscess, and 2 cases of pilonidal sinus. Read More

Colorectal Dis 2020 Feb 17. Epub 2020 Feb 17.

Khoo Teck Puat Hospital, Singapore City, Singapore.

Lasers Surg Med 2020 Feb 17. Epub 2020 Feb 17.

School of Health Sciences Istanbul, Istanbul Gelisim University, Istanbul, Turkey.

Background And Objectives: An ideal treatment for pilonidal disease should feature a low recurrence rate, minimal incision, and rapid return to daily activities. We compared the outcomes of the well-defined Karydakis technique (KT) and a combination of pit excision (PE) and sinus tract ablation using 1,470-nm diode laser.

Study Design/materials And Methods: In this study, from January 2016 to January 2018, patients diagnosed with uncomplicated early-stage pilonidal sinus disease were enrolled and were treated randomly, using KT (n = 28) or a PE/laser ablation technique (PE + LAT; n = 30). Read More

BJS Open 2020 Apr 4;4(2):225-231. Epub 2020 Feb 4.

Department of Digestive Surgery, Strasbourg University Hospital, Strasbourg, France.

Background: Disease of the pilonidal sinus is a common condition that affects mainly young adults. Options for management include excision of the sinus tracts, leaving the wound open to heal by secondary intention. The aim of this study was to compare wound healing with dialkylcarbamoyl chloride (DACC)-coated dressings versus alginate dressings. Read More

J Laparoendosc Adv Surg Tech A 2020 Apr 4;30(4):464-470. Epub 2020 Feb 4.

Pediatric Surgery Unit, Federico II University of Naples, Naples, Italy.

Hidradenitis suppurativa (HS) is infrequent in the pediatric population. When indicated, surgery is often invasive, painful, and with significant recurrence rate. We aimed to report our preliminary experience using a new endoscopic technique to treat this pathology. Read More

Wiad Lek 2019 Aug;72(8):1559-1565

National Pirogov Memorial Medical University, Vinnytsia, Ukraine

Data from Web of Science, SCOPUS, Pub Med, Medline, E-library, and other sources was used in writing this article. The main focus was directed towards literature written in English. The selection of literature was based on such concepts as: etiopathogenesis, historical principles of treatment, methods of surgical and non-surgical intervention. Read More

Int J Surg 2020 03 30;75:114. Epub 2020 Jan 30.

Department of Gastrosurgical Research and Education, Institute of Clinical Sciences, Gothenburg University, Gothenburg, 41345, Sweden. Electronic address:

Int J Surg 2020 03 30;75:68. Epub 2020 Jan 30.

Department of Surgery "P. Valdoni", Sapienza University of Rome, Italy. Electronic address:

Int J Surg Case Rep 2020 16;67:18-20. Epub 2020 Jan 16.

Iraqi Board For Medical Specialties, Sulaimani Center, Sulaymaniyah, Iraq.

Introduction: Pilonidal sinus (PNS) is a chronic inflammatory perianal disorder that rarely occurs outside sacrococcygeal region. The aim of this study is to report an extremely rare case of bilateral inframammary PNS with brief literature review.

Case Report: A 25-year-old female presented with a discharging sinuses in both inframammary region for two years. Read More

Int Wound J 2020 Jun 23;17(3):555-561. Epub 2020 Jan 23.

Department of General Surgery, Second Hospital of Jilin University, Changchun, China.

Sacrococcygeal pilonidal sinus is one of common diseases in general department. However, it is characterised, for surgeons, by high post-surgical recurrence and high incidence of post-surgical wound complications. Due to that fact, this retrospective randomised clinical study was designed to evaluate the surgical procedure effect of Z-plasty (ZP), compared with convention simple excision (SE). Read More

Tech Coloproctol 2020 01 16;24(1):93. Epub 2020 Jan 16.

Department of Surgery, Medical University of Vienna, Vienna, Austria.

Biomed J 2019 12 10;42(6):403-410. Epub 2019 Dec 10.

Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Electronic address:

Background: The aim of this study was to assess the possible association between different factors such as age, sex, antibiotic consumption duration, angiogenesis and pain and "acceleration of wound healing" in pilonidal sinus patients after treating with platelet-rich plasma (PRP).

Methods: In this clinical trial, 110 patients were randomly divided into treatment arm and control group. After surgery, control group underwent classic wound dressing and the treatment arm experienced PRP gel therapy. Read More

Biomed J 2019 12;42(6):365-370

University of Copenhagen, BRIC Biotech Research & Innovation Centre, Anders Lund Group, Copenhagen, Denmark. Electronic address:

In this issue of the Biomedical Journal, we learn that the sport injury-prone knee ligaments might harbour their own repair kit in the form of mesenchymal stem cells, and that TERT transformation helps to keep these cells longer in culture for more extensive studies. In addition, we get a demonstration that diffusion tensor imaging can reliably show the activity of specific neural circuits, that rheumatoid arthritis patients are more prone to insulin resistance, and that platelet-enriched plasma gels significantly improve wound healing after pilonidal sinus surgery. Furthermore, two procreation-related articles inform us that growth hormone treatment improves endometrial receptivity in older women, and that elevated maternal liver enzymes do not impact on the outcome of laser therapy for twin-twin transfusion syndrome. Read More

ANZ J Surg 2020 04 12;90(4):529-532. Epub 2020 Jan 12.

Department of Colorectal Surgery, St John of God Subiaco Hospital, Perth, Western Australia, Australia.

Background: Pilonidal sinus disease is a common surgical disorder for which a clearly superior corrective operation remains elusive. Recurrence after surgery requiring re-operation is a frequent outcome. This retrospective study examines healing rates, recurrence rates and time to healing of a minimalist approach - employing deroofing of tracks, curettage and minimal skin excision - at one centre over the last decade. Read More

Int J Surg 2020 Feb 9;74:81-85. Epub 2020 Jan 9.

Department of Clinical Medicine and Surgery, Federico II University of Naples, Via Sergio Pansini, 5, 80131, Naples, Italy.

Background: In the new era of minimally invasive surgery, recent studies encouraged the adoption of endoscopic approaches as the most effective way to treat (pilonidal sinus disease) PSD but little is known about long-term results of minimally invasive procedures.

Materials And Methods: A total of 145 patients with chronic non recurrent pilonidal sinus were enrolled for this randomized controlled trial. The follow-up rate was 97% at 5 years for a total of 74 patients assigned to the minimally invasive treatment group and 67 patients assigned to the conventional Bascom cleft lift treatment group. Read More

Colorectal Dis 2020 May 28;22(5):597-598. Epub 2020 Jan 28.

Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.

BMJ Case Rep 2020 Jan 2;13(1). Epub 2020 Jan 2.

Department of Surgery, Tallaght University Hospital, Dublin, Ireland.

Ependymomas are neoplasms which arise from the radial glial cells, which many recent studies have proposed are neural stem cells. Extracranial ependymomas are rare. We present the case report and supporting multimedia of a 37-year-old man who presented with a painless intergluteal swelling which was diagnosed clinically as a pilonidal cyst. Read More

Cureus 2019 Nov 28;11(11):e6255. Epub 2019 Nov 28.

General Surgery, Beylikdüzü Kolan Hospital, Istanbul, TUR.

Introduction There has been no detailed study of the relationship between recurrence and symptom duration in pilonidal sinus disease. The aim of this study was to explore the correlation between delayed surgical therapy after symptoms appear in sacrococcygeal pilonidal sinus disease (SPSD) and relapse, labor loss and costs. Methods Patients diagnosed with SPSD were split into two groups according to symptom duration before surgery: 30 days or less (G1) and more than 30 days (G2). Read More

Ann Med Surg (Lond) 2019 Dec 18;48:144-149. Epub 2019 Aug 18.

Ospedale di Cavalese, General Surgery Unit, Cavalese, Trento, Italy.

Background: Pilonidal disease is a morbid condition of the young population, that could impair quality of life with a high cost for the health care system. No consensus exists on optimal surgical treatment, even if several techniques have been proposed. In this preliminary case-control study we compared excision by knife and diathermy to investigate if wound dehiscence could be related to heat spreading during excision of the sinus. Read More

Int Wound J 2020 Apr 29;17(2):443-448. Epub 2019 Dec 29.

Department of General Surgery, Alanya Alaaddin Keykubat University Training and Research Hospital, Alanya, Turkey.

Wound healing is a complex cellular and biochemical process and can be affected by several systemic and local factors. In this study, we aimed to discuss the aetiologic factors of non-healing wounds and the management of this complicated process with current information. The medical data of the patients who were admitted to our clinic due to non-healing or chronic wounds were analysed retrospectively. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2019 12;22(12):1214-1215

Int J Surg Case Rep 2020 9;66:204-206. Epub 2019 Dec 9.

Kscien Organization, Hamdi Str., Azadi Mall, Sulaimani, Kurdistan, Iraq; Chara Laboratory, Shahedan Street, Kalar, Kurdistan, Iraq.

Introduction: Breast pilonidal sinus is an extremely rare variant of the condition, the report aims to present a case of pilonidal sinus occurring in the breast.

Case Presentation: A 35-year-old female presented with a left breast discharging lesion for a 5-month duration. There was a local redness with multiple discharging sinuses on her left breast at 3-5 o'clock, 3-4 cm away from the nipple. Read More

Tech Coloproctol 2020 01 20;24(1):91-92. Epub 2019 Dec 20.

Intensive Care Unit, Ankara Yildirim Beyazit University School of Medicine, Universiteler Mahallesi Bilkent Cad. No: 1, Ankara, Turkey.

Adv Skin Wound Care 2020 Jan;33(1)

Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

World J Surg 2020 Apr;44(4):1091-1098

Department of Family Medicine, Istanbul Medipol University, Istanbul, Turkey.

Background: Pilonidal disease is a common problem in primary health care which may require immediate surgical referral. Although various management options have been proposed, so far there is no gold standard treatment. The aim of the present study was to determine which of the following techniques was superior as regards postoperative complications and recurrence, midline unshifted adipofascial turn-over flap, midline shifted adipofascial turn-over flap or Karydakis flap. Read More

Am Surg 2019 Nov;85(11):1219-1223

The aim of the study was to present the outcomes of topical crystallized phenol application in the treatment of pilonidal sinus disease. Under local anesthesia, a punch biopsy tool is used for the excision of the sinus opening holes; after cleaning the cavity, 150 to 250 mg of crystallized phenol was administered. Three sessions of additional therapy were given one week apart without anesthesia. Read More

Tech Coloproctol 2019 Dec 26;23(12):1133-1140. Epub 2019 Nov 26.

Department of Coloproctology and Digestive Surgery, CHU Tivoli, 34 Avenue Max Buzet, 7100, La Louvière, Belgium.

Background: In 2014, we started to treat pilonidal sinus disease in our institution with sinus laser-assisted closure (SiLaC) procedure. The aim of the present study was to evaluate the safety and efficacy of the SiLaC procedure in a single institution prospective study on a large cohort of patients and with a long follow-up period, and try to determine what factors that could influence healing and recurrence.

Methods: A prospective study was conducted on consecutive patients with primary pilonidal sinus disease operated on with the SiLaC procedure at our institution from March 2015 to August 2017. Read More