1,055 results match your criteria Pilonidal Disease


Excision and tension-free primary closure of pilonidal disease.

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

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http://dx.doi.org/10.5578/turkjsurg.4368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282449PMC
December 2019

Phenolisation of the Sinus Tract in Recurrent Sacrococcygeal Pilonidal Sinus Disease: A Prospective Cohort Study.

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

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http://dx.doi.org/10.7759/cureus.8129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294870PMC

Traditional and advanced therapeutic modalities for wounds in the paediatric population: an evidence-based review.

J Wound Care 2020 Jun;29(6):321-334

University of Miami Miller School of Medicine, Dr. Phillip Frost Dermatology and Cutaneous Surgery, 1321 NW 14th Street, Suite 506, Miami, FL 33125, US.

Objective: Children can have non-healing wounds due to a wide range of pathologies, including epidermolysis bullosa (EB), pilonidal disease and Stevens-Johnson syndrome, with some causes being iatrogenic, including extravasation injuries and medical device-related hospital-acquired pressure ulcers. Furthermore, paediatric wounds are vastly different from adult wounds and therefore require a different treatment approach. While there are numerous types of dressings, topical remedies, and matrices with high-tier evidence to support their use in adults, evidence is scarce in the neonatal and paediatric age groups. Read More

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http://dx.doi.org/10.12968/jowc.2020.29.6.321DOI Listing

Challenges in Retrorectal Cysts: Is Preoperative Diagnosis Essential?

J Coll Physicians Surg Pak 2020 04;30(4):429-432

Department of General Surgery, Surp Pırgiç Armenian Hospital, Istanbul, Turkey.

Developmental cysts are a subgroup of perirectal cysts seen extremely rarely. They have no symptoms in 50% of cases, and mostly occur among middle-aged women. The ratio of male to female is approximately 1/3. Read More

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http://dx.doi.org/10.29271/jcpsp.2020.04.429DOI Listing

Correction to: Conservative Sinusectomy vs. excision and primary off-midline closure for pilonidal disease: a randomized controlled trial.

Int J Colorectal Dis 2020 Jul;35(7):1201

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

The original version of this article, unfortunately, contained an error. The given names and family names of the authors were interchanged and are now presented correctly. The original article has been corrected. Read More

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http://dx.doi.org/10.1007/s00384-020-03620-zDOI Listing

Squamous cell carcinoma over pilonidal chronic disease. A new therapeutic approach.

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

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http://dx.doi.org/10.1016/j.ijscr.2020.04.043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229405PMC

Obesity, Hypertrichosis and Sex Steroids: Are these Factors Related to the Pilonidal Sinus Disease?

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

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http://dx.doi.org/10.14744/SEMB.2019.78800DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192277PMC

Treatment of young patients with pilonidal sinus disease with the original (none modified) Limberg flap that standardized for the first time.

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

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http://dx.doi.org/10.1111/ped.14277DOI Listing

Fundamentals of Anorectal Technical Skills: A Concise Surgical Skills Course.

Mil Med 2020 Apr 21. Epub 2020 Apr 21.

Division of General Surgery, Department of Surgery, Uniformed Services University of the Health Sciences (USUHS)/Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889.

Introduction: Anorectal diseases, among the most common surgical conditions, are underrepresented in medical training. The Fundamentals of Anorectal Technical Skills course was developed to provide cost-effective formal training in diagnosis of common anorectal conditions and in commonly performed anorectal procedures using the theories of deliberative practice and perceptual and adaptive learning.

Materials And Methods: First- through third-year general surgery and internal medicine residents and third- and fourth-year medical students participated in a course consisting of didactic instruction and hands on skills stations. Read More

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http://dx.doi.org/10.1093/milmed/usaa070DOI Listing

Comparison of 'Excision and Primary Repair' with 'Bascom's Technique' in the Surgical Treatment of Pilonidal Sinus.

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

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http://dx.doi.org/10.7759/cureus.7338DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164700PMC

Laser depilation as adjuvant therapy in prevention of recurrence of pilonidal sinus disease: initial experience of a district general hospital in the UK.

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

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http://dx.doi.org/10.1308/rcsann.2020.0069DOI Listing

Sexual Function in Patients Suffering from Sacrococcygeal Pilonidal Sinus Disease.

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

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http://dx.doi.org/10.7759/cureus.7159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108675PMC

Sinusectomy and primary closure versus excision and primary closure in pilonidal sinus disease: a retrospective cohort study.

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

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http://dx.doi.org/10.1007/s00384-020-03575-1DOI Listing

Postoperative outcomes of Bascom cleft lift for pilonidal disease: A single-center experience.

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

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http://dx.doi.org/10.1016/j.amjsurg.2020.03.005DOI Listing

Conservative Sinusectomy vs. excision and primary off-midline closure for pilonidal disease: a randomized controlled trial.

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

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http://dx.doi.org/10.1007/s00384-020-03551-9DOI Listing

Submuscular pilonidal cyst: a rare presentation of late recurrence of pilonidal disease.

ANZ J Surg 2020 Mar 4. Epub 2020 Mar 4.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

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http://dx.doi.org/10.1111/ans.15803DOI Listing

Limberg flap for pilonidal sinus disease - a video vignette.

Colorectal Dis 2020 Feb 17. Epub 2020 Feb 17.

Khoo Teck Puat Hospital, Singapore City, Singapore.

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http://dx.doi.org/10.1111/codi.15023DOI Listing
February 2020

Use of keystone advance flap for pilonidal disease - a video vignette.

Colorectal Dis 2020 Feb 16. Epub 2020 Feb 16.

Unit of Colorectal Surgery, Department of Surgery, Hospital del Mar, Autonomous University of Barcelona, Barcelona, Spain.

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http://dx.doi.org/10.1111/codi.15020DOI Listing
February 2020

Outcomes of Two Treatments for Uncomplicated Pilonidal Sinus Disease: Karydakis Flap Procedure and Sinus Tract Ablation Procedure Using a 1,470 nm Diode Laser Combined With Pit Excision.

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

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http://dx.doi.org/10.1002/lsm.23224DOI Listing
February 2020

Dialkylcarbamoyl chloride-coated versus alginate dressings after pilonidal sinus excision: a randomized clinical trial (SORKYSA study).

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

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http://dx.doi.org/10.1002/bjs5.50259DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093794PMC

Pilonidal disease: changes in understanding of etiology, pathogenesis and approach to treatment

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

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Pilonidal sinus disease: If many methods stand time's test, the best may mirror all the rest. A commentary on: "Long-term results of a randomized clinical trial comparing endoscopic versus conventional treatment of pilonidal sinus" [Int. J. Surg. 2020;74:81-5].

Authors:
Andrew J Beamish

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:

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http://dx.doi.org/10.1016/j.ijsu.2020.01.134DOI Listing

An Invited Commentary on "Long-term results of a randomized clinical trial comparing endoscopic versus conventional treatment of pilonidal sinus" (Int J Surg 2020; 74:81-5).

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

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

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http://dx.doi.org/10.1016/j.ijsu.2020.01.132DOI Listing

A randomized controlled trial of effectiveness of platelet-rich plasma gel and regular dressing on wound healing time in pilonidal sinus surgery: Role of different affecting factors.

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

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http://dx.doi.org/10.1016/j.bj.2019.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963006PMC
December 2019

Minimal tissue excision in the treatment of pilonidal sinus disease: results from a single surgical unit.

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

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http://dx.doi.org/10.1111/ans.15677DOI Listing

Long-term results of a randomized clinical trial comparing endoscopic versus conventional treatment of pilonidal sinus.

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

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http://dx.doi.org/10.1016/j.ijsu.2019.12.033DOI Listing
February 2020

Subcutaneous sacrococcygeal myxopapillary ependymoma misdiagnosed as pilonidal disease.

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

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http://dx.doi.org/10.1136/bcr-2019-231639DOI Listing
January 2020

The Correlation Between Delayed Surgical Therapy After the Diagnosis of Pilonidal Sinus Disease and Relapse, Labor Loss, and Costs.

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

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http://dx.doi.org/10.7759/cureus.6255DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937472PMC
November 2019

Pilonidal sinus disease: Preliminary case-control study on heat-related wound dehiscence.

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

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http://dx.doi.org/10.1016/j.amsu.2019.07.032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6930932PMC
December 2019

Non-healing wounds: Can it take different diagnosis?

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

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http://dx.doi.org/10.1111/iwj.13292DOI Listing

Pilonidal sinus of breast: A case report with literature review.

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

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http://dx.doi.org/10.1016/j.ijscr.2019.11.057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928336PMC
December 2019

Comparision of American, German and Italian guidelines for the treatment of pilonidal disease with phenol.

Authors:
M E Yuksel

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.

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http://dx.doi.org/10.1007/s10151-019-02137-0DOI Listing
January 2020

Comparison of Common Surgical Procedures in Non-complicated Pilonidal Sinus Disease, a 7-Year Follow-Up Trial.

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

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http://dx.doi.org/10.1007/s00268-019-05331-1DOI Listing

Minimally Invasive Pilonidal Excision: Preliminary Report.

World J Surg 2020 Apr;44(4):1086-1090

San Camillo - Forlanini Hospital, Rome, Italy.

Background: The aim of this study was to report on the application of a minimally invasive technique to the radical extirpation of primary and recurrent pilonidal disease. This technique does not require specific equipments, is ordinarily performed under local anesthesia on an outpatient basis, and provides optimal cosmetic results.

Methods: A total of 187 patients including 68% of patients with previous pilonidal surgery and 12% cases of extensive disease underwent surgery as day case. Read More

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http://dx.doi.org/10.1007/s00268-019-05313-3DOI Listing

Long-Term Outcomes of Crystallized Phenol Application after Punch Excision for the Treatment of Pilonidal Sinus Disease.

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

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November 2019

The SiLaC procedure for pilonidal sinus disease: long-term outcomes of a single institution prospective study.

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

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http://dx.doi.org/10.1007/s10151-019-02119-2DOI Listing
December 2019

Effects of Bathing Habits on Postoperative Wound Complications Following Sacrococcygeal Pilonidal Sinus Surgery: A Retrospective Analysis of 67 Adolescent Patients.

Wounds 2019 Nov;31(11):292-296

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

Introduction: Sacrococcygeal pilonidal sinus disease generally affects young people and impacts their quality of life. Few published studies assessing the characteristics of the disease in the adolescent population exist.

Objective: In this paper, the authors aim to evaluate the effects of bathing habits on wound complications in adolescent patients following Karydakis flap surgery for sacrococcygeal pilonidal sinus. Read More

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November 2019

Inverse 'D' incision technique in treatment of pilonidal sinus disease; excision with minimal tissue loss, closure without tension and lateral location of the suture line.

Ann Surg Treat Res 2019 Nov 1;97(5):261-265. Epub 2019 Nov 1.

Department of Surgery, Duzce University Medical Faculty, Duzce, Turkey.

Purpose: Surgical excision is the preferred treatment modality for sacrococcygeal pilonidal sinus (PS). Notably, the desirable features of an ideal surgical intervention are excision with minimal tissue loss, closure without tension, and a lateral suture line. The present study aimed to investigate early outcomes of surgical excision through the inverse D (ᗡ) incision based on tissue loss, wound tension, and suture line location. Read More

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http://dx.doi.org/10.4174/astr.2019.97.5.261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848004PMC
November 2019

Approaches to the treatment of pilonidal sinus disease, clinical practice in 2019.

Int Wound J 2020 Apr 11;17(2):508-509. Epub 2019 Nov 11.

Department of Surgery, Magee Womens Hospital, UPMC, Pittsburgh, Pennsylvania.

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http://dx.doi.org/10.1111/iwj.13265DOI Listing

The management of pilonidal disease in pediatric patients: some aspects of importance.

J Pediatr Surg 2020 01 5;55(1):206-207. Epub 2019 Oct 5.

Department of Anaesthesiology and Pain Therapy, University of Bern, University Hospital Inselspital, Bern, Switzerland. Electronic address:

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http://dx.doi.org/10.1016/j.jpedsurg.2019.08.053DOI Listing
January 2020

Complete natal cleft removal with kite incision in the treatment of extensive sacrococcygeal pilonidal sinus.

ANZ J Surg 2020 04 7;90(4):533-537. Epub 2019 Nov 7.

Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.

Background: Pilonidal sinus (PS) is a benign disease for which different treatment modalities are used, varying from non-surgical treatments to surgical treatments with flap use for big defects. High recurrence is the main problem in complicated cases. We presented complete natal cleft excision with kite incision and fasciocutaneous flap (CNCEF with kite incision) in extensive sacrococcygeal PS. Read More

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http://dx.doi.org/10.1111/ans.15550DOI Listing

Analysis of the Relapse Rates of the Primary Closure and Limberg Flap Techniques in Pilonidal Sinus Surgery.

Cureus 2019 Sep 23;11(9):e5730. Epub 2019 Sep 23.

General Surgery, İstanbul Gelisim University, Istanbul, TUR.

Background This study aimed to assess the relapse rates at the long-term follow-up of the Limberg flap repair (LFR) and primary closure (PC) methods in the surgical treatment of pilonidal sinus disease (PSD). Methods The records of primary PSDs who underwent LFR and PC due to PSD were retrospectively examined. The study included patients whose surgical intervention was performed at least two years ago. Read More

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http://dx.doi.org/10.7759/cureus.5730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6822894PMC
September 2019

Improving Resource Utilization and Outcomes Using a Minimally Invasive Pilonidal Protocol.

J Pediatr Surg 2020 Jan 25;55(1):182-186. Epub 2019 Oct 25.

Department of Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Purpose: The purpose of this study was to evaluate the resource utilization and outcome of a minimally invasive pilonidal protocol (MIPP) versus surgical excision (SE) in adolescents with pilonidal disease.

Methods: Improved hygiene, laser epilation (LE), and sinusectomy were implemented as a minimally invasive pilonidal protocol (MIPP) in March 2016. Following IRB approval, 34 consecutive MIPP patients with moderate and severe disease were compared with a random sample of 17 SE patients treated prior to MIPP implementation. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.09.074DOI Listing
January 2020

Pilonidal Disease Management: Guidelines from the ASCRS.

Authors:
Lisa Croke

Am Fam Physician 2019 Nov;100(9):582-583

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November 2019

Impact of geography and surgical approach on recurrence in global pilonidal sinus disease.

Sci Rep 2019 10 22;9(1):15111. Epub 2019 Oct 22.

Department of Anesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, 3010, Bern, Switzerland.

Pilonidal sinus disease (PSD) is increasing globally. A recent meta-analysis and merged-data analysis showed that recurrence rates in PSD depend essentially on follow-up time and specific surgical procedures. However, the global distribution of surgical approaches and respective recurrence rates have never been studied in PSD. Read More

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http://dx.doi.org/10.1038/s41598-019-51159-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805955PMC
October 2019
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Topical polyphenol treatment of sacrococcygeal pilonidal sinus disease: use of ultrasonography to evaluate response to treatment - clinical case series study.

Postepy Dermatol Alergol 2019 Aug 30;36(4):431-437. Epub 2019 Aug 30.

Department of Dermatology, Faculty of Medicine, Aksaray University, Aksaray, Turkey.

Introduction: Sacrococcygeal pilonidal sinus disease (SPSD) is a common disorder and encountered more frequently in hairy young males after puberty.

Aim: To assess effectiveness of topical polyphenol treatment of SPSD by using physical examination and ultrasonography (USG).

Material And Methods: Fourteen patients with SPSD diagnosis were treated by natural polyphenol products and were retrospectively included in this study. Read More

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http://dx.doi.org/10.5114/ada.2018.77255DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791160PMC
August 2019
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Management of Pilonidal Sinus Disease with the Aesthetically Shaped Parasacral Perforator Flap: Multicenter Evaluation of 228 Patients.

Plast Reconstr Surg 2019 10;144(4):971-980

Toulouse, Montpellier, Limoges, Amiens, and Rennes, France From the Department of Plastic, Reconstructive, Aesthetic Surgery and Burns, CHRU Rangueil; the Department of Plastic and Reconstructive Surgery, Burns and Wound Healing Units, CHRU Lapeyronie; the Department of Endoscopy and Gastroenterology, Limoges University Hospital; the Department of Plastic Reconstructive and Aesthetic Surgery, University Hospital of Picardie, Amiens Picardie University Hospital; and the Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes.

Background: The management of pilonidal sinus disease is still not standardized. Currently, the two main procedures are a lay-open excision procedure with secondary healing or coverage with local flaps. The authors present their experience with a one-stage excision-coverage with an innovative parasacral artery perforator flap propeller designed to respect the aesthetic unity of the buttocks. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006087DOI Listing
October 2019
5 Reads