Lower Recurrence Rate for Limberg vs. V-Y Flap for Pilonidal Sinus

2007 ◽  
Vol 50 (9) ◽  
pp. 1436-1444 ◽  
Author(s):  
Haluk R. Unalp ◽  
Hayrullah Derici ◽  
Erdinc Kamer ◽  
Okay Nazli ◽  
Mehmet Ali Onal
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Lower Recurrence Rate

scholarly journals Z- Plasty: an Effective Technique for Pilonidal Sinus

2021 ◽  
Vol 28 (2) ◽  
pp. 164-171
Author(s):  
Mohammad Rabiul Karim Khan ◽  
Most Nurunnahar Begum ◽  
Sharmin Islam ◽  
Abu Faisal Md Ariful Islam ◽  
Rafiq Uddin Ahmed ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Prospective Observational Study ◽  
Wound Dehiscence ◽  
Effective Technique ◽  
Natal Cleft ◽  
Medical College ◽  
Lower Recurrence Rate ◽  
Surgical Options

Introduction: Pilonidal sinus is a commonly encountered problem with multiple surgical options. With Z- plasty, primary closure ensues faster healing while the alteration of local anatomy reduces recurrence. The extremely low recurrence rate following Z-plasty for pilonidal sinus results from the fact that the operation was planned with the true physiology of the disease in mind. It is the deep natal cleft which predisposes to pilonidal sinuses and this architecture is altered with multiple Z -plasty. Materials and methods: A prospective, observational study was conducted into department of Plastic Surgery and burn, Dhaka Medical College and Hospital. Here 18 patients with pilonidal sinus were treated by Z – plasty between 2013 to 2018. Result: There was only one recurrence during the follow up time. There were no necrosis of flaps and no wound dehiscence. Conclusion: The Z-plasty technique is an effective procedure for treating pilonidal sinus in terms of both faster healing and lower recurrence rate. J Dhaka Medical College, Vol. 28, No.2, October, 2019, Page 164-171

Excision and primary closure of pilonidal sinus disease: worthwhile option with an acceptable recurrence rate

2010 ◽  
Vol 180 (1) ◽  
pp. 173-176 ◽  
Author(s):  
S. N. S. Gilani ◽  
H. Furlong ◽  
K. Reichardt ◽  
A. O. Nasr ◽  
G. Theophilou ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease

scholarly journals Polyethylene Nail Brace for Ingrown Toenails Treatment: A Randomized Clinical Trial

2020 ◽  
Vol 17 (21) ◽  
pp. 7741
Author(s):  
Salvador Márquez-Reina ◽  
Inmaculada Palomo-Toucedo ◽  
María Reina-Bueno ◽  
José Manuel Castillo-López ◽  
Javier Ramos Ortega ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Recurrence Rate ◽  
Stage I ◽  
Plastic Strip ◽  
Lower Recurrence Rate ◽  
Ingrown Toenails ◽  
Combined Technique

Background: Onychocryptosis is one of the most prevailing onychopathies and one of the usual reasons for visiting podiatry clinics. In this research, we aim to evaluate the effectiveness of a procedure of nail reeducation technique via a strip of polyethylene in subjects with stage I or IIa onychocryptosis, in which pathological toenail curves are present. Methods: This research was a randomized clinical trial (ACTRN12615000834550). The sample was made up of 94 cases of stage I or IIa onychocryptosis, according to the Mozena classification. Briefly, 46 cases were treated with the combination of a spicule technique and nail brace with a polyethylene plastic strip, and 48 were only treated with the spicule technique. Results: The combination of the spicule technique and the nail brace technique with a strip of polyethylene had a significantly lower recurrence rate compared to that achieved with just the spicule technique, twelve months after the beginning of the study (N.S. = 0.000 for α = 0.05). The change in the nail width achieved with the nail brace technique, twelve months after the beginning of the study, was statistically significant (N.S. = 0.000 for α = 0.05). Conclusions: The recurrence rate of the spicule technique alone was significantly higher than the combined technique of spicule with nail brace. A nail brace with a strip of polyethylene reduces the recurrence rate of onychocryptosis.

Laser may reduce recurrence rate in pilonidal sinus disease by reducing captured occipital hair

2016 ◽  
Vol 32 (2) ◽  
pp. 481-482 ◽  
Author(s):  
Dietrich Doll ◽  
Markus M. Luedi
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease

Lower recurrence rate of the Bartholin gland cysts or abscess after lavaj-drainage and marsupialization

Gineco eu ◽  
2017 ◽  
Vol 13 (4) ◽  
pp. 137-138
Author(s):  
Serbanescu L.
Keyword(s):  
Recurrence Rate ◽  
Lower Recurrence Rate

scholarly journals Lower recurrence rate in chondroblastoma using extended curettage and cryosurgery

2013 ◽  
Vol 38 (5) ◽  
pp. 1019-1024 ◽  
Author(s):  
Mohamed Ahmed Mashhour ◽  
Mohamed Abdel Rahman
Keyword(s):  
Recurrence Rate ◽  
Lower Recurrence Rate ◽  
Extended Curettage

scholarly journals LASER ABLATION FOR PILONIDAL DISEASE

2020 ◽  
Vol 19 (2) ◽  
pp. 91-103
Author(s):  
D. A. Khubezov ◽  
R. V. Lukanin ◽  
A. R. Krotkov ◽  
A. Y. Ogoreltsev ◽  
P. V. Serebryansky ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Postoperative Pain ◽  
Hospital Stay ◽  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Main Group ◽  
Cosmetic Result ◽  
Control Group ◽  
Primary Wound Closure

AIM: to evaluate short-term results of pilonidal disease treatment using different methods: the excision of pilonidal sinus and fistula with open wound healing, the primary closure of the wound and the laser ablation (2017-2019).PATIENTS AND METHODS: ninety patients with pilonidal disease without abscess were included in the comparative non-randomized study. The control group included 30 patients with excision and open wound healing. The first main group included 30 patients with the excision of pilonidal sinus and fistula with primary wound closure. The second main group included 30 patients with laser ablation of pilonidal sinus and fistula. The evaluation criteria included gender, age, BMI, number of previous procedures, operative time, hospital stay, postoperative pain intensity (VAS), cosmetic result (VAS), complication rate and recurrence rate.RESULTS: all three groups were homogeneous in gender, age, BMI. The control group showed no complications (р<0.0001) and no recurrence (р<0.0001) rate but had more intensive pain (mean 5.9 points; р<0.0001) and worse cosmetic result (mean 4.4 points; р<0.0001). The group with primary wound closure (1st main group) had the highest complication rate (23.4%; р=0.004) and recurrence rate (16.7%; р=0.02). The group with laser ablation had significantly shorter hospital stay (1.1 days; р<0.0001), good cosmetic result (mean 8.9 points; р<0.0001) and less postoperative pain (1.4 points; р<0.0001) with low recurrence rate (3.3%; p=0.32).CONCLUSION: the laser ablation of pilonidal sinus and fistula provides less postoperative pain intensity and low recurrence rate, better cosmetic result and short hospital stay. It can be used for outpatient treatment.

scholarly journals A COMPARATIVE CLINICAL STUDY OF ‘CHEDANA KARMA & KSHARSUTRA (SETON) KARMA’ (GUGGULU BASED) IN THE MANAGEMENT OF SHALYAJ NADI VRANA(SINUS) W.S.R. TO PILONIDAL SINUS (ASSOCIATED WITH ROPAN LEPA)

2021 ◽  
Vol 9 (2) ◽  
pp. 327-334
Author(s):  
Syed Abdul Wahid ◽  
Arvind Gajbhiye
Keyword(s):  
Clinical Study ◽  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Common Disease ◽  
Natal Cleft ◽  
Surgical Interventions ◽  
Comparative Clinical Study ◽  
Ayurvedic Treatment ◽  
Treatment Aspect

A Pilonidal Sinus is a common disease of the natal cleft. Pilonidal Sinus is a track which contains hairs. The incidence of the disease is calculated to be 26 per 100,000 people. Pilonidal disease has a male pre-dominance with a ratio of 3:1. There are several methods to treat pilonidal sinus, but the recurrence rate is more in modern surgical interventions. According to Ayurveda it can be correlated to Salyajanya Nadi Vrana (pilonidal sinus), a type of Nadi Vrana (sinus). Whose etiopathology is described in Nidanasthana and treatment aspect in Chikitsasthana of Susrutha Samhita. Susrutha mentioned the ap-plication of Kshara (caustic alkali) and Ksharsutra (Seton) (Seton) in the management of Nadi Vrana (si-nus). Studies show that by Ayurvedic treatment, it helps to reduce recurrence rate, even though Nadi Vrana (sinus) is said to be Kricchrasadhya (difficult to cure). Hence successful management of this disease de-pends on the knowledge of pathogenesis, patient’s presentation and knowledge on treatment aspects. In this Clinical study, effect of Chedana karma & Ksharsutra (Seton) karma’ (Guggulu based) in the management of Salyajanya Nadi Vrana (pilonidal sinus) w.s.r. To pilonidal sinus (associated with ropan lepa) is seen and conclusion in drawn.

scholarly journals Co-expression of intermediate filaments glial fibrillary acidic protein and cytokeratin in pituitary adenoma

Pituitary ◽  
2020 ◽  
Author(s):  
Nina Wiesnagrotzki ◽  
Christian Bernreuther ◽  
Wolfgang Saeger ◽  
Jörg Flitsch ◽  
Markus Glatzel ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Recurrence Rate ◽  
Intermediate Filaments ◽  
Pituitary Adenomas ◽  
Medical Center ◽  
Tumor Stem Cells ◽  
Null Cell ◽  
Lower Recurrence Rate ◽  
Folliculostellate Cells ◽  
Prognostic Data

Abstract Purpose To analyze the co-expression of the intermediate filaments GFAP and cytokeratin in 326 pituitary adenomas with regard to the distribution pattern, the subtype of the adenoma and clinical prognostic data. Methods Tissue from 326 pituitary adenomas and 13 normal anterior pituitaries collected in the Institute of Neuropathology, University Medical Center Hamburg-Eppendorf, between 2006 and 2009 was investigated by immunohistochemistry, immunofluorescence and electron microscopy. Results Co-expression of intermediate filaments GFAP and cytokeratin was associated with hormone expression in 62/278 cases (22%), but only found in 2/48 (4%) of null cell adenomas (p < 0.01). Simultaneous co-expression of GFAP and cytokeratin in the same cells was demonstrated in 26 out of 326 pituitary adenomas and in all 13 pituitaries. In pituitary intermediate filaments were demonstrated in a larger area of the cytoplasm than in adenoma (p < 0.01), however, overlapping expression was seen in 2.6% of the total area in both, pituitary and adenoma. Congenially, cells with overlapping expression were found near vessels and in follicles. Furthermore, adenomas with cellular co-expression of GFAP and cytokeratin were associated with a lower recurrence rate (7.7%) compared to adenomas without co-expression of intermediate filaments (17.8%). Conclusions Cellular co-expression of the intermediate filaments GFAP and cytokeratin in pituitary adenomas and the pituitary was demonstrated and shown to be associated with hormone expression and low recurrence rate. The results are discussed with regard to the biology of folliculostellate cells, neural transformation and tumor stem cells. This study may complement the understanding of pituitary adenoma biology.

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