Muzi's Tension Free Primary Closure of Pilonidal Sinus Disease: Long-Term Results on 450 Patients

2017 ◽  
Vol 152 (5) ◽  
pp. S1212-S1213 ◽  
Author(s):  
Marco Gallinella Muzi ◽  
Claudia Mosconi ◽  
Marco Colella ◽  
Agnese Cianfarani ◽  
Pietro Mascagni ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Primary Closure ◽  
Long Term Results ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Tension Free

Muzi’s Tension Free Primary Closure of Pilonidal Sinus Disease: Updates on Long-Term Results on 514 Patients

2017 ◽  
Vol 22 (1) ◽  
pp. 133-137 ◽  
Author(s):  
Marco Gallinella Muzi ◽  
Pietro Mascagni ◽  
Oreste Buonomo ◽  
Agnese Cianfarani ◽  
Claudia Mosconi ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Primary Closure ◽  
Long Term Results ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Tension Free

scholarly journals Pilonidal sinus- limberg versus karidakis flap our experience at SIMS, Shivamogga

2017 ◽  
Vol 4 (11) ◽  
pp. 3641
Author(s):  
Madhusudhan A. ◽  
Madhan D. P. Swamy ◽  
Mohhamad Arif
Keyword(s):  
Pilonidal Sinus ◽  
Long Term Results ◽  
Pilonidal Sinus Disease ◽  
Surgical Removal ◽  
Limberg Flap ◽  
Sinus Disease ◽  
Number Of Patients ◽  
Successful Recovery ◽  
Surgical Methods

Background: The etiology and pathogenesis of sacro-coccygeal pilonidal sinus are not clear. The pathogenesis of the disease is hypothesized to be related to the accumulation of weak and lifeless hair in the intergluteal region, which over time gives rise to foreign body reaction, causing abscess and sinus formation. A deep natal cleft with one of favourable factors enhance sacro-coccygeal pilonidal sinus, e.g., sweating, maceration, bacterial contamination and penetration of hairs. Obesity, trauma, local irritation and a sedentary lifestyle are usually associated with PS. Although pilonidal sinus can be treated using various conservative and surgical methods, recurrence rate remains high. Complete surgical removal of the pilonidal sinus or sinuses and appropriate reconstruction can lead to successful recovery. However, collection of the lifeless hair depends on the anatomy of the intergluteal area, and accompanying risk factors can lead to subsequent recurrence.Methods: The objective of this study is to compare the immediate post-operative and long-term results of Limberg flap and Karydakis flap, which are being widely used now to treat pilonidal sinus disease. It was a retrospective observational study where the patients (total number of patients-30) who underwent both the procedures were compared, Limberg flap (LF; n = 13) and Karydakis flap (KF; n = 17).Results: Present study found out that short and long-term results of the LF and KF procedures are similar. In present study we also noted that all patients with pilonidal sinus disease were men, and most of them had jobs which involved sitting for long durations. Poor hygiene and hirsutism however was not noted in most of the patients, and was not objectively assessed.Conclusions: Both the techniques can be used safely and effectively in sacro coccygeal pilonidal sinus disease.

554 - Muzi's Tension Free Primary Closure Technique to Treat Pilonidal Sinus Disease: A Step-by-Step Video Demonstration

2018 ◽  
Vol 154 (6) ◽  
pp. S-1273
Author(s):  
Marco Gallinella Muzi ◽  
Agnese Cianfarani ◽  
Pietro Mascagni ◽  
Francesco Taliente ◽  
Claudia Mosconi
Keyword(s):  
Pilonidal Sinus ◽  
Primary Closure ◽  
Pilonidal Sinus Disease ◽  
Closure Technique ◽  
Sinus Disease ◽  
Tension Free ◽  
Video Demonstration

Long-term Results of Pilonidal Sinus Disease with Modified Primary Closure: New Technique on 450 Patients

2014 ◽  
Vol 80 (5) ◽  
pp. 484-488 ◽  
Author(s):  
Marco Gallinella Muzi ◽  
Riccardo Maglio ◽  
Giovanni Milito ◽  
Casimiro Nigro ◽  
Ilaria Ciangola ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Return To Work ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Pilonidal Disease ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Long Term Follow Up

Chronic pilonidal disease is a debilitating condition that typically affects young adults. Controversy still exists regarding the best surgical technique for the treatment of pilonidal disease in terms of minimizing disease recurrence and patient discomfort. The present study analyzes the results of excision with our modified primary closure. This retrospective study involving consecutive patients with pilonidal disease was conducted over a 6-year period. From January 2004 to January 2010, 450 consecutive patients with primary pilonidal sinus disease received this new surgical treatment. Times for complete healing and return to work, the duration of operation and of hospitalization, postoperative pain, time to first mobilization, and postoperative complications were recorded. To evaluate patient comfort, all patients were asked to complete a questionnaire including visual analog scale. The median long-term follow-up was 54 months (range, 24 to 84 months). Four hundred fifty consecutive patients (96 female, 354 male) underwent excision. The median age was 25 years (range, 17 to 43 years). The median follow-up period was 54 months (range, 24 to 84 months). Four hundred twenty completed questionnaires were returned (87% response rate). The median duration of hospital stay was eight hours (range, 7 to 10 hours) No patient reported severe postoperative pain. Primary operative success (complete wound healing without recurrence) was achieved in 98.2 per cent. Two (0.5%) patients had a recurrence. The mean time lost to work/school after modified primary closure was eight days. Excision and primary closure with this new technique is an effective treatment for chronic pilonidal disease. It is associated with low morbidity, early return to work, and excellent cosmetic result and a high degree of patient satisfaction in the long-term follow-up.

A Comparison of the Results of the Karydakis Flap Procedure and Primary Closure in the Treatment of Pilonidal Sinus Disease Over the Short and Long Term: A Randomized Clinical Study

2016 ◽  
Vol 101 (11-12) ◽  
pp. 503-509
Author(s):  
Murat Kendirci ◽  
Tezcan Akin ◽  
Merve Akin ◽  
Hüseyin Berkem ◽  
Süleyman Hengirmen ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Primary Closure ◽  
Long Term Results ◽  
Pilonidal Sinus Disease ◽  
Flap Procedure ◽  
Short And Long Term ◽  
Group 2 ◽  
Duration Of Operation ◽  
Group 1

In the current prospective study, we compared the results of the Karydakis flap procedure (KFP) and primary closure (PC). This study compared the short and long-term results of the KFP and PC techniques. The sample of this study was a total of 352 patients (302 male: 85.7%; median age: 24 years) who underwent reconstruction after pilonidal sinus excision in our clinic. The reconstruction was performed using the KFP (group 1, n = 176, 50%) or PC (group 2, n = 176, 50%). The following data on the patients was obtained; sex, age, body mass index (BMI), duration of operation and hospital stay, length of time patient could walk without pain, length of time patients could sit on toilet without pain, complications (e.g., infection, recurrence). No significant difference was found between groups 1 and 2 with respect to sex, age, BMI, and duration of operation. Moreover, length of time patients could walk and sit on toilet without pain was similar in both groups. On the other hand, the rate of recurrence was significantly lower in group 1 (n = 4, 2%) compared with group 2 (n = 20, 11%, P < 0.001). KFP is preferable to PC since it is easier to learn and perform and has lower complication and recurrence rates.

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

2019 ◽  
Vol 85 (11) ◽  
pp. 1219-1223
Author(s):  
Arif Hakan Demirel ◽  
Mikail Polat
Keyword(s):  
Pilonidal Sinus ◽  
Close Correlation ◽  
Late Recurrence ◽  
Punch Biopsy ◽  
Long Term Results ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Early Results ◽  
Crystallized Phenol

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. The technique was well tolerated, and early results were observed two months after the procedure. Recurrence was detected in five patients (11.9%), one of whom underwent two more sessions, resulting in recovery. In the long-term results, 39 patients were available after 16 to 38 months (mean 23.7 months). Of these, recurrence was detected in five patients (12.8%). Analysis of the data was unable to identify significant effects of the characteristics of the disease (primary or recurrent), gender of patients, and the number of opening holes (single or multiple) on early and late recurrence ( P > 0.05). A close correlation can be drawn from the early- and long-term results after treatment ( P < 0.0001). In this study, the use of the punch biopsy tool in the treatment of pilonidal sinus disease with crystallized phenol was described first. This minimally invasive method achieved excellent aesthetic outcomes, and it can successfully be applied without the need for surgical intervention, especially in patients who are at the initial stage and with small in size openings.

scholarly journals Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

2012 ◽  
Vol 97 (3) ◽  
pp. 224-229 ◽  
Author(s):  
Akin Onder ◽  
Sadullah Girgin ◽  
Murat Kapan ◽  
Mehmet Toker ◽  
Zulfu Arikanoglu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Disease Risk ◽  
Pilonidal Sinus Disease ◽  
Limberg Flap ◽  
Sinus Disease ◽  
Faculty Department ◽  
Closure Method

Abstract The aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disease who were operated on at Dicle University Medical Faculty, Department of General Surgery, between February 2008 and December 2010. Patients receiving the Limberg flap totaled 106 (73.6%), while 38 (26.4%) had primary closure. Postoperative complications developed in 42 subjects (29.2%), and recurrence occurred in 19 (13.2%). The Limberg flap method was statistically considered as a risk factor for postoperative complications (P  =  0.039). Regarding recurrence, family tendency (P  =  0.011), sinus number (P  =  0.005), cavity diameter (P  =  0.002), and primary closure (P  =  0.001) were found to be risk factors. Postoperative complication rate is higher in the Limberg flap method than primary closure method. The risk of recurrence is related to family tendency, sinus number, cavity diameter and anesthesia type and is also higher in primary closure.

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