Pilonidal sinus of the neck

2005 ◽  
Vol 120 (2) ◽  
pp. 1-2 ◽  
Author(s):  
Ravi Meher ◽  
Ashwani Sethi ◽  
Deepika Sareen ◽  
Ramanuj Bansal
Keyword(s):  
Pilonidal Sinus ◽  
Rare Case ◽  
Primary Repair ◽  
Complete Healing ◽  
Sacrococcygeal Region

A pilonidal sinus is most commonly seen in the sacrococcygeal region. Here we describe a rare case of pilonidal sinus of the neck following trauma due to shaving. Excision of the sinus with primary repair resulted in complete healing of the lesion with no recurrence. The possible pathogenesis of this acquired condition is also discussed.

scholarly journals Pilonidal Cyst of the Penis Mimicking Carcinoma

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Luigi Cormio ◽  
Francesca Sanguedolce ◽  
Paolo Massenio ◽  
Giuseppe Di Fino ◽  
Giuseppe Carrieri
Keyword(s):  
Differential Diagnosis ◽  
Pilonidal Sinus ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Sinus Tract ◽  
Penile Carcinoma ◽  
Inflammatory Condition ◽  
Pilonidal Cyst ◽  
Chronic Inflammatory Condition

Pilonidal sinus is a long-standing chronic inflammatory condition consisting of a sinus tract from the skin-lined orifice extending into subcutaneous tissue, with hairs attached to the wall of the tract and projecting outside of the opening. Penile location is rare, and differential diagnosis with severe balanoposthitis, epidermal cysts, and neoplasms can be difficult. We report a rare case of pilonidal cyst located between coronal sulcus and prepuce which, due to its ulcerated aspect and absence of a tract with projecting hairs, simulated a penile carcinoma.

scholarly journals Day-Care Surgery for Pilonidal Sinus

2006 ◽  
Vol 88 (7) ◽  
pp. 656-658 ◽  
Author(s):  
AKM Abdul-Ghani ◽  
AN Abdul-Ghani ◽  
CL Ingham Clark
Keyword(s):  
Pilonidal Sinus ◽  
Day Care ◽  
Day Surgery ◽  
Complete Healing ◽  
Sinus Surgery ◽  
Potential Cost ◽  
Day Care Surgery ◽  
Ambulatory Treatment ◽  
Wound Breakdown ◽  
Care Surgery

INTRODUCTION The surgical approach to symptomatic pilonidal sinus is open to debate. Many techniques have been described and no single technique fulfils all the requirements of an ideal treatment. Ambulatory treatment with minimal morbidity and rapid return to activity is desirable. The aim of this work was to study the feasibility of day-care surgery for excision and primary asymmetric closure of symptomatic pilonidal sinus. PATIENTS AND METHODS All patients referred electively over 2 years were assessed in a single-consultant, colorectal clinic and booked for day-care surgery. All patients had excision and primary asymmetric closure under general anaesthesia in the left lateral position. Whenever possible, they were discharged on the same day according to the day-surgery protocol. Patients were subsequently seen in the out-patient clinic for removal of stitches and were followed up further if there was any wound breakdown. RESULTS Fifty-one patients were operated on electively for pilonidal sinus over the 2 years. Two patients were excluded as the final diagnosis was not pilonidal sinus. At 4 weeks following operation, 43 (88%) had complete healing and 6 (12%) had dehiscence of the wound. Recurrence rate was 8% (4 patients) for follow-up of 12–38 months. There was no admission from the day-surgery unit and no unplanned re-admissions. The cost for day-care pilonidal sinus surgery was estimated to be £672.00 per patient compared with in-patient cost of £2405.00. CONCLUSIONS Excision and primary asymmetric closure for pilonidal sinus is safe and feasible as day-care surgery and is associated with potential cost saving.

Day-Case Limberg Flap for Recurrent Pilonidal Sinus: Does Obesity Complicate the Issue?

2010 ◽  
Vol 76 (9) ◽  
pp. 995-999 ◽  
Author(s):  
Khaled M. Madbouly
Keyword(s):  
Hospital Stay ◽  
Pilonidal Sinus ◽  
Operative Time ◽  
Day Surgery ◽  
Complete Healing ◽  
Limberg Flap ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Rhomboid Excision

The purpose of this study was to analyze the long-term outcome of rhomboid excision with Limberg flap reconstruction (LF) as one-day surgery in treatment of recurrent pilonidal sinus (RPS). The effect of obesity on outcome will be addressed. Forty-nine patients with RPS were treated by rhomboid excision and LF as one-day surgery. Data collected included demographics, body mass index, operative time, flap ischemia, wound infection, length of hospital stay, time of complete healing, and recurrence. Patients’ mean age was 33.4 years and mean number of previous operations was 3.4. Operative time ranged from 40 to 70 minutes. Two patients developed sterile seroma (4.1%) and two patients (4.1%) had wound infections. No wound dehiscence or flap ischemia was reported. All patients returned to normal activity within 7 days. No recurrences were reported after a mean follow-up of 32.1 months. Obesity significantly increased the operative time, however, it affected neither the postoperative outcome nor the long-term recurrence. Rhomboid excision and LF as one-day surgery is a safe and reliable method for treatment of RPS. It guarantees low morbidity, short hospital stay, short time off work, and carries low risk of recurrence, even in obese patients.

scholarly journals Limberg Flap is a Safe and Effective Procedure for the Surgical Treatment of Pilonidal Sinus in Sacrococcygeal Region

2021 ◽  
Vol 12 (1) ◽  
pp. 6-8
Author(s):  
Md Rashidul Islam ◽  
Abul Bashar Md Abdul Matin ◽  
Sami Ahmad ◽  
Md Armanul Islam ◽  
Shoaeb Imtiaz Alam
Keyword(s):  
Postoperative Pain ◽  
Pilonidal Sinus ◽  
Young Male ◽  
Main Concern ◽  
Limberg Flap ◽  
Suction Drain ◽  
Sacrococcygeal Region ◽  
Flap Procedure ◽  
Secondary Closure

Pilonidal sinus in the sacrococcygeal region is an acquired condition and usually seen in young male adults. Diagnosis is indicated by to see the site and appearance of chronic discharging opening, and identification of midline pit in the natal cleft. The management of the sacrococcygeal pilonidal sinus varies from clipping of hairs with good hygiene of the area, wide excision of the area with primary or secondary closure and newer flap procedures, but none is widely accepted. The main concern for the treatment to the patient is the recurrence. This prospective study has been performed to determine the effectiveness and safety of the Limberg flap procedure for sacrococcygeal pilonidal sinus for new and recurrent cases. Primary end point was rate of recurrence and secondary end points were its complianceand complications such as wound infection, postoperative pain and return to work. A total of 17 patients were operated from March 2012 to June 2016.Both primary and recurrent diseases were included. All patients successfully underwent surgery. Patients complained very minimal postoperative pain. LO were average 2 days. All patients were discharged with negative suction drain in situ. Drains were removed on 7th POD and stitches were removed on 9th to 12th postoperative day. All patients returned to work after 2nd weeks. In our study no recurrence or major complications were found. Limberg flap for sacrococcygeal pilonidal sinus was found very useful and effective in terms of recurrence rate and patients morbidity. J Shaheed Suhrawardy Med Coll, December 2020, Vol.12(1); 6-8

scholarly journals Unusual presentation of firework injury causing intraoral burns

2005 ◽  
Vol 38 (01) ◽  
pp. 54-55
Author(s):  
K Patel Chintan ◽  
P Suri Manav ◽  
C Raibagkar Santosh ◽  
R Mehta Devesh
Keyword(s):  
Buccal Mucosa ◽  
Rare Case ◽  
Proteolytic Enzymes ◽  
Complete Healing ◽  
Unusual Presentation ◽  
Lacerated Wound

ABSTRACTFireworks are commonly used in celebrate festive occasions. We present a case of an unusual presentation of intraoral firework injury, which is a very rare case. A fifteen year old boy kept four explosive papercaps wrapped in a small polythene bags in between his left molars and crushed them. This resulted in a contused lacerated wound over the left buccal mucosa. Patient was treated conservatively with maintenance of intraoral hygiene, antibiotics, proteolytic enzymes and analgesics. It took 18 days for complete healing of the wound.

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

Cureus ◽  
2020 ◽  
Author(s):  
Muhammad Osman Karim ◽  
Kashuf A Khan ◽  
Abdul Jalil Khan ◽  
Syed Hussain Abbas ◽  
Omer Abdalla ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pilonidal Sinus ◽  
Primary Repair

scholarly journals Retrospective analysis of 30 cases of pilonidal sinus by various techniques of conservative and surgical management and review of literature

2016 ◽  
Vol 4 (1) ◽  
pp. 291
Author(s):  
Sangram Karandikar ◽  
Narendra G. Naik
Keyword(s):  
Surgical Treatment ◽  
Retrospective Analysis ◽  
Pilonidal Sinus ◽  
Complete Healing ◽  
Pilonidal Sinus Disease ◽  
Local Skin ◽  
Sinus Disease ◽  
Conservative Method ◽  
Surgical Methods ◽  
Choice Of Treatment

Background:The pilonidal sinus disease may present as chronic cutaneous infection, pilonidal abscess, pilonidal sinus or recurrent pilonidal sinuses. There are several conservative non-surgical and surgical methods of treatment of pilonidal sinus. The wound healing of pilonidal sinus depends upon multiple factors such as the stage at which patient presented to the surgeon, co-existing medical conditions, method of medical/surgical treatment chosen and the expertise of the surgeon. Here we are presenting the retrospective analysis of 30 cases of pilonidal disease, in view of different modalities of treatment, challenges faced, post-operative results and hospital stay.Methods: Over a period of 7 years, 30 patients suffering from various stages of pilonidal sinus disease were treated by conservative and surgical methods. The choice of treatment modality offered to each patient was individualized based on the stage and severity at the time of presentation. The patients were followed up to assess recurrence for 1 year after complete healing of the pilonidal sinus.Results:All patients with pilonidal sinus/ ulcer < 5 mm showed complete healing without recurrence with conservative line of management. There was recurrence of sinus in 80 % patients treated with only Incision and Drainage for pilonidal sinus abscess. The patients with large sinus (> 5 mm ulcer or skin involvement), were treated by excision with healing by secondary intension. This group of patients was associated with recurrence in 80% cases. The remaining patients with large pilonidal sinus disease were treated by the newer technique of semi-closed method with drain. In this group, only 20% patients developed recurrent sinus. All patients with recurrences healed after either conservative method or surgical method involving local skin flap.Conclusions:The conservative method of treatment is suitable for early and superficial pilonidal sinuses. For chronic and extensive pilonidal sinus disease, surgical treatment with the newer technique of semi-closed method with drain was found to reduce the rate of recurrence. The cases with superficial recurrent pilonidal sinuses may heal with conservative approach and extensive recurrent lesions require reconstruction with local skin flap. The results of the newer technique of semi-closed method with drain were found to be comparable with that of surgery by excision with primary closer. These results may be further evaluated at high volume centre for practical statistical significance regarding choice of treatment.

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