scholarly journals Does hair removal necessary after crystallized phenol treatment in pilonidal disease?

2021 ◽  
Author(s):  
Süleyman Kargın ◽  
Osman Doğru ◽  
Ersin Turan
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Area Under The Curve ◽  
Hair Removal ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Removal Time ◽  
Application Data ◽  
Phenol Treatment ◽  
Crystallized Phenol

Objective: The most important cause of post-treatment recurrence in the pilonidal sinus is the re-entry of hair into the skin. The study aimed to investigate the effect of hair removal and its duration on the prevention of recurrences after crystallized phenol treatment. Subject and Methods: The patients with pilonidal sinus disease who were treated with crystallized phenol treatment were evaluated. Hair in the sacrococcygeal area were removed with depilatory cream before every crystallized phenol procedure, during the treatment, and after treatment once a month for six years. Of 1016 patients, 735 were contacted by telephone or e-mail regarding the frequency of sacrococcygeal hair removal and recurrence. Demographic and sinus features and crystallized phenol application data of patients treated with crystallized phenol for pilonidal sinus disease, as well as recurrences were retrospectively assessed. Results: The mean follow-up time was 46.23 ± 33 (range, 11–240) months, with 139 (18.9%) patients experiencing recurrence. Patients who underwent hair removal experienced significantly less recurrence than those who did not (p = 0.003, odds ratio (OR): 0.54 [0.36–0.82]). The OR of recurrence decreased by 0.8% every month as the hair removal time increased (OR = 0.992, 95% CI = 0.985-1.000, p = 0.049). The cut-off value for sensitivity was 0.636, specificity 0.466, and area under the curve 0.562 in hair removal procedures that lasted for over 30 months. Conclusion: Regular hair removal during and at least 30 months after crystallized phenol treatment reduced recurrences in patients with pilonidal sinus disease.

scholarly journals Comparison of excision and primary closure vs. crystallized phenol treatment in pilonidal sinus disease: A comparative retrospective study

2021 ◽  
Vol 5 (10) ◽  
pp. 1007-1010
Author(s):  
Veysel Barış TURHAN ◽  
Abdulkadir ÜNSAL ◽  
Doğan ÖZTÜRK ◽  
Bülent ÖZTÜRK ◽  
Hakan BULUŞ
Keyword(s):  
Retrospective Study ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Phenol Treatment ◽  
Crystallized Phenol

scholarly journals Comparison of Crystallized Phenol Treatment and Simple Primary Closure Methods for Pilonidal Sinus Disease

2019 ◽  
Vol 103 (9-10) ◽  
pp. 424-428
Author(s):  
Ahmet Turkoglu ◽  
Zubeyir Bozdag ◽  
Metehan Gumus ◽  
Abdullah Oguz ◽  
Mesut Gul ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Healing Time ◽  
Pilonidal Sinus Disease ◽  
Complication Rates ◽  
Female Ratio ◽  
Sinus Disease ◽  
Phenol Treatment ◽  
Crystallized Phenol

The objective of the study was to compare the results of the patients treated with crystallized phenol treatment (CPT) or simple primary closure (SPC) for pilonidal sinus disease (PSD). For PSD treatment, both SPC and CPT have the advantages of rapid recovery, minimal pain, and short hospital stay. Even though these two techniques can be used interchangeably in uncomplicated cases, there is not enough evidence about which method is superior. A total of 102 patients who underwent CPT (n = 57) and SPC (n = 45) for uncomplicated PSD were included in the study. In all of the cases, data were recorded and compared between CPT and SPC groups, including age, gender, duration of the symptoms, hospital stay, complications, healing time, and recurrence. The mean age was 25.6 years and the male-to-female ratio was 93:9. The SPC and CPT groups were similar in terms of age, gender, duration of symptoms, complications, and healing time. The CPT group did not require hospitalization or anesthetic procedure in addition to local anesthesia, but the SPC group required a median of 1 day (range, 1–3 days) of hospitalization, and 3 patients (6.7%) needed spinal anesthesia. During a median of 27.5 months' follow-up, the recurrence rate in the CPT group (6 patients; 10.5%) was lower than in the SPC group (13 patients; 28.9%). Both hospital stay and recurrence rates were better in the CPT group. Healing time and complication rates were similar in both methods. Based on these results, we suggest that CPT should be preferred to SPC in uncomplicated cases.

scholarly journals Management of pilonidal sinus disease with Limberg flap: our experience

2020 ◽  
Vol 7 (5) ◽  
pp. 1575
Author(s):  
Mahavir Singh ◽  
Saish Dalal ◽  
Baleshwar . ◽  
Sethu Raman
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Tertiary Care ◽  
Pilonidal Sinus Disease ◽  
Common Disease ◽  
Main Concern ◽  
Limberg Flap ◽  
Sinus Disease ◽  
Minimal Scarring ◽  
Early Return

Background: Pilonidal sinus disease is a common disease of young adults. The management of the sacrococcygeal pilonidal sinus varies from conservative measures to various surgical procedures. The main concern for the treatment to the patient is the recurrence. Although several methods have been described all have been associated with high recurrence rates. This study was carried out to evaluate the advantages, results of rhomboid excision and limberg flap reconstruction in the management of pilonidal sinus disease.Methods: This prospective study was conducted in General Surgery department of a tertiary care centre of Haryana. It includes 29 patients who were treated for pilonidal sinus disease by Limberg flap surgery from January 2015 to January 2019.  Results: All patients were successfully treated with minimal postoperative discomfort. Only two patients developed seroma which was managed conservatively and in two patients there was slight flap tip necrosis which was also managed conservatively. Rest all other patients wound healed nicely with minimal scarring, with very less postoperative pain, with no recurrence so far.Conclusions:Limberg flap is very effective treatment for pilonidal disease. It has many advantages as it is easy to perform and design, and it flattens the natal cleft with large vascularized pedicle, sutured without tension. This in turn maintains good hygiene, reducing the friction, preventing maceration, and avoiding scar in the midline. The technique is easy to perform in quick time, useful in both primary and recurrent diseases, with very low complication and recurrence rate. Other advantages are quick healing time, short hospital stay, and early return to daily life.  

scholarly journals Non surgical management of pilonidal sinus disease

2016 ◽  
Vol 63 (1) ◽  
pp. 95-100
Author(s):  
Gupta Pravin
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Low Cost ◽  
Secondary Infection ◽  
Treatment Options ◽  
Outpatient Setting ◽  
Tissue Loss ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
The One

When cosiidering how to treat pilonidal sinus, physicians should keep in mind that this condition is more than merely a particular form of foreign body granuloma. The ideal method of treatment for pilonidal sinus should be the one having minimal postoperative morbidity, excellent cosmetic results, minimal tissue loss, rapid resumption of daily activities, low cost, and a low recurrence rate. However, although numerous operative and non-operative treatment methods have been described, no approach comprises all of these features. Numerous treatment options have been proposed for the pilonidal disease, including shaving, removal with open packing, incision and drainage, excision with primary closure, phenol application, cryosurgery, excision with marsupialization, and recently, flaps surgery. The management of pilonidal sinus disease will depend on patient assessment, examination and history of the condition. A disease-specific history and physical examination should be performed, emphasizing symptoms, risk factors, and the presence of secondary infection. Conservative therapy can fairly control pilonidal sinus disease in the office outpatient setting while assuring a near-normal work status and should be pre ferred over excisional operations at the outset.

Pilonidal sinus disease surgery in children: the first study to compare crystallized phenol application to primary excision and closure

2018 ◽  
Vol 53 (3) ◽  
pp. 452-455 ◽  
Author(s):  
Ufuk Ates ◽  
Ergun Ergun ◽  
Gulnur Gollu ◽  
Sumeyye Sozduyar ◽  
Meltem Kologlu ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Crystallized Phenol
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