scholarly journals Study of clinical profile, surgical interventions and outcome in a series of patients with pilonidal disease

2019 ◽  
Vol 6 (12) ◽  
pp. 4512
Author(s):  
Kailash K. Jawade ◽  
Vaishali Radhakishan Bande
Keyword(s):  
Young Adults ◽  
Promising Result ◽  
Pilonidal Disease ◽  
Complete Excision ◽  
Benign Condition ◽  
Natal Cleft ◽  
Surgical Interventions ◽  
Operative Recovery ◽  
Rhomboid Flap ◽  
Age Range

Background: Pilonidal disease is a controversial benign condition that often causes nuisance and disability in young adults. Sacrococcigeal region, intergluteal natal cleft, interdigital cleft in barbers and the other hair bearing areas like axilla are found to be involved. Different authors have described different techniques of management of pilonidal disease.Methods: During September 2010 to August 2018 total 24 patients were presented with pilonidal disease and were treated using various surgical interventions. This retrospective study is done to study demographics and clinical spectrum, clinical course, outcome of different surgical interventions done and complications associated with various techniques.Results: Out of 24 patients 18 (75%) were males whereas 6 patients (25%) were females. The age range was 23 to 44 years. Sacrococcigeal region is the most commonly affected region in this series. In this series average duration of presence of pilonidal disease before presentation was 89 days ranging from 4 days to 168 days. One of 24 patients was treated with medical management and rest 23 patient required surgical intervention. Complete excision with rhomboid flap was the most common way of treating pilonidal disease and was used in 10 (41.6%) cases.Conclusions: Pilonidal disease is benign condition seen in young adults associated with morbidity without any mortality. Sinus is the commonest mode of presentation and sacrococcigeal region is the commonest site affected by this disease. Rhomboid flap has a promising result in terms of less post-operative recovery time and post-operative complications. 

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 Minor vs complete excision of pilonidal sinus: Early postoperative period

2012 ◽  
Vol 59 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Jelena Petrovic ◽  
Ivan Dimitrijevic ◽  
Zoran Krivokapic
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Healing Time ◽  
Early Postoperative Period ◽  
Surgical Approaches ◽  
Complete Excision ◽  
Surgical Incision ◽  
Natal Cleft ◽  
Incision And Drainage

Pilonidal sinus arises in the natal cleft of the sacrococcigeal region either as a cyst or as an abscess collection containing hair. It is predominantly a condition of younger people. When presenting as an abscess it usually requires surgical incision and drainage, or bursts spontaneously. In general, there are various surgical approaches to this condition, from very simple to complex ones. Each technique has its supporters and justifications. In the 3 years period, from 2009-2011, 110 treatments of the pilonidal disease were performed on our department. Midline excision was performed in 75 (68.18%) patients and the rest had marsupielisation done. The average discharge time was 1.14 days. Failure to heal occurred in 15 patients (13.63%). During that period we saw recurrence in 4 patients (3.63%). All the patients were coming to our department for postoperative care. The shortest healing time was 4 weeks and longest 21 weeks. During the period may 2011-may 2012 we performed 17 less extensive excisions. All the patients were discharged from the clinic within 23 hours and returned to their daily activities within 5 days. Healing time varied from 2 weeks to 5 weeks. In only one patient with the extensive excision healing time was 8 weeks. Although we had a short follow up period of 11.11 months, we saw no recurrence yet. Our results show that simple individual approach to every patients gives fastest and most comfortable results.

A Review on Salyajanya Nadi Vrana (pilonidal sinus) with clinical approach

2019 ◽  
Vol 4 (02) ◽  
Author(s):  
Rajasree G. ◽  
Anita K. Patel
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Common Disease ◽  
Clinical Approach ◽  
Natal Cleft ◽  
Surgical Interventions ◽  
Male Predominance ◽  
Ayurvedic Treatment ◽  
Treatment Aspect

A Pilonidal Sinus is a common disease of the natal cleft. Pilonidal Sinus is a track which containing hairs. The incidence of the disease is calculated to be 26 per 100,000 people. Pilonidal disease has a male predominance 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 application of Kshara (caustic alkali) and Ksharasutra (Seton) in the management of Nadivrana. Studies shows that by Ayurvedic treatment, it helps to reduce recurrence rate, even though Nadivrana is said to be Kricchrasadhya (difficult to cure). Hence sucessful management of this disease depends on the knowledge of pathogenesis, patients presentation and knowledge on treatment aspects.

Evaluation of the Degree of Dental Anxiety in a Lot of Patients Altered in Young Adults

2019 ◽  
Vol 70 (2) ◽  
pp. 689-692
Author(s):  
Gheorghe Raftu ◽  
Elena-Claudia Sin ◽  
Aureliana Caraiane ◽  
Steliana Gabriela Bustiuc ◽  
Raluca Briceag
Keyword(s):  
Young Adults ◽  
Oral Cavity ◽  
Dental Treatment ◽  
Economic Status ◽  
Dental Anxiety ◽  
Background Level ◽  
Anxiety Scale ◽  
Statistical Relationships ◽  
And Gender ◽  
Age Range

The study aims at identifying and highlighting dental anxiety in a group of young adults, analyzing patients� concerns about the main dental treatment procedures, and establishing statistical relationships between anxiety and gender, the background, level of education, socio-economic status and knowledge of habits of care and hygiene of oral cavity characteristic of the studied group. The study group consists of 150 female (50%) and male (50%) patients , aged between 20 and 40 years. The inclusion criteria in the batch were those related to the age range of 20 to 40 years.Two respondents (Corah�s Dental Anxiety Scale, Revised (DAS-R)) were given two questionnaires ( Corah�s Dental Anxiety Scale, DAS-R), and the second questionnaire contained 7 questions about the habits dental care). Most patients� concerns about the main procedures of dental treatment / other concerns are: dental extraction, material expenses, possibility of treatments and shame she felt oppressed health of the oral cavity. Regardless of the level of dental anxiety, the oral cavity hygiene habits are not properly performed by patients, with an increased tendency for them to be disregarded by patients with severe dental anxiety.

Asymmetry in Event-Related Potentials to Simulated Auditory Motion in Children, Young Adults, and Seniors

2002 ◽  
Vol 13 (01) ◽  
pp. 001-013 ◽  
Author(s):  
James Jerger ◽  
Rebecca Estes
Keyword(s):  
Young Adults ◽  
Right Hemisphere ◽  
Apparent Movement ◽  
Event Related Potentials ◽  
Auditory Evoked Responses ◽  
Age Related ◽  
Related Potentials ◽  
Velocity Information ◽  
The Right ◽  
Age Range

We studied auditory evoked responses to the apparent movement of a burst of noise in the horizontal plane. Event-related potentials (ERPs) were measured in three groups of participants: children in the age range from 9 to 12 years, young adults in the age range from 18 to 34 years, and seniors in the age range from 65 to 80 years. The topographic distribution of grand-averaged ERP activity was substantially greater over the right hemisphere in children and seniors but slightly greater over the left hemisphere in young adults. This finding may be related to age-related differences in the extent to which judgments of sound movement are based on displacement versus velocity information.

Serum Protein Concentrations in Normal Children

1971 ◽  
Vol 40 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Berenice Abrams
Keyword(s):  
Young Adults ◽  
Serum Protein ◽  
Protein Level ◽  
Serum Proteins ◽  
Specific Component ◽  
Normal Children ◽  
Protein Levels ◽  
Group Specific Component ◽  
Α2 Macroglobulin ◽  
Age Range

1. Serum proteins were studied in 106 children ranging from 3 to 14 years using a modification of Laurell's method of quantitative immunoelectrophoresis. 2. Quantitative values are given for eleven proteins, viz.: α1 lipoprotein, α1 antitrypsin, α1 easily precipitable glycoprotein, α1 group specific component, α2 macroglobulin, caeruloplasmin, haptoglobin, transferrin, haemopexin, β lipoprotein, and β1AC(C3). 3. There were no significant differences in protein levels between the sexes, and no correlation between age and protein level within the age range studied. 4. The values were also compared with those of infants aged 6–12 months, young adults of 16–25 years, and adults of 16–65 years.

scholarly journals Omental lymphangioma: a rare case report

2020 ◽  
Vol 10 (3) ◽  
pp. 106-108
Author(s):  
Geha Raj Dahal
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Rare Case ◽  
Neck Region ◽  
Mass Effect ◽  
Complete Excision ◽  
Benign Condition ◽  
Head And Neck Region ◽  
Rare Case Report

Lymphangioma is a common pediatric problem. Most of the lymphangiomas occur in head and neck region. Lymphangioma arising from omentum is extremely rare. It is a benign condition butis locally invasive. Symptoms usually arise from its mass effect or complications. Complete excision including removal of all loculi is necessary for cure. We report such a case of omental lymphangiomain a six-year boy.

scholarly journals Is an empirical approach to performing access in pediatric surgery in children safe?

2020 ◽  
pp. 43-50
Author(s):  
V.S. Konoplitskiy ◽  
◽  
R.V. Shavliuk ◽  
Keyword(s):  
Anal Sphincter ◽  
External Anal Sphincter ◽  
Pilonidal Disease ◽  
Muscle Fibers ◽  
External Sphincter ◽  
Average Diameter ◽  
Modern World ◽  
Anal Sphincters ◽  
Cross Sectional ◽  
Surgical Interventions

Objective: to determine the topical localization of the structural components of the anal sphincter and to formulate the basic postulates of the formation of safe anatomical access in pilonidal disease surgery in children. Materials and methods: the study was conducted on the corpses of 10 children who had no lifelong pathology of the sacrococcygeal region and pelvis aged 12 to 17 years, including 5 girls and 5 boys. Soft tissue columns 1 cm wide and up to 5 cm long were prepared at a distance of 1 cm from the anus by 12 h, 3 h, 6 h and 9 h according to the dial in the back position. After preparation and fixation of the drugs, their staining was performed and cross-sections of anal sphincters 5–7 μm thick were made. The analysis of the received morphometric data is carried out. The results of the study: it was found that the cross-sectional area of the bundle of muscle fibers of the external sphincter of the anus on average in adolescents ranged from 448±32 μm2 to 412±24 μm2. The diameter of its muscle fibers was 13.02±1.56 μm, and the bulk density of muscle fibers is 96.12±1.34%. Regarding the length of the internal anal sphincter, it was found that it is almost the same in different areas and is 1.3±0.03 at the level of 3 and 12 hours, 1.3±0.07 at the level of 6 hours and 1.2±0.03 at the level of 9 hours. In the study of the linear dimensions of the length of different portions of external anal sphincter in certain places of the biopsy revealed a predominance of parameters that were determined at 6 hours, respectively, 5.7±0.06 cm against 4.3±0.04 cm at 3 hours, and 12 hours, respectively 5.1±0.06 cm against 4.3±0.03 cm at 9 years. The thickness of the external sphincter of the anus at 6 hours, respectively 26.7±0.61 mm against 18.5±0.19 mm at 3 hours, (<0.01) and 12 hours, respectively 23.9±0.33 mm against 18.4±0.19 mm at 9 hours. Diameters of separate muscular fibers and bundles were explored. It is established that the average diameter of a muscle fiber makes 13.7±0.18 microns, and the average diameter of a muscular bundle is equal to 435.9±5.15 microns. Conclusions. 1. Existing anatomical descriptions of anal sphincters need in the modern world more thorough research to prevent their injury during surgery. 2. The external anal sphincter has the spatial form of the three-storeyed oval structure extended in the front-back direction with dominance of the caudal muscular portion. 3. When performing radical surgical interventions for pilonidal disease in children by cleft-lift method, it is necessary to complete the edge of surgical access at a distance of not less than 3 cm to the edge of the anal sphincter. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: pilonidal disease, children, morphometry, surgical intervention.

Sign in / Sign up

Export Citation Format

Share Document