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

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.

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Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study

Turkish Journal of Surgery ◽

10.5152/ucd.2013.2457 ◽

2014 ◽

Vol 29 (4) ◽

pp. 162-166 ◽

Cited By ~ 4

Author(s):

Kaan Akan ◽

Deniz Tihan ◽

Ugur Duman ◽

Yigit Ozgun ◽

Fatih Erol ◽

...

Keyword(s):

Retrospective Study ◽

Pilonidal Sinus ◽

Pilonidal Sinus Disease ◽

Limberg Flap ◽

Sinus Disease ◽

Flap Technique ◽

Crystallized Phenol

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Comparing the effects of bascom's cleft lift and crystallized phenol treatment on Type III-V Pilonidal Sinus Disease

Annals of Medical Research ◽

10.5455/annalsmedres.2020.03.199 ◽

2021 ◽

Vol 28 (5) ◽

pp. 863

Author(s):

Hakan Yirgin ◽

Mehmet Aziret

Keyword(s):

Pilonidal Sinus ◽

Pilonidal Sinus Disease ◽

Sinus Disease ◽

Type Iii ◽

Cleft Lift ◽

Phenol Treatment ◽

Crystallized Phenol

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Crystallized phenol application and modified Limberg flap procedure in treatment of pilonidal sinus disease: A comparative retrospective study

Asian Journal of Surgery ◽

10.1016/j.asjsur.2015.12.007 ◽

2016 ◽

Vol 39 (3) ◽

pp. 172-177 ◽

Cited By ~ 14

Author(s):

Zulfu Bayhan ◽

Sezgin Zeren ◽

Sukru Aydin Duzgun ◽

Bercis Imge Ucar ◽

Havva Nur Alparslan Yumun ◽

...

Keyword(s):

Retrospective Study ◽

Pilonidal Sinus ◽

Pilonidal Sinus Disease ◽

Limberg Flap ◽

Sinus Disease ◽

Flap Procedure ◽

Modified Limberg Flap ◽

Crystallized Phenol

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

Medical Principles and Practice ◽

10.1159/000516903 ◽

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.

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Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence

International Surgery ◽

10.9738/cc86.1 ◽

2012 ◽

Vol 97 (3) ◽

pp. 224-229 ◽

Cited By ~ 29

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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PILONIDAL SINUS DISEASE: COMPARISON OF EXCISION AND PRIMARY CLOSURE VERSES EXCISION AND HEALING BY SECONDARY INTENTION

Journal of Saidu Medical College, Swat ◽

10.52206/jsmc.2012.2.1.134-137 ◽

1969 ◽

Vol 2 (1) ◽

pp. 134-137

Author(s):

Mohammad Hussain ◽

Manzoor Ali ◽

S.M.Naeem ◽

Nisar Ali ◽

Muhammad Ismail

Keyword(s):

Local Excision ◽

Pilonidal Sinus ◽

Wide Local Excision ◽

Primary Closure ◽

Health Concern ◽

Pilonidal Sinus Disease ◽

Sinus Disease ◽

Secondary Intention ◽

Group A ◽

Group B

Introduction: Sacrococcygeal pilonidal disease is a serious health concern because of its associatedcomplications and recurrence. Pilonidal sinus disease is presented with symptoms ranging fromasymptomatic pits to painful draining lesions that are predominantly located in the sacrococcygeal region. Itis characterized by multiple subcutaneous sinuses, containing hairs. The exact etiology of the disease is notknown. Various treatment options are available. The choice of a particular surgical approach depends on thesurgeon's familiarity with the procedure and perceived results. The present study was aimed to compare twotreatment regimens i.e.excision and primary closure verses excision and healing by secondary intention.Patients and methods: The study was conducted in the department of surgery, Saidu Teaching HospitalSaidu Sharif Swat. Forty nine (49) human subjects with informed consent were included in the study.Patients were divided in two groups, depending on their preference and acceptance of the procedure.Patients in group A under went excision of the tract with primary closure of the defect by primary simpleclosure, Rhomboid Limberg flap or by Karydakis procedure. Patients in group B were those in whom sinustracts were excised and wound was left open for healing by secondary intention.Results: Out of the total 49 patients 3 (6.122%) were female. Mean age was 26 years (range 18-40years).Group A comprised of 24 patients in whom wide local excision was performed and wound was closedprimarily while Group B comprised of 25 patients who underwent wide local excision and wound was leftopen for healing by secondary intention. Mean hospital stay of patients in group B was significantly longerthan group A (p=0.002). The mean time for complete healing of the wound after primary closure wasmarkedly shorter.mConclusion: Primary closure of the wound after excision of the sinus tract is preferable over simple excisionand healing by secondary intention.Key words; Pilonidal sinus, primary closure, simple excision.

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