scholarly journals PILONIDAL SINUS

2009 ◽  
Vol 16 (01) ◽  
pp. 17-23
Author(s):  
GULZAR AHMAD MALIK ◽  
TARIQ HUSSAN CHOUDHARY ◽  
ABDUL WAHAB
Keyword(s):  
Patient Satisfaction ◽  
Surgical Procedures ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Operation Time ◽  
Good Patient ◽  
Group I ◽  
Study Setting ◽  
Good Patient Satisfaction ◽  
Low Rate

O b j e c t i v e s : To study the prevalence of pilonidal sinus and compare the outcome of the excision and primary closure withlay open surgical procedures. D e s i g n : Prospective randomized comparative study. Setting: Department of surgery, Bahawal VictoriaHospital Bahawalpur. P e r i o d : From 1s t December 2002 to 30th November 2007.Materials a n d M e t h o d s : A total of 40 patients with pilonidalsinus were randomized into two groups. Group I underwent excision and primary closure while Group II underwent excision and lay openprocedure. Results: Patients of Group I & II had comparable mean operation time of 42.7 minutes. Group I patients had a shorter meanhospital stay of 4.87 days, earlier return to light work after 13.21 days, less treatment expenses and low rate of postoperative complicationsand good patient satisfaction. C o n c l u s i o n : We conclude that primary closure after excision of pilonidal sinus is superior surgical procedurethan excision and laying it open

scholarly journals Evaluation of Satisfaction and Axial Rigidity with Titan XL Cylinders

2012 ◽  
Vol 2012 ◽  
pp. 1-6
Author(s):  
Gerard D. Henry ◽  
Caroline Jennermann ◽  
J. Francois Eid
Keyword(s):  
Patient Satisfaction ◽  
Penile Prosthesis ◽  
New Product ◽  
Mechanical Reliability ◽  
Penile Length ◽  
High Patient Satisfaction ◽  
Good Patient ◽  
Inflatable Penile Prosthesis ◽  
Satisfaction Rates ◽  
Good Patient Satisfaction

The inflatable penile prosthesis (IPP) has high patient satisfaction rates and good mechanical reliability rates in multiple studies. The number one patient compliant at six months is penile length. Recently, new technique for aggressive sizing of the cylinders has been published on in the literature. One IPP company has produced a new product that has longer length cylinders (XL) than those available. However, traditionally long cylinders were felt to lack axial rigidity. Therefore, a prospective, multicenter, central IRB-approved, monitored study was performed on the new product to address these concerns. At 2 centers, a total of 17 patients underwent surgical implantation of these new XL cylinders. These patients were questioned for patient satisfaction and tested for axial rigidity using a Fastsize Erectile Quality Monitor. The results showed excellent patient satisfaction rates and great axial rigidity with the Fastsize Erectile Quality Monitor. The XL cylinders appear to give the IPP surgeon the ability to use longer cylinders with good patient satisfaction and great axial rigidity.

Cubital tunnel syndrome: a comparison of an endoscopic technique with a minimal invasive open technique

2013 ◽  
Vol 39 (6) ◽  
pp. 621-625 ◽  
Author(s):  
M. A. J. Bolster ◽  
O. T. Zöphel ◽  
E. R. van den Heuvel ◽  
M. Ruettermann
Keyword(s):  
Patient Satisfaction ◽  
Treatment Effect ◽  
Cubital Tunnel Syndrome ◽  
Minimal Invasive ◽  
Endoscopic Technique ◽  
Open Technique ◽  
Good Patient ◽  
Tunnel Syndrome ◽  
Endoscopic Methods ◽  
Good Patient Satisfaction

Both open and endoscopic methods for ulnar nerve decompression have been described. The purpose of this study is to compare the 6-month results of a minimal invasive open technique with an endoscopic technique. We treated 60 patients with unilateral ulnar neuropathy at the elbow, employing both techniques. Six months postoperative we found no differences in treatment effect on pain and disability scores between both groups, but both techniques resulted in an early postoperative relief of symptoms and good patient satisfaction.

scholarly journals Challenges and impact of COVID-19 on teledermatology practice in providing continued care to patients in a time of disarray

2021 ◽  
Vol 12 (4) ◽  
pp. 387-390
Author(s):  
Ghazala Butt ◽  
Mahwash Rana ◽  
Muhammad Uzair
Keyword(s):  
Patient Satisfaction ◽  
Positive Experience ◽  
Time Saving ◽  
Social Distancing ◽  
Good Patient ◽  
E Mail ◽  
Good Patient Satisfaction

Background: The coronavirus disease 2019 (COVID-19) pandemic has significantly affected all areas of life in most countries. Telehealth has gained importance during this era of social distancing, including teledermatology (TD). The purpose of this survey was to determine the challenges and impact of COVID-19 on TD practice in providing continued care to patients by dermatologists in Pakistan. Methods: A questionnaire comprised of fifteen questions was created with Google Forms and distributed to dermatologists practicing in various cities of Pakistan via WhatsApp or e-mail, then the data was collected. Results: A total of 81 dermatologists from various cities of Pakistan responded to the survey, among whom about two thirds reported a positive experience with TD, yet some had issues in communication gaps and breaches of confidentiality, and the majority considered it unequal to in-person visits. Conclusion: TD plays an important role during the COVID-19 pandemic as a simple, time-saving procedure allowing social distancing with good patient satisfaction.

scholarly journals Comparison between the tie-over and Karydakis procedure in chronic sacrococcygeal pilonidal sinus

2021 ◽  
Vol 23 (2) ◽  
pp. 56-61
Author(s):  
Mohammad Moazeni Bistgani
Keyword(s):  
Patient Satisfaction ◽  
Pilonidal Sinus ◽  
Wound Repair ◽  
Primary Closure ◽  
Postoperative Morbidity ◽  
Surgical Excision ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Therapeutic Modalities ◽  
Sacrococcygeal Region

Background and Aims: Pilonidal sinus in the sacrococcygeal region is a disease with high postoperative morbidity and discomfort for the patient. Although there are various therapeutic modalities to manage these patients, Controversy for choosing the best surgical technique in order to decrease the recurrence rate, patient discomfort, and Duration of disability after surgery still exists. Therefore, the objective of the present study was to compare results reached from two methods of surgery, tie-over procedure (TOP) and Karydakis procedure(KP) for the treatment of sacrococcygeal pilonidal sinus. Methods: In this study, 70 patients with a diagnosis of pilonidal sinus disease treated randomly with surgical excision and TOP or KP, in two 35 patients group, in the educational hospital by the same surgeon, between 2009 and 2010, and followed up until December 2019. Results: Achieved data after excision of sacrococcygeal pilonidal sinus indicate that primary closure of the wound by tie-over sutures have a better result than KP in order of Pain sore during the first month after surgery (P< 0.001), Duration of disability (P <0.001), wound repair time (P <0.001) and Patient satisfaction(P=0.019). Conclusion: Overall, these results show the TOP instead of KP, because higher acceptance results may be an alternative better for the treatment of chronic pilonidal sinus for the patients who have surgery scheduled for them.

scholarly journals Comparative study between saddle block and local anesthesia on excision of pilonidal sinus by using ligaSure

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Ayman Esmail Hussien ◽  
Amira Ibrahim Fahim
Keyword(s):  
Patient Satisfaction ◽  
Local Anesthesia ◽  
Pilonidal Sinus ◽  
Operation Time ◽  
Early Discharge ◽  
Procedure Time ◽  
General Anesthetic ◽  
The Mean ◽  
Mean Time ◽  
Room Time

Abstract Background The excision of the pilonidal sinus starts at 1833. Local, spinal, or general anesthetic procedures for the disease are widely used. The excision of the pilonidal sinus by using ligaSure reduces blood loss, reduces procedure time, and reduces patient length of stay. Therefore, the purpose of this study is to compare between local anesthesia and saddle block on the excision of the pilonidal sinus by using ligaSure, with respect to recovery time, postoperative complications, and patient satisfaction. Results Forty patients were analyzed; the mean time of anesthesia, operation time, and operating room time were showing highly significantly lower in group LA when compared to group SA (P value < 0.01). At the postoperative period, patients in group LA experienced less intense postoperative pain with prolonged time of the first request for analgesia than patients in other groups. Conclusion Local anesthesia has more efficacy in early start of anesthesia, early discharge from the hospital with prolonged analgesia, strong hemostasis, more patient satisfaction, and more than saddle block .Therefore, local anesthesia is considered as an alternative to the saddle block on the excision of the pilonidal sinus by using ligaSure.

scholarly journals Outcomes of Redivac Drain in Primary Closure of Pilonidal Sinus

2021 ◽  
Vol 15 (7) ◽  
pp. 1557-1559
Author(s):  
Samina Karim ◽  
Ahmad Shah ◽  
Ahmad Raza Nsar
Keyword(s):  
Wound Healing ◽  
Comparative Study ◽  
Study Design ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Complete Healing ◽  
Provincial Hospital ◽  
Group I ◽  
Group Ii

Aim: To determine the effectiveness of redivac drain in primary closure of pilonidal sinus. Study Design: Comparative study Place and Duration of Study: Department of Surgery Unit-1, Sandeman Provincial Hospital Quetta from 1st January 2020 to 31st December 2020. Methods: Ninety patients of both genders were presented in this study. Patient’s details demographics age, sex and BMI were recorded after taking written consent. Patients were divided into two groups; group I and group II. Group I had 45 patients and underwent for redivac drain and group II was without redivac drain and had 45 patients. Complete follow up was done in duration of 6 months. Outcomes wound healing, infection of wound and recurrence of pilonidal sinus in both groups were observed. Results: Majority of the patients 66 (73.33%) were males and 24 (26.67%) were females. Mean age of the patients in group I was 28.52±6.88 years with mean BMI 24.16±7.33 kg/m2 and in group II mean age was 29.68±7.45 years with mean BMI 25.14±3.16 kg/m2. In group I 36 (80%) cases showed complete healing, partially healing was observed among 7 (15.55%) and 2 (4.44%) showed non-recurrence and in group II complete healing was among 26 (57.8%) patients, partially healing was found in 14 (31.11%) and non recurrence was among 5 (11.11%) patients. Rate of recurrence in group I was 3 (6.67%) less than that of group II (8.9%). Conclusion: The redivac was more effective as compared to primary closure of pilonidal sinus without redivac. Keywords: Redivac drain, Primary closure, Pilonidal sinus, Recurrence

Pilonidal Sinus: How to Choose Between Excision and Open Granulation Versus Excision and Primary Closure?

Swiss Surgery ◽  
2002 ◽  
Vol 8 (6) ◽  
pp. 255-258 ◽  
Author(s):  
Perruchoud ◽  
Vuilleumier ◽  
Givel
Keyword(s):  
Hospital Stay ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Healing Time ◽  
Incision And Drainage ◽  
The Mean ◽  
Primary Healing

Aims: The purpose of this study was to evaluate excision and open granulation versus excision and primary closure as treatments for pilonidal sinus. Subjects and methods: We evaluated a group of 141 patients operated on for a pilonidal sinus between 1991 and 1995. Ninety patients were treated by excision and open granulation, 34 patients by excision and primary closure and 17 patients by incision and drainage, as a unique treatment of an infected pilonidal sinus. Results: The first group, receiving treatment of excision and open granulation, experienced the following outcomes: average length of hospital stay, four days; average healing time; 72 days; average number of post-operative ambulatory visits, 40; average off-work delay, 38 days; and average follow-up time, 43 months. There were five recurrences (6%) in this group during the follow-up period. For the second group treated by excision and primary closure, the corresponding outcome measurements were as follows: average length of hospital stay, four days; average healing time, 23 days; primary healing failure rate, 9%; average number of post-operative ambulatory visits, 6; average off-work delay, 21 days. The average follow-up time was 34 months, and two recurrences (6%) were observed during the follow-up period. In the third group, seventeen patients benefited from an incision and drainage as unique treatment. The mean follow-up was 37 months. Five recurrences (29%) were noticed, requiring a new operation in all the cases. Discussion and conclusion: This series of 141 patients is too limited to permit final conclusions to be drawn concerning significant advantages of one form of treatment compared to the other. Nevertheless, primary closure offers the advantages of quicker healing time, fewer post-operative visits and shorter time off work. When a primary closure can be carried out, it should be routinely considered for socio-economical and comfort reasons.

scholarly journals Pediatric endoscopic pilonidal sinus treatment (PEPSiT): what we learned after a 3-year experience in the pediatric population

2021 ◽  
Author(s):  
Ciro Esposito ◽  
Ernesto Montaruli ◽  
Giuseppe Autorino ◽  
Mario Mendoza-Sagaon ◽  
Maria Escolino
Keyword(s):  
Patient Satisfaction ◽  
Laser Therapy ◽  
Pilonidal Sinus ◽  
Pediatric Population ◽  
Treatment Protocol ◽  
Pilonidal Sinus Disease ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Clavien Grade

AbstractThis paper aimed to report a multi-institutional 3-year experience with pediatric endoscopic pilonidal sinus treatment (PEPSiT) and describe tips and tricks of the technique. We retrospectively reviewed all patients < 18 years, with primary or recurrent pilonidal sinus disease (PSD), undergoing PEPSiT in the period 2017–2020. All patients received pre-operative laser therapy, PEPSiT and post-operative dressing and laser therapy. Success rate, healing rate/time, post-operative management, short- and long-term outcome and patient satisfaction were assessed. A total of 152 patients (98 boys) were included. Median patient’s age was 17.1 years. Fifteen/152 patients (9.8%) presented a recurrent PSD. All patients resumed full daily activities 1 day after surgery. The post-operative course was painless in 100% of patients (median VAS pain score < 2/10). Patient satisfaction was excellent (median score 4.8). The median follow-up was 12.8 months (range 1–36). Complete healing in 8 weeks was achieved in 145/152 (95.4%) and the median healing time was 24.6 days (range 16–31). We reported post-operatively immediate Clavien grade 2 complications (3 oedema, 2 burns) in 5/152 (3.3%) and delayed Clavien grade 2 complications (3 granulomas, 8 wound infections) in 11/152 (7.2%). Disease recurrence occurred in 7/152 (4.6%), who were re-operated using PEPSiT. PEPSiT should be considered the standard of care for surgical treatment of PSD in children and teenagers. PEPSiT is technically easy, with short and painless post-operative course and low recurrence rate (4.6%). Standardized treatment protocol, correct patient enrollment and information, and intensive follow-up are key points for the success of the procedure.

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