scholarly journals Topical polyphenol treatment of sacrococcygeal pilonidal sinus disease: use of ultrasonography to evaluate response to treatment – clinical case series study

2019 ◽  
Vol 36 (4) ◽  
pp. 431-437
Author(s):  
Hasan Aksoy ◽  
Berna Aksoy ◽  
Ezgi Ozkur ◽  
Emel Calikoglu
Keyword(s):  
Pilonidal Sinus ◽  
Clinical Case ◽  
Case Series ◽  
Response To Treatment ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Case Series Study ◽  
Series Study

scholarly journals The endoscopic treatment of pilonidal sinus disease: a short-term case-series study

2019 ◽  
Vol 39 (3) ◽  
pp. 192-196
Author(s):  
Abdelrahman Khafagy ◽  
Ellana Al Haddad ◽  
Salman AlSabah
Keyword(s):  
Pilonidal Sinus ◽  
Endoscopic Treatment ◽  
Case Series ◽  
Pilonidal Sinus Disease ◽  
Short Term ◽  
Sinus Disease ◽  
Case Series Study ◽  
Series Study

Surgical reconstruction of pilonidal sinus disease with concomitant extracellular matrix graft placement: a case series

2021 ◽  
Vol 30 (Sup7) ◽  
pp. S28-S34
Author(s):  
Abigail E Chaffin ◽  
Shane G Dowling ◽  
Mychajlo S Kosyk ◽  
Brandon A Bosque
Keyword(s):  
Extracellular Matrix ◽  
Postoperative Complications ◽  
Pilonidal Sinus ◽  
Case Series ◽  
Surgical Reconstruction ◽  
Pilonidal Sinus Disease ◽  
Surgical Approaches ◽  
Flap Reconstruction ◽  
Recurrence Rates ◽  
Sinus Disease

Background: Pilonidal sinus disease (PSD) is a chronic inflammatory disease affecting the soft tissue of the sacrococcygeal region and remains a challenging disease for clinicians to treat. The optimal treatment for PSD remains controversial and recent reports describe several different surgical approaches offering different benefits. Approximately 40% of initial incision and drainage cases require subsequent surgery. Due to high recurrence rates and postoperative complications, a more complex revision surgery involving a flap reconstruction may be required. We hypothesised that the combination of an extracellular matrix (ECM) graft with tissue flap reconstruction may decrease the postoperative complications and recurrence rates for PSD. Method: We report a retrospective case series using a surgical flap reconstruction with concomitant implantation of an ovine forestomach ECM graft under a fasciocutaneous flap with an off-midline closure for recurrent PSD, where previously surgical intervention had failed due to wound dehiscence and/or recurrent disease. Results: The case series included six patients. After three weeks, all patients except one were fully healed, and the sixth was fully healed by week 4; all wounds remained fully healed at 12 weeks. All patients achieved good cosmesis and were able to return to normal function without any residual symptoms. Conclusion: This pilot case series explored augmenting a flap reconstruction for complex PSD with advanced ECM graft materials, demonstrating that it may improve outcomes and minimise typical complications seen in flap closure, such as inflammation, infection, haematoma/seroma and hypoperfusion. Although the study had a limited number of participants, long-term outcomes were promising and suggest that further studies are warranted.

scholarly journals Hair follicle units promote re-epithelialization in chronic cutaneous wounds: A clinical case series study

2015 ◽  
Vol 10 (1) ◽  
pp. 25-30 ◽  
Author(s):  
JIA-QI LIU ◽  
KONG-BO ZHAO ◽  
ZI-HAO FENG ◽  
FA-ZHI QI
Keyword(s):  
Hair Follicle ◽  
Clinical Case ◽  
Case Series ◽  
Cutaneous Wounds ◽  
Case Series Study ◽  
Series Study

scholarly journals WIDE EXCISION AND RHOMBOID FLAP RECONSTRUCTION FOR TREATMENT OF COMPLEX PILONIDAL DISEASE. CASE SERIES AND REVIEW OF LITERATURE.

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Thomas W Athisayaraj ◽  
Boby Sebastian ◽  
Justin Alberts
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Case Series ◽  
Wide Excision ◽  
Pilonidal Sinus Disease ◽  
Flap Reconstruction ◽  
Previous Surgery ◽  
Sinus Disease ◽  
Rhomboid Flap

Introduction: Pilonidal disease a chronic inflammatory disorder affecting the sacrococcygeal region with superimposed infection. This problem can present with acute abscess or chronic discharging sinus and often difficult to treat due to high incidence of recurrence. We are presenting our case series of wide excision and rhomboid flap reconstruction of complex pilonidal sinus disease. Methods: This is a retrospective review of our series of patients who have had rhomboid flap reconstruction done in colorectal surgery department for complex pilonidal sinus disease. The time period between   is 2003 to 2017. The review was conducted from our electronic data base in our hospital. Results: We had 50 patients in total. 30out of 50 have had previous surgery for pilonidal sinus disease. Five patients developed recurrence (10% recurrence rate). 4 out of 5 patients who had recurrence were smokers.4 out of 5 patients with recurrence had previous surgery for pilonidal disease. The median age of the patients was 28.The age ranged from 16 to 49 years. The median length of stay is about 4 days Conclusion: In conclusion Rhomboid flap reconstruction is a viable operation for complex pilonidal disease. The long term results are good. It can be safely performed by a general /colorectal surgeon with good results. It is a good option for complex pilonidal sinus and recurrent disease following multiple previous operations. The recurrence rate seems to be higher in smokers and in patients who had previous surgery in natal cleft.

scholarly journals A preliminary naturalistic clinical case series study of the feasibility and impact of interoceptive exposure for eating disorders

2019 ◽  
Vol 117 ◽  
pp. 54-64 ◽  
Author(s):  
James F. Boswell ◽  
Lisa M. Anderson ◽  
Jennifer M. Oswald ◽  
Erin E. Reilly ◽  
Sasha Gorrell ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Clinical Case ◽  
Case Series ◽  
Interoceptive Exposure ◽  
Case Series Study ◽  
Series Study

Sinus Disease and Surgical Treatment: A Results Oriented Quality Assurance Study

1989 ◽  
Vol 100 (6) ◽  
pp. 573-576 ◽  
Author(s):  
Sanford R. Hoffman ◽  
Raffi M. Dersarkissian ◽  
Steven H. Buck ◽  
Gerald D. Stinziano ◽  
Germaine M. Buck
Keyword(s):  
Nasal Congestion ◽  
Case Series ◽  
Health Benefit ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Postnasal Drip ◽  
Case Series Study ◽  
Recurrent Sinus ◽  
Series Study

The efficacy of sinus surgery continues to be an Issue of debate among otolaryngologists. In an attempt to address this controversy, a case-series study design was used to assess the perceived efficacy of sinus surgery in terms of the alleviation of sinus symptoms and overall health benefit. Self-administered questionnaires were mailed to 142 Individuals who had sinus surgery performed between January 1984, and December 1985. After one follow-up attempt, 114 questionnaires were completed and returned (80% response). Overall, a high percentage of cases reported postoperative Improvement in breathing difficulties (90%), nasal congestion (88%). headache/facial pain (85%). recurrent sinus Infections (83%), and postnasal drip (80%). In addition. 88% of cases reported the surgery to be of some overall health benefit. These results suggest that sinus surgery, as perceived by surgically treated Individuals, may be effective in the management of chronic sinus disease.

Sign in / Sign up

Export Citation Format

Share Document