Crystallized phenol for treatment of pilonidal sinus disease in children: a comparative clinical study

Arslan, Serkan; Okur, Mehmet Hanifi; Basuguy, Erol; Aydogdu, Bahattin; Zeytun, Hikmet; Cal, Suat; Tegin, Serdest; Azizoğlu, Mustafa

doi:10.1007/s00383-020-04798-7

Cited by 13 publications

(10 citation statements)

References 26 publications

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“…The reported therapeutic success was achieved in over 86% of the cases. [7][8][9] The aim of this study was to evaluate the success rate of crystalized phenol treatment of SPD and to point out the factors that lead to recurrence.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the success of crystallized phenol treatment in sacrococcygeal pilonidal sinus disease

Ulusoy¹,

Nikolovski²

2022

Medicine

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There are 2 mainstays of sacrococcygeal pilonidal disease (SPD) treatment: non-operative and surgical. None of them was superior, and it was associated with some degree of recurrence. Crystallized phenol treatment is a non-operative procedure performed in outpatient settings. This retrospective study aimed to asses crystallized phenol treatment in patients with primary and recurrent SPD and the factors that influence disease recurrence. A total of 92 patients were included and followed up. Crystallized phenol was administered in an outpatient setting under local anesthesia. All demographic, patient, sinus features, procedure and outcome data were recorded and analyzed for treatment success and factors for recurrence were identified. Between January 2019 and December 2021, 92 patients (77 male and 15 female) with a mean age of 28.4 were treated with 1, 2, or 3 doses of crystallized phenol. Recurrence rate after the procedure was 20.7%. Univariate regression analysis showed that the grade of hirsutism, initial presence of abscess, pit number and number of showers per week had statistically significant effect on recurrence. Multivariate logistic regression analysis pointed on the hirsutism grade (P = .008) and the number of pit openings (P = .003) as a statistically significant factors for recurrence. Crystallized phenol application for primary and recurrent SPD is safe, inexpensive and efficient non-operative method with few minor complications, even when is repeated. Factors responsible for the recurrence of the procedure are grade of hirsutism and sinus pit number.

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Section: Introductionmentioning

confidence: 99%

Factors affecting the success of crystallized phenol treatment in sacrococcygeal pilonidal sinus disease

Ulusoy¹,

Nikolovski²

2022

Medicine

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“…In a study conducted by Arslan et al (12), the mean number of CP application sessions was 2.2 in the simple group and 4.2 in the complicated group. Although no recurrence was reported in the phenol group in a study by Kurt, 37 patients were administered phenol once, six patients were administered phenol twice, and two patients were administered phenol thrice (21).…”

Section: Discussionmentioning

confidence: 93%

“…Different recurrence rates have been reported following the application of phenol (9-15.7%) (12,13). While evaluating recurrence in PSD, the follow-up period can be very long.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Minimally Invasive Crystallized Phenol Application in the Treatment of Pilonidal Sinus in Children

Dayı

Sancar

ANAYURT>

2023

Pediatric Practice and Research

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Background/Aims: Pilonidal sinus treatment involves surgical excision or flap reconstruction; however, the disease has a high recurrence risk. We determined the outcomes of a modified local application of crystallized phenol. Methods: In the outpatient clinic, the pilonidal sinus orifices were connected by an incision under local anesthesia. The hair in the sinus was removed. Then, crystallized phenol was applied. The incision was not sutured. Daily dressings and baths were recommended. Results: Crystallized phenol was applied to 50 patients with pilonidal sinus disease (median age = 15 years). During the follow-up, no bleeding or pain was reported. Recurrence was not found in the follow-ups (one year to three years). Conclusions: Surgery has disadvantages such as long-term hospitalization, recurrence risk, and high cost. Crystallized phenol does not have any of the aforementioned disadvantages. The modified method, in which we incised and applied crystallized phenol to all sinus tracts, might have also reduced the recurrence.

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“…Among the most effective factors in this orientation are; the rapid return of patients to social life, shorter operation time, no difference between less invasive methods in terms of complications and recurrences. There are publications in the literature comparing surgical excision and phenol, surgical excision and laser methods (5). What distinguishes the study from other studies in the literature is the comparison of 3 methods performed by the same surgeon.…”

Section: Discussionmentioning

confidence: 99%

“…Recurrence is quite common after Ps surgery. In the literature, recurrence has been reported in approximately 25% after surgical excision and approximately 10% after phenol and laser application (2,5). In the study of Ufuk and his friends (9) in which they compared the recurrence rates in surgical excision and phenol application, although the recurrence rate was signi cantly lower in phenol application, in our study, no signi cant difference was found between surgical excision and phenol application, and also between phenol application and laser application in terms of recurrence rates.…”

Section: Discussionmentioning

confidence: 99%

Comparison of 3 different techniques in the treatment of pilonidal sinüs

Anadolulu

Gerçel²

2022

Preprint

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Purpose: It was aimed to compare the surgical excision and primary suturing, liquid phenol application and laser application in pilonidal sinus (Ps). Methods: The files of 358 patients diagnosed with Ps in the years 2019-2022 were retrospectively evaluated. The patients were divided into 3 groups. Group 1 consisted of 125 patients who underwent surgical excision and primary suturing in 2019, group 2 of 194 patients who underwent liquid phenol in 2020-2021, and group 3 of 39 patients who underwent laser in 2022. Results: A significant correlation was found between the groups and the development of infection (p<0.05). There was no statistically significant relationship between the groups and recurrence (p>0.05). A significant correlation was found between infection and recurrence (p<0.05). Recurrence is positive in 6.3% of infection-negative patients and 47.2% of infection-positive patients. Conclusions: Rapid recovery, short operative time, low complication and recurrence rates have increased the tendency for minimally invasive methods. The presence of infection may cause recurrence regardless of the method.

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Crystallized phenol for treatment of pilonidal sinus disease in children: a comparative clinical study

Cited by 13 publications

References 26 publications

Factors affecting the success of crystallized phenol treatment in sacrococcygeal pilonidal sinus disease

Factors affecting the success of crystallized phenol treatment in sacrococcygeal pilonidal sinus disease

Efficacy of Minimally Invasive Crystallized Phenol Application in the Treatment of Pilonidal Sinus in Children

Comparison of 3 different techniques in the treatment of pilonidal sinüs

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