Crystallized Phenol Treatment in Postoperative Recurrent Pilonidal Disease

Abstract

Objective: A variety of surgical and minimally invasive treatment options are available to treat pilonidal sinus disease. Recurrence after surgery is a major problem. In addition to the surgical treatment of post-surgical recurrences, minimally invasive treatment methods are also available. In our study, we aimed to investigate the results of crystallized phenol application on patients who were admitted to our clinic with post-surgical pilonidal sinus recurrence. Methods:The data of 26 patients who were admitted to our clinic with postoperative pilonidal sinus recurrence and who were treated by crystallized phenol treatment were analyzed. Patients were evaluated in terms of age, gender, previous surgery, crystallized phenol application count, follow -up period and wound infection. Results:Data of 26 patients were analyzed.3 patients (11.5%) were admitted with recurrence after Modified Limberg surgery. 11 patients (42.3%) were admitted with recurrence after Limberg flap surgery and12 patients (46.15%) were admitted with recurrence after primary repair. 19 patients (73.02%) were treated by one time crystallized phenol application. 5 (19. 23%) patients underwent a second time application and provided treatment after the second application. The cure was achieved in 24 (92.3%) patients after repeated applications. Conclusion:Crystallized phenol application is a minimally invasive treatment method that can be applied easily under local anesthesia. The method has a high success rate after repeated applications in patients with recurrence after surgery and is a very good alternative to surgical therapy. Sonuç: Kristalize fenol uygulaması lokal anestezi altında kolaylıkla uygulanabilen minimal invaziv bir yöntemdir. Cerrahi sonrası rekürrens görülen hastalarda tekrarlayan uygulamalar sonrasında yüksek başarı oranına sahiptir ve cerrahi tedaviye çok iyi bir alternatiftir.Anahtar kelimeler: Nüks pilonidal sinüs, kristalize fenol tedavisi, minimal invaziv tedavi Bayhan Z, et al. Treatment of Postoperative Recurrent Pilonidal Disease

Comparison of Crystallized Phenol Application and the Karydakis Flap Technique in the Treatment of Sacrococcygeally Localized Pilonidal Sinus Disease

“…In the literature, the rate of complete recovery after crystallized phenol application was reported as 86%, and no difference was found between the treatment response and non-response groups in terms of age, gender, and the number of applications [ 17 ]. Some authors argue that one-time crystallized phenol application has a lower success rate than surgical procedures but that over 90% can be achieved in treatment through multiple applications [ 18 ]. In addition, there is still no consensus concerning the number of crystallized phenol applications required [ 19 ].…”