Epidural abscess imitating recurrent pilonidal sinus: a case report

Koutserimpas, Christos; Nikitakis, Nikolaos G.; Skarpas, Andreas; Lada, M; Papachristou, Evangelos; Velimezis, Georgios

doi:10.11138/gchir/2017.38.3.135

GHIR

2017

DOI: 10.11138/gchir/2017.38.3.135

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Epidural abscess imitating recurrent pilonidal sinus: a case report

Christos Koutserimpas¹,

Nikolaos G. Nikitakis²,

Andreas Skarpas³

et al.

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Cited by 2 publications

References 27 publications

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Wide Excision Using Indigo-Carmine to Minimize the Recurrence of a Pilonidal Cyst: Technical Note

Hong

Kim

2019

J Korean Orthop Assoc

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The cause of a pilonidal cyst is unclear, and treatment is still under debate. In Korea, the incidence of this disease is lower than that of Western countries, and it has often been misdiagnosed as a simple abscess. When pilonidal cysts are diagnosed, the principle of treatment is not to leave a residue, and a wide excision is needed to reduce the recurrence rate. This paper introduces a wide excision technique using Indigo-carmine dye to minimize the recurrence of a pilonidal cyst.

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Wide Excision Using Indigo-Carmine to Minimize the Recurrence of a Pilonidal Cyst: Technical Note

Hong

Kim

2019

J Korean Orthop Assoc

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Management of sacrococcygeal pilonidal sinus disease in children: A survey study in Turkey

et al. 2021

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Objective: Sacrococcygeal pilonidal sinus disease is common in children. The disease reduces the quality of life of patients with symptoms such as pain and chronic discharge. Variable surgical techniques have been described for the treatment of pilonidal sinus disease. This study aims to evaluate clinical approach of Turkish pediatric surgeons to children with pilonidal sinus disease. Material and Methods: Survey questions were prepared through a literature review for controversial issues. The participants were asked pre-selected and checkbox questions. The survey was sent to 450 pediatric surgeons, members of the Association of Turkey Pediatric Surgery via a link to Google Forms. Results: Nineteen percent (88) of the members responded. Seventy five (85.2%) of the pediatric surgeons stated that they did not perform additional preoperative imaging. Surgical excision methods were preferred more than minimally invasive procedures (102 to 46). Sixty (68.2%) of the participants preferred preoperative prophylactic single dose intravenous antibiotics and postoperative oral antibiotics. Regarding the participants’ practices, poor local hygiene, overweight, wide or deep sinus pit were stated as the most common causes of recurrence. Vast majority of the pediatric surgeons recommended laser epilation (%85.2) and slimming (59.1%) to patients. Conclusion: Various studies have been published from Turkey for pilonidal sinus disease. As seen in the current study, Turkish pediatric surgeons do not have a common opinion in pilonidal sinus disease and prefer surgical excision methods more frequently. Prospective randomized studies with bigger number of patients are required to establish common guidelines in disease management.

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Epidural abscess imitating recurrent pilonidal sinus: a case report

Cited by 2 publications

References 27 publications

Wide Excision Using Indigo-Carmine to Minimize the Recurrence of a Pilonidal Cyst: Technical Note

Wide Excision Using Indigo-Carmine to Minimize the Recurrence of a Pilonidal Cyst: Technical Note

Management of sacrococcygeal pilonidal sinus disease in children: A survey study in Turkey

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