Excision and Umbilicoplasty for Umbilical Pilonidal Disease

Akkapulu, Nezih; Tırnaksız, Mehmet Bülent

doi:10.1007/978-3-319-43887-0_36

Cited by 1 publication

(9 citation statements)

References 18 publications

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“…10 The exact prevalence of umbilical PNS is unknown; however, it has been found to be in the 0.1% to 0.6% range. 2 In the current study, about 79.1% of the patients were male. Various risk factors were compared in a study of 31 patients with umbilical PNS to 100 volunteers.…”

Section: Discussionmentioning

confidence: 54%

“…Almost all published studies are case reports or tiny case series, making comparison impossible. 2 Conservative treatments include minor incisions, sinus curettage with hair removal, and shaving around the umbilicus. 7,13 Asymptomatic illness found by accident can be handled by increasing personal hygiene, which includes shaving the surrounding skin, removing any projecting hairs, and keeping the umbilicus dry.…”

Section: Discussionmentioning

confidence: 99%

“…Published data on this condition have mostly been case reports and case series, with no comparison studies described in English literature; consequently, disagreement still surrounds the origin, pathophysiology, and effective therapy of umbilical PNS. 2,7 The current study aims to report on the safety and efficacy of a non-operative umbilical conserving procedure in the treatment of umbilical PNS.…”

Section: Introductionmentioning

confidence: 99%

“…The pilonidal sinus (PNS) is a disease that arises in the natal (intergluteal) cleft as a result of acute or chronic infection of subcutaneous fatty tissue 1 . It is primarily caused by a granulomatous inflammatory process precipitated by irritation of the epidermis and dermis by the trapped hair shaft between them, which results in foreign body reactions and multifactorial infection 2 . For unknown reasons, the incidence of PNS has increased considerably during the last 50 years 3 .…”

Section: Introductionmentioning

confidence: 99%

“…Due to rarity of the umbilical PNS, patient features and risk factors are not well understood. Published data on this condition have mostly been case reports and case series, with no comparison studies described in English literature; consequently, disagreement still surrounds the origin, pathophysiology, and effective therapy of umbilical PNS 2,7 …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Non‐operative management of umbilical pilonidal sinus: One more step towards ideal therapy

Muhialdeen

Baba

Salih

et al. 2023

International Wound Journal

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There are controversies regarding the management of umbilical pilonidal sinuses. The current study aims to report on the efficacy of a non‐operative, umbilical conserving procedure in the treatment of umbilical pilonidal sinus. This is a prospective, single cohort study. The cases were managed in a single private practice center. Patients were assessed and managed throughout the previous nine years (from January 2013 to June 2022). The required information was obtained from the center's medical database. The current study included 114 patients. There were 82 (71.9%) male patients. The patients’ ages varied from 14 to 56 years (mean = 23.24). The umbilicus was retracted under local anesthesia. The sinuses were cleaned with povidone‐iodine. Following the drying of the cavity, the mixture was put in the umbilicus, and the area was dressed. The amount of mixture was determined by the size of the cavity. Following treatment, the patients were directly discharged home with instructions to remove all hair from the chest and abdomen and keep the dressing dry for three days. After three days, the patients were advised to use a clean cotton swab to remove the injected mixture. Recurrence was reported in 5 cases (4.4%). The current technique might be used effectively in the treatment of umbilical pilonidal sinus. It is an umbilical preserving technique with a minimal recurrence rate.

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Section: Discussionmentioning

confidence: 54%