Incise and lay open: an effective procedure for coccygeal pilonidal sinus disease

Gidwani, A. L.; Murugan, Krithika; Nasir, Adeel; Brown, Robin

doi:10.1007/s11845-009-0450-1

Cited by 27 publications

(16 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…50 Some authors recommend placing the incision in a paramedian axis 51 or associating curettage of the cyst 52,53 in order to limit the risk of recurrence. Oedema and acute inflammation would impede the exhaustive delimitation of the wall region concerned, particularly paramedian fistulas.…”

Section: Limitationsmentioning

confidence: 99%

A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

Berthier¹,

Bérard²,

Méresse³

et al. 2019

International Wound Journal

View full text Add to dashboard Cite

Many treatments have been described for pilonidal disease, but recurrence cannot be completely eliminated. The aim of this study was to perform a meta‐analysis of randomised, controlled trials comparing flap repair vs the laying open technique and/or excision and direct closure techniques in the treatment of chronic pilonidal sinus disease. The primary outcome measure was the recurrence rate. Secondary outcomes were complete wound‐healing time, duration of the incapacity to work, quality of life and patient satisfaction, postoperative pain, wound infection, bleeding or haematoma, skin wound complications, and duration of hospital stay. Seventeen studies were included. The meta‐analysis demonstrated a lower risk of recurrence, a shorter duration of incapacity to work, a lower risk of wound infections, a lower risk of skin wound complications, and a shorter duration of hospitalisation in favour of flap vs direct closure. A shorter time to complete wound healing and a shorter duration of incapacity to work for flap vs the laying open technique were observed. Superiority of flap repair vs direct closure in pilonidal sinus treatment was demonstrated in this meta‐analysis. These results suggest avoiding primary direct closure in clinical practice. Compared with the laying open technique, flaps result in faster healing and a shorter time to return to activities.

show abstract

Section: Limitationsmentioning

confidence: 99%

A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

Berthier¹,

Bérard²,

Méresse³

et al. 2019

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…[8] The term pilonidal sinus was coined by Hodges, where pilus means hair and nidus is nest. [9] This condition is commonly seen in hirsuit males which has a blind ending track lined with granulation tissue. They contain many broken pieces of hair and may have side tracks.…”

Section: Discussionmentioning

confidence: 99%

“…[1] They are commonly found in the sacro coccygeal area, axilla, inter digital clefts, umbilicus, penis, clitoris and in the inter mammary area. [2] These are usually seen in the age group of 15-40 years, with a male predominance. [3,4] The growth hormones after puberty, plays an important role in the development of this condition.…”

Section: Introductionmentioning

confidence: 99%

Pilonidal Sinus, A Vexing Problem With Special Reference To Intermammary Sinus

Arun¹,

M.P²

2017

Ann. Int. Med. Den. Res.

View full text Add to dashboard Cite

Background: Pilonidal sinus(PNS) is a vexing problem for an individual and it became more vexing when it is in the form of inter mammary sinus(IMS). PNS is blind ending track lined with granulation tissue leading to a cystic cavity containing bits and pieces of hair. Aim: To assess the risk factors and treatment options for pilonidal sinus at a tertiary care centre with special reference to management of inter mammary sinus. Methods: The patients presenting with PNS to the general surgery department at a tertiary care centre in north Malabar, Kerala from 2009 to 2016 were included in this study. All PNS without abscess formation were treated with Z plasty. Those with abscess formation, I&D were done primarily. Later after the abscess healed, wide local excision and healing with secondary intention was followed. Results: 49 cases of pionidal sinus (39 sacrococcygeal PNS and 10 intermammary )were included in this study. Karydakis and Bascom method methods were not used. There was single recurrence each after wide excision and Z plasty in sacrococcygeal pilonidal sinus and no recurrence in the inter mammary group. Conclusion: Pilonidal sinus especially intermammary sinus is a vexing problem. The changes in the hormonal balance during puberty is the triggering factor. Many treatment modalities are in the offering, suggesting that a complete cure may not be possible with any of those available. Wide local excision with primary closure or Z plasty are two viable options for this condition.

show abstract

“…The optimal treatment should include a method that implies low costs, fast recovery with minimal time off from work (the majority of the patients are young active people), low complication rates, low recurrence and satisfactory cosmetic result. Conservative treatment satisfies all these requirements and should be the first line of treatment for patients with pilonidal disease [5][6][7][8]. Although conservative treatment requires a careful follow-up, it is successful in high percentage of patients [1,2,7,8].…”

Section: Discussionmentioning

confidence: 99%

“…Conservative treatment satisfies all these requirements and should be the first line of treatment for patients with pilonidal disease [5][6][7][8]. Although conservative treatment requires a careful follow-up, it is successful in high percentage of patients [1,2,7,8]. If signs of abscess or infection are present, laying open of the sinus tract and antibiotic treatment are required.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic approaches to patients with pilonidal sinus based on specific clinical characteristics

et al. 2012

View full text Add to dashboard Cite

Controversies exist about the optimal treatment for patients with pilonidal disease. Our therapeutic approach to patients with this condition has been conservative treatment. Surgery was performed only after failure of conservative treatment. Surgery consisted of excision of the sinus and primary closure in patients of female sex and with sinus of small dimensions. Excision and Limberg flap was performed in male patients with a large sinus. Conservative treatment was successful in almost 50% of the patients. Excision and Limberg flap reconstruction had fewer recurrences than excision and primary closure; however, patients were less satisfied from an aesthetic point of view. Therapeutic approach to patients with pilonidal sinus should be modified according to the clinical conditions of the patient and anatomic characteristics of sinus.

show abstract

Incise and lay open: an effective procedure for coccygeal pilonidal sinus disease

Abstract: In patients with coccygeal pilonidal sinus disease, a single-stage incision and lay open of the sinus tract is the most efficient operation, especially during emergency surgery.

Cited by 27 publications

References 15 publications

A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

Pilonidal Sinus, A Vexing Problem With Special Reference To Intermammary Sinus

Therapeutic approaches to patients with pilonidal sinus based on specific clinical characteristics

Contact Info

Product

Resources

About