Is conservative treatment an effective option for pilonidal sinus disease in children?

Cevik, Muazez; Dörterler, Mustafa Erman; Abbasoğlu, Latif

doi:10.1111/iwj.12936

Cited by 20 publications

(28 citation statements)

References 19 publications

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“…symptoms and presenting at the hospital was 6 AE 2.35 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) months.…”

Section: Resultsmentioning

confidence: 99%

“…12 Scarring and tissue distortion are the most frequent reasons for not choosing surgical treatment. 13 Although the healing time related to conservative treatment is longer than that associated with surgical techniques, normal daily activities are not affected with conservative treatment. 13 Overall, an effective treatment should involve sinus tract excision.…”

Section: Discussionmentioning

confidence: 99%

“…13 Although the healing time related to conservative treatment is longer than that associated with surgical techniques, normal daily activities are not affected with conservative treatment. 13 Overall, an effective treatment should involve sinus tract excision. The choice of surgical technique is dependent, to a large degree, on individual surgeon's practice and patient preference.…”

Section: Discussionmentioning

confidence: 99%

“…The recurrence rates in patients who received an excision compared with conservative treatment with antibiotics and / or drainage are 30.3% and 39.4%, respectively 12 . Scarring and tissue distortion are the most frequent reasons for not choosing surgical treatment 13 . Although the healing time related to conservative treatment is longer than that associated with surgical techniques, normal daily activities are not affected with conservative treatment 13 .…”

Section: Discussionmentioning

confidence: 99%

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Treatment of young patients with pilonidal sinus disease with the original (unmodified) Limberg flap standardized for the first time

Gezer

Ezer

İnce

et al. 2020

Pediatrics International

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Background: Pilonidal sinus disease (PSD) is commonly seen in young adults but may also affect adolescents. Our goal was to present results from operated patients, with a focus on the original Limberg flap, which we standardized for the first time. Methods: This study was a retrospective review of 60 teenage patients who underwent surgery in a single pediatric surgery center over approximately 15 years. Results: Of the 60 patients, 33 (55%) were male and the mean age was 14.20 AE 1.31 (9-17) years. After pilonidal sinus excision, primary repair and Limberg flap were performed in 45 (75%) and 15 (25%) patients respectively. There were no complications in the patients who underwent the Limberg flap technique, whereas 49% of the patients who underwent primary repair exhibited complications. The mean follow-up was 6.7 AE 4.8 years. Conclusion: We standardized the Limberg flap for the first time in children with measurements and consider that it meets expectations: it is not difficult to perform, it has low complication and recurrence rates, it requires an acceptable period to return to normal activities, and gives satisfactory cosmetic results. We did not identify any complications in patients treated with the Limberg flap excision and post-operative epilation. We consider that findings achieved by the treatment of original, standardized Limberg flap excision is comparable with all of the treatment methods reported in the literature related with children.

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“…symptoms and presenting at the hospital was 6 AE 2.35 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) months.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment of young patients with pilonidal sinus disease with the original (unmodified) Limberg flap standardized for the first time

Gezer

Ezer

İnce

et al. 2020

Pediatrics International

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“…It is probably the first line of treatment in many institutions, particularly in cases with less extensive disease. Cevik [5] treated 29 patients by removal of hair nests and filled the cavity with an antiseptic solution. Antibiotics were given for 10 days.…”

Section: Less Invasive Treatmentmentioning

confidence: 99%

Less invasive pilonidal sinus surgical procedures

Andersson

2019

coloproctology

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Less invasive pilonidal sinus surgical proceduresMinimally invasive surgery for pilonidal disease is simple, safe, and cost-efficient, with low morbidity, rapid healing, and a rapid return to normal activity. Although recurrence rates seem high at first glance, the procedures can be successfully repeated for recurrences, achieving healing rates of over 90% for 1-2 interventions. Future welldesigned trials are necessary to aid patient selection.

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Management of Pilonidal Disease

2023

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ImportanceThe management of pilonidal disease continues to be a challenge due to high rates of recurrence and treatment-associated morbidity.ObservationsThere is a heterogeneous repertoire of treatment modalities used in the management of pilonidal disease and wide practice variation among clinicians. Available treatment options vary considerably in their level of invasiveness, associated morbidity and disability, risks of complications, and effectiveness at preventing disease recurrence. Conservative nonoperative management strategies, including persistent improved hygiene, depilation, and lifestyle modification, focus on disease prevention and minimization of disease activity. Epilation techniques using both laser and intense pulse light therapy are also used as primary and adjunct treatment modalities. Other nonoperative treatment modalities include phenol and fibrin injection to promote closure of pilonidal sinuses. The traditional operative management strategy for pilonidal disease involves excision of affected tissue paired with a variety of closure types including primary midline closure, primary off-midline closure techniques (ie, Karydakis flap, Limberg flap, Bascom cleft lift), and healing by secondary intention. There has been a recent shift toward more minimally invasive operative approaches including sinusectomy (ie, trephination or Gips procedure) and endoscopic approaches. Overall, the current evidence supporting the different treatment options is limited by study quality with inconsistent characterization of disease severity and use of variable definitions and reporting of treatment-associated outcomes across studies.Conclusions and RelevancePilonidal disease is associated with significant physical and psychosocial morbidity. Optimal treatments will minimize disease and treatment-associated morbidity. There is a need for standardization of definitions used to characterize pilonidal disease and its outcomes to develop evidence-based treatment algorithms.

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Is conservative treatment an effective option for pilonidal sinus disease in children?

Cited by 20 publications

References 19 publications

Treatment of young patients with pilonidal sinus disease with the original (unmodified) Limberg flap standardized for the first time

Treatment of young patients with pilonidal sinus disease with the original (unmodified) Limberg flap standardized for the first time

Less invasive pilonidal sinus surgical procedures

Management of Pilonidal Disease

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