Le kyste pilonidal

Torre, Valentina La

doi:10.1016/s2468-9114(18)30010-0

Cited by 3 publications

(8 citation statements)

References 14 publications

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“…It occurs most commonly in hirsute individuals [5]. The risk factors include obesity, hirsutism, poor hygiene, repeated microtrauma and friction, and a deep intergluteal cleft [2,6]. A casecontrolled study on the risk factors of pilonidal sinus disease in preparatory school students conducted by Faraj et al reported that sitting on hard surfaces for long periods of time should be considered a risk factor for developing PNS among secondary school students [7].…”

Section: Discussionmentioning

confidence: 99%

“…It may manifest as pilonidal disease, in the form of acute infection (abscess), or chronic, persistent discharge of one or more sinuses [1]. There are two hypotheses regarding the etiopathogenesis of this entity: the congenital and the acquired theory [2]. The acquired theory, which is retained by most authors, states that, following repeated microtrauma, the broken free hairs penetrate and migrate under the skin, creating a fistulous pathway and behaving like foreign bodies, which triggers an inflammatory reaction with the resultant long-term, low-grade infection [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…There are two hypotheses regarding the etiopathogenesis of this entity: the congenital and the acquired theory [2]. The acquired theory, which is retained by most authors, states that, following repeated microtrauma, the broken free hairs penetrate and migrate under the skin, creating a fistulous pathway and behaving like foreign bodies, which triggers an inflammatory reaction with the resultant long-term, low-grade infection [2,3]. The risk factors include the male sex, a family history, obesity, and hirsutism [1].…”

Section: Introductionmentioning

confidence: 99%

“…Its benignity contrasts with the importance of its morbidity leading to an alteration in the quality of life with major socio-professional repercussions. The difficulty of its management is related to the high risk of recurrence, estimated to be 30% [2]. Although surgery is still considered the gold-standard treatment, it has a high recurrence rate and a prolonged healing time.…”

Section: Introductionmentioning

confidence: 99%

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Laser and IPL hair depilation in pilonidal disease

Jroundi¹,

Baybay²,

Kassel³

et al. 2022

Our Dermatol Online

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Background: Pilonidal sinus disease (PNS) is a chronic inflammatory disease of the natal cleft occurring in young adults. We report our experience with laser hair removal using Nd: YAG laser and IPL for the treatment of pilonidal cysts. Materials and Methods: Twelve patients presenting with pilonidal disease with or without a history of surgery were examined and treated from October 2016 to October 2021. All patients had modifiable risk factors. Treatments were performed with intense pulsed light (IPL) in nine patients and Nd: YAG laser at a wavelength of 1064 nm in five patients, and occasionally both were used in two patients. The number of treatments ranged from three to five, performed at four-to-eight-week intervals. Results: Progressive hair depilation of the gluteal cleft was achieved in all patients. None of the patients have required further surgical treatments to date. No side effects were reported. All patients experienced a partial or complete remission of the pilonidal disease. Conclusion: Laser hair depilation is a promising therapy in the prevention and management of pilonidal disease.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laser and IPL hair depilation in pilonidal disease

Jroundi¹,

Baybay²,

Kassel³

et al. 2022

Our Dermatol Online

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“…Its prevalence can reach up to 0.7% of the population 18 . It is the acute suppurative form of pilonidal disease 13 . It is true that pilonidal disease has been extensively treated in the literature, but the management of its abscessed form has not received sufficient attention.…”

Section: Introductionmentioning

confidence: 99%

Radical Versus Conservative Methods in One-Stage Pilonidal Abscess Surgery: The Experience of a Tunisian Center

Mahjoubi

Ben-Latifa

Karoui

et al. 2022

ABCD, arq. bras. cir. dig.

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BACKGROUND: Surgical treatment for pilonidal abscess is the gold standard, but not yet well codified. Different techniques proposed can be conservative or radical. AIMS: The aim of our study was to compare postoperative outcomes of both methods in one-stage treatment strategy. METHODS: This is a comparative study including patients operated on for pilonidal abscess, with a satisfactory postoperative follow-up, over a period of 4 years. We looked for the occurrence of postoperative recurrence in the medical records or by interviewing reachable patients. RESULTS: We analyzed 57 patients: 33 males and 24 females. The mean age was 26.9±10 years. The type of operation was excision in 46 (81%) cases and incision in 11 (19%) cases associated with curettage in three cases and drainage in 1 case. There was no statistically significant relationship between the type of surgery and the occurrence of postoperative surgical complications (p=1) and hospital stay (p=0.4). Excision of pilonidal abscess was significantly associated with a longer time to return to activity (p=0.04). Conservative surgery was significantly associated with faster healing of the surgical wound (p<0.001). The recurrence rate was 19% in radical surgery and 54% in conservative surgery. Radical surgery was significantly associated with a lower recurrence rate than incision procedure (p=0.02). CONCLUSIONS: Excision of pilonidal abscess was the common technique in our series, with a significantly lower rate of recurrence of the disease than after incision. However, the long convalescence following excision and the longer operating time, particularly in an emergency context, may sometimes lead to choosing conservative surgery.

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