Outcomes of Conservative Treatment of 134 Cases of Umbilical Pilonidal Sinus

Abstract

Conservative treatment should be regarded as the first choice and the main method of treatment in the management of umbilical pilonidal sinus. Improper extraction of hair is the main cause of failure of conservative treatment. Recurrence can be prevented by giving the patients instructions on preventive measures.

Pilonidal Sinus at Lateral Aspect of Neck

“…The number of male patients was 121 and others (13 patients) were female. Surgical intervention was only indicated in two patients [11]. The second largest case series was reported in Iran by Shirangi et al [16].…”

“…However, more studies with higher statistical power are necessary to confirm and explain this finding. Kareem et al [11] reported the largest case series of UPS which contained data about 134 patients from Iraq with age range from 17 to 36 years. The number of male patients was 121 and others (13 patients) were female.…”

“…Almost all cases of UPS were reported to occur in Middle East countries. About 90% of UPS occurred in Iran (40.5%), Iraq (34.8%) and Turkey (14.8%) [11][12][13][14][15][16]. High incidence of UPS in these 3 countries may be explained by the cultural and traditional factors.…”

Umbilical Pilonidal Sinus

“…(8) Incomplete extraction of the hair from the sinuses is the main cause of failure with conservative treatment. (8)(9)(10) Occasionally, an incision and drainage of an abscess may be necessary.…”

“…(8) Incomplete extraction of the hair from the sinuses is the main cause of failure with conservative treatment. (8)(9)(10) Occasionally, an incision and drainage of an abscess may be necessary. (5) For cases that are resistant to conservative management, surgical excision would be the definitive treatment with reconstruction of the umbilicus.…”