Pilonidal Sinus in Japan Maritime Self-Defense Force at Yokosuka

Chijiwa, Tsuyoshi; Suganuma, Toshiyuki; Takigawa, Toshimichi; Edogawa, Seiji; Inoue, Kimitoshi; Yanagida, Shigeki; Hatada, Junichi

doi:10.7205/milmed.171.7.650

Cited by 14 publications

(7 citation statements)

References 6 publications

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“…Harsh military conditions and the uncomfortable lifestyle of a soldier are thought to lead to a higher incidence of SPD in the military environment. 3,15 Today's most widely accepted explanation for the pathogenesis of hair insertion causing SPD has been made by Karydakis. 16 He suggested three possible factors: (1) the invader (loose hair); (2) the force (causes such an insertion); and (3) skin vulnerability (at the depth of the intergluteal fold).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: Results of 200 military service members

2009

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Section: Discussionmentioning

confidence: 99%

Comparison of Karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: Results of 200 military service members

2009

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“…2 The prevalence in Asia and Africa is less as compared to Europe and north America. 3 Men of age 16-25 years are seen to be more prone for this condition. 4,5 The onset of disease in adolescent can be correlated with pubertal hormonal effect as well as skin and hair changes.…”

Section: Introductionmentioning

confidence: 99%

Laser pilonidotomy — a new approach in management of complex pilonidal sinus disease: an exploratory study

Porwal¹,

Gandhi²,

Kulkarni³

2020

Journal of Coloproctology

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Background The treatment of pilonidal sinus disease still remains challenging mainly because of multiple factors responsible for wound healing and its recurrence. With recent advances in surgical field, use of laser found to be an effective technique in the destruction of a pilonidal cyst. Laser Piolonidotomy is a new promising technique. Methodology An exploratory study was planned with the Aim, to evaluate a new technique for the excision of pilonidal sinus. Objectives were to investigate its effectiveness in terms of operation time, healing time, and the duration of hospitalization, resumption of normal activity the degree of postoperative complications and rate of recurrence and patient’s satisfaction. All the patients with pilonidal sinus were categorized and laser pilonidotomy was planned for patients satisfying inclusion criteria. Data collected in pre-structured, pre-tested proforma and analyzed using SPSS. Results Mean duration of Procedure was 33 min (SD = 11), mean duration of Hospital Stay was 12 h (SD = 3), resumption of normal activity within 4 days (SD = 2), mean duration for Complete Wound Healing by secondary intention 6 Weeks (SD = 1.25). Among complications, infection reported in 1.08%. The difference between the mean pre and post-operative VAS score was statistically highly significant (p < 0.0001). Recurrence rate was 3.24%. Success rate was 96.75% and Overall patient’s satisfaction was 97.84%. Conclusion Laser Pilonidotomy is effective in destruction of a pilonidal cyst with good success rate, fewer complications and with high patient’s satisfaction.

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“…The data show that the PSDCA reports are not evenly distributed worldwide. As Asia and Africa have not reported major numbers of PSD patients [28][29][30][31], we expect only a few, if any, PSDCA patients from there.…”

Section: Demographic Characteristicsmentioning

confidence: 99%

Demographic overview of pilonidal sinus carcinoma: updated insights into the incidence

Safadi

Dettmer

Berger³

et al. 2023

Int J Colorectal Dis

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Purpose There are only rough estimates of the worldwide incidence of pilonidal sinus carcinoma. The purpose of the study is to explore the demographic characteristics of this disease and to provide more precise information about its incidence. Methods The study included questioning the surgeons and pathologists in Germany in addition to a literature research. The literature investigation included all published articles about pilonidal carcinoma in all languages. The questionnaire included 1050 pathologists and all 834 hospitals with a surgical division in Germany. The outcome measures included the total number of cases, the language of publication, gender, age, country of origin, interval until the diagnosis of carcinoma, and reported incidence based on local studies. Results From 1900 to 2022, we found 140 cases of pilonidal sinus carcinoma in 103 articles. The investigation revealed two additional unpublished cases from Germany. The male-to-female ratio was 7.75:1. The countries with the most cases were the USA (35 cases, 25.0%), Spain (13 cases, 9.3%), and Turkey (11 cases, 7.6%). The average age was 54.0 ± 11.8 years and the interval between the diagnosis of the disease and the development of carcinoma was 20.1 ± 14.1 years. There was a parallel increase in reported cases of pilonidal sinus disease and pilonidal carcinoma over the last century. The reported incidence varied from 0.03% to 5.56%. The worldwide calculated incidence equaled 0.17%. Conclusion Due to underreporting and other causes, the incidence of carcinoma emerging on the background of pilonidal sinus disease is higher than reported.

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Pilonidal Sinus in Japan Maritime Self-Defense Force at Yokosuka

Cited by 14 publications

References 6 publications

Comparison of Karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: Results of 200 military service members

Comparison of Karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: Results of 200 military service members

Laser pilonidotomy — a new approach in management of complex pilonidal sinus disease: an exploratory study

Demographic overview of pilonidal sinus carcinoma: updated insights into the incidence

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