Previously operated recurrent pilonidal sinus treated with crystallized phenol: Twenty-year experience in a cohort study

Kargın, Süleyman; Doğru, Osman; Turan, Ersin; Kerimoğlu, Ramazan Saygın; Nazik, Emet Ebru; Esen, Ebru

doi:10.47717/turkjsurg.2022.5247

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…The patients were followed for an average of 45.8 months and 72.4% of the relapses after CP occurred within the first five years and 97.4% within the first 10 years. The longer the disease duration before treatment, the higher the risk of relapse after treatment was also noted [30].…”

Section: Discussionmentioning

confidence: 99%

Staged Crystalized Phenol Treatment in Pilonidal Disease: A Retrospective Cross-Sectional Study

Güler

Balas

Karabacak

2023

AJTES

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Background: In recent years, minimally invasive techniques with less tissue excision, rather than surgical treatments including wide tissue excisions, are preferred in the surgical treatment of pilonidal sinus. Crystallized phenol treatment is a widely used minimally invasive method. The aim of this study is to examine the results of applying crystallized phenol in a two-stage manner. Material and Methods: In this study, demographic information, pilonidal sinus characteristics, and results of crystallized phenol treatment of primary pilonidal sinus patients treated with crystallized phenol at Ankara Yıldırım Beyazıt Education and Research Hospital General Surgery Clinic between January 2016 and July 2021 were retrospectively analyzed. Results: The average age of 185 patients who underwent phenol treatment for pilonidal sinus was 26.75±6.21 years. 53.2% of the patients were ≤25 years old. 80.5% of the patients were male. 65.0% of all patients had a BMI <30 kg/m2. The follow-up period for patients was 31 months (min 6, max 60). The patients had 1-3 pits. In the final evaluation of patients who received crystallized phenol treatment twice, abscesses developed in 3 patients (1.6%) and recurrences occurred in 8 patients (4.3%). A statistically significant relationship was found between age and recurrence (p=0.027) and between BMI and recurrence (p=0.003). The incidence of recurrence increased significantly as the number of pits increased (p<0.001). Conclusions: In our study, we did not encounter any serious complications with the application of crystallized phenol in two stages. We observed that our patients returned to their routine lives painlessly in the early period and that our recurrence rates were low. Based on our findings, we can say that the application of crystallized phenol as a minimal invasive procedure is still a safe and valid method for the treatment of pilonidal sinus.

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Section: Discussionmentioning

confidence: 99%

Staged Crystalized Phenol Treatment in Pilonidal Disease: A Retrospective Cross-Sectional Study

Güler

Balas

Karabacak

2023

AJTES

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Phenolization of the sinus tract in recurrent sacrococcygeal pilonidal sinus disease: long-term results of a prospective cohort study

de Kort,

Pronk,

Vriens

et al. 2024

Int J Colorectal Dis

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Aim In recent years, the paradigm for the treatment of sacrococcygeal pilonidal sinus disease (SPSD) has shifted from surgical excision toward more minimally invasive techniques. Although extensive research has been conducted on the minimal invasive phenolization technique for primary SPSD, literature in recurrent SPSD is lacking. The purpose of this study was to report the long-term outcomes of the phenolization technique for recurrent SPSD. Method This study included all 57 patients who were initially prospectively included in this study for short-term follow-up after phenolization for recurrent SPSD. A questionnaire was sent out to all patients to obtain long-term outcome. The primary endpoint was recurrence. Secondary endpoints included quality of life and symptoms related to SPSD. Results A total of 47 patients (82.5%) were available for long-term follow-up. Recurrence needing further surgery developed in 7 patients (14.9%) after a mean follow-up of 76 (SD 21.7) months. At follow-up, there was improvement in the quality of life compared to preoperative levels (82.0, IQR 75.0–90.0 versus 74.0 IQR 52.5–80.0, p = 0.024). Additionally, symptoms associated with SPSD, including pain, fluid discharge, and itching sensation, also showed significant improvement. A total of 42 patients (89.4%) would undergo the same treatment again. No significant association was found between known risk factors and recurrence. Conclusion Phenolization for recurrent SPSD showed a recurrence rate of 14.9% with significant improvement of natal cleft symptoms and quality of life at long-term follow-up. Therefore, phenolization should be considered as a feasible option for patients with recurrent SPSD.

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Non-excisional techniques for the treatment of intergluteal pilonidal sinus disease: a systematic review

Huurman,

Galema,

de Raaff

et al. 2023

Tech Coloproctol

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Non-excisional techniques for pilonidal sinus disease (PSD) have gained popularity over the last years. The aim of this study was to review short and long-term outcomes for non-excisional techniques with special focus on the additive effect of treatment of the inner lining of the sinus cavity and the difference between primary and recurrent PSD. A systematic search was conducted in Embase, Medline, Web of Science Core Collection, Cochrane and Google Scholar databases for studies on non-excisional techniques for PSD including pit picking techniques with or without additional laser or phenol treatment, unroofing, endoscopic techniques and thrombin gelatin matrix application. Outcomes were recurrence rates, healing rates, complication rates, wound healing times and time taken to return to daily activities. In total, 31 studies comprising 8100 patients were included. Non-excisional techniques had overall healing rates ranging from 67 to 100%. Recurrence rates for pit picking, unroofing and gelatin matrix application varied from 0 to 16% depending on the follow-up time. Recurrence rates after additional laser, phenol and endoscopic techniques varied from 0 to 29%. Complication rates ranged from 0 to 16%, and the wound healing time was between three and forty-seven days. The return to daily activities varied from one to nine days. Non-excisional techniques are associated with fast recovery and low morbidity but recurrence rates are high. Techniques that attempt to additionally treat the inner lining of the sinus have worse recurrence rates than pit picking alone. Recurrence rates do not differ between primary and recurrent disease.

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Previously operated recurrent pilonidal sinus treated with crystallized phenol: Twenty-year experience in a cohort study

Cited by 3 publications

References 25 publications

Staged Crystalized Phenol Treatment in Pilonidal Disease: A Retrospective Cross-Sectional Study

Staged Crystalized Phenol Treatment in Pilonidal Disease: A Retrospective Cross-Sectional Study

Phenolization of the sinus tract in recurrent sacrococcygeal pilonidal sinus disease: long-term results of a prospective cohort study

Non-excisional techniques for the treatment of intergluteal pilonidal sinus disease: a systematic review

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