Treatment of pilonidal disease by phenol application

Emiroğlu, Mustafa; Karaalı, Cem; Esin, Hüseyin; Akpınar, Göksever; Aydın, Cengiz

doi:10.5152/ucd.2016.3532

Cited by 28 publications

(18 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The concept of an acquired disease was developed by Patey and Scarff not long after the Second World War on the basis of the high incidence of recurrences and the sporadic onset of the disease in other areas of the body (inter-digital folds in the barber's hand). Many eradication treatments have been described, ranging from open excision, 6 de-roofing, 7,8 marsupialisation, 5,9 and phenolisation [10][11][12][13] to excision and primary suture techniques and either median direct suture 14,15 or reconstruction of loss substances by local flaps. 5 The main morbidity is frequent and disabling sinus infections that lead to severe pain and purulent discharge in healthy patients with an active professional life.…”

Section: Introductionmentioning

confidence: 99%

A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

Berthier¹,

Bérard²,

Méresse³

et al. 2019

International Wound Journal

View full text Add to dashboard Cite

Many treatments have been described for pilonidal disease, but recurrence cannot be completely eliminated. The aim of this study was to perform a meta‐analysis of randomised, controlled trials comparing flap repair vs the laying open technique and/or excision and direct closure techniques in the treatment of chronic pilonidal sinus disease. The primary outcome measure was the recurrence rate. Secondary outcomes were complete wound‐healing time, duration of the incapacity to work, quality of life and patient satisfaction, postoperative pain, wound infection, bleeding or haematoma, skin wound complications, and duration of hospital stay. Seventeen studies were included. The meta‐analysis demonstrated a lower risk of recurrence, a shorter duration of incapacity to work, a lower risk of wound infections, a lower risk of skin wound complications, and a shorter duration of hospitalisation in favour of flap vs direct closure. A shorter time to complete wound healing and a shorter duration of incapacity to work for flap vs the laying open technique were observed. Superiority of flap repair vs direct closure in pilonidal sinus treatment was demonstrated in this meta‐analysis. These results suggest avoiding primary direct closure in clinical practice. Compared with the laying open technique, flaps result in faster healing and a shorter time to return to activities.

show abstract

Section: Introductionmentioning

confidence: 99%

A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

Berthier¹,

Bérard²,

Méresse³

et al. 2019

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…Treatment with phenol has been analyzed in two systematic reviews based on 13 reports in 2009 [16] and on 14 reports in 2017 [10]. Kayall found an overall success rate of 87 ± 10% with a mean follow-up of 2.0 ± 1.1 years [16].…”

Section: Phenolmentioning

confidence: 99%

“…The most common postoperative complication was abscess and cellulitis (in 8.7%) due to leakage of phenol into the surrounding tissue. Emiroglu doesn't include a summary estimate of the outcomes [10]. The studies included in these reviews show large heterogeneity, with reported success rates ranging from 60 to 100%.…”

Section: Phenolmentioning

confidence: 99%

Less invasive pilonidal sinus surgical procedures

Andersson

2019

coloproctology

View full text Add to dashboard Cite

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.

show abstract

“…Long-term recurrence rates are dismal, 10 with a 5-year recurrence rate for phenol in excess of 40%. 10 Differences in application (crystalline, gel, or fluid) and concentration (25%-80%) 11 may have an influence on efficacy but are not addressed in the new guidelines.…”

Section: Corrosive Substancesmentioning

confidence: 99%

New Attempt to Reach a Common Sense in Pilonidal Sinus Therapy

Doll

Luedi

2019

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

To the Editor-In his letter, Dr Tomassi describes his study from Kaiser Permanente Southern California, in which the investigators "expectantly managed" 378 patients with high-grade anal dysplasia, demonstrating an incidence rate of 0.19% per patient-year for anal squamous cell carcinoma (SCC). This rate is lower than the rate we identified using the population-based cancer registries of the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute. It must be emphasized that Dr Tomassi's data derive from Kaiser Permanente billing codes, and therefore all included patients are medically insured. As Dr Tomassi states in his letter, surveillance of patients at high risk for anal SCC is provided by "general and colorectal surgeons, infectious disease specialists, family medicine and internal medicine physicians, and gynecologists." The Kaiser Permanente data come from a large integrated managed care group that receives high marks for quality of care with an emphasis on preventive care and access to care. This likely represents a higher level of longitudinal care than most patients in the United States are fortunate enough to receive. Our SEER data are derived from 34.6% of the US population, irrespective of insurance status, and are Data from different sources have different applications: for a large healthcare system or insurance organization looking to allocate resources and determine policy for a population, we commend the use of the Kaiser data. For a surgical practitioner counseling his or her patients, we commend data such as our own. We share with our crosstown colleagues the clinical conclusion that expectant management of HSIL is reasonable, based on evidence and experience. We wonder if we can now call it San Diego rather than expectant management, to use a sunnier and less pregnant term! We also share with everyone in the field, including advocates of HSIL ablation with whom we disagree, the conviction that people at high risk for anal cancer should be followed regularly by practitioners accustomed to examining the anus. Indurated or ulcerated lesions should be biopsied so that early stage cancers can be detected and cured.

show abstract

Treatment of pilonidal disease by phenol application

Cited by 28 publications

References 32 publications

A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

A comparison of flap reconstruction vs the laying open technique or excision and direct suture for pilonidal sinus disease: A meta‐analysis of randomised studies

Less invasive pilonidal sinus surgical procedures

New Attempt to Reach a Common Sense in Pilonidal Sinus Therapy

Contact Info

Product

Resources

About