PURPOSE To present a 10-step approach to the assessment and treatment of pilonidal sinus disease (PSD) and related wounds based on the Harris protocol, expert opinion, and a current literature review. TARGET AUDIENCE This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. OBJECTIVES After participating in this educational activity, t...

Introduction This paper on pilonidal lesions is presented with the object of reviewing the disease and describing a method of treatment introduced by Jacobsen (1959). A pilonidal sinus is an anomalous condition, in which there may be found a nidus of epithelial and hair cells submerged in the cutaneous tissues of the intergluteal cleft. These elements under certain conditions give rise to sympt...

OBJECTIVE Antagonism of the central nervous system inhibitor neurotransmitter gamma-Aminobutyric acid (GABA) or serotonergic system activation is an important factor in the pathogenesis of intrathecal morphine-induced pruritus. This study tested the hypothesis that preoperative use of ondansetron, gabapentin or mirtazapine can prevent morphine-induced pruritus. METHODS We randomly allocated 8...

BACKGROUND A number of techniques have been described for treatment of patients with sacrococcygeal pilonidal sinus disease. The author reports his experience in the surgical management of pilonidal sinus using radiofrequency sinus excision technique. The results are compared with those obtained after excision and marsupialization procedure. MATERIALS AND METHODS Seventeen patients were opera...

BACKGROUNDS Various methods were defined to prepare patients for the pilonidal sinus surgery including local, spinal, and general anesthesia. But there is no powerful evidence to differ these procedures. Therefore, in the current study, we compared local and general anesthesia in the pilonidal sinus surgery. METHODS & MATERIAL in this clinical trial (IRCT201312031786N5) study 60 patients with...

Coccygeal herniation after coccygectomy is rare. Little is known about the management of this complication. We present a case of a 44 year old women with a coccygeal herniation 7 years after coccygectomy. She was treated two times for an infected pilonidal sinus with incision and drainage. After the last incision and drainage she had complaints of a painful swelling in the sacral area and diffi...

Total excision of the involved sinus tract to the post sacral fascia is the most frequently applied surgical option. The defect formed on the excised area might be primarily closed, partially closed as is the case in marsupialization, left open for secondary healing, or reconstructed by differing flap techniques. 2 The previous available data compares various surgical procedure for treatment of...

We report a male patient with carcinoma arising on the basis of neglected sacrococcygeal pilonidal sinus disease. Following initial operation, performed without suspicion of malignancy, histology demonstrated cellular atypia and an increased mitotic rate. A second, wider tissue excision was recommended but the patient declined further surgery. Two years later, he presented with fungating carcin...

observed in scalp discoid lupus erythematosus. Arch Dermatol. 2009;145:1406--9. 4. Uysal AC, Alagöz MS, Unlü RE, Sensöz O. Hairdresser’s syndrome: a case report of an interdigital pilonidal sinus and review of the literature. Dermatol Surg. 2003;29:288--90. 5. Morrell JF. ‘‘Pilonidal’’ sinus of the sole. Arch Dermatol. 1957;75:269. 6. Sakai R, Higashi K, Otha M, Sugimoto Y, Ikoma Y, Horiguchi Y...