Background: Postoperative wound complications have always been the main cause of concern followed by the risk of recurrence, in the surgical treatment of the pilonidal sinus disease. Various techniques evolved so far mainly aimed at solving these problems. This clinical study compares the results obtained through random allocation of patients between those subjected to, a) using the excision an...

BACKGROUND Excision of the pit of the sinus with phenolisation of the sinus tract and surgical excision are two treatment modalities for patients with sacrococcygeal pilonidal sinus disease. Phenolisation seems to have advantages over local sinus excision as it is performed under local anaesthesia with a relatively small surgical procedure, less postoperative pain, minor risk of surgical site i...

OBJECTIVES Many conservative methods have been applied in the treatment of pilonidal sinus disease (PSD). The most commonly used conservative treatment is 80% phenol solution. Our observations demonstrated that 80% phenol solution caused much destruction in the sacrococcygeal region. DESIGN In this study low concentrations of phenol were used with the aim of reducing the unwanted side-effects...

BACKGROUND/PURPOSE Wound management in children has traditionally consisted of daily dressings. Although vacuum-assisted closure (VAC) is well described in the adult literature, there are few reports about children. We reviewed our experience with VAC. METHODS A retrospective review from 2003 to 2005 revealed that 16 children underwent VAC. Variables analyzed included demographics, diagnosis,...

The study included 28 patients with chronic post anal pilonidal sinus; 22 were males and 6 were females. The average age was 24.7 years. They were treated by full strength phenol sclerotherapy. Injection was performed in the outpatient clinic without general anaesthsia. Local infiltration anaesthesia was sometimes administrated. In 7 patients (25%) a sinus opening had to be sharply widened for ...

PURPOSE The aim of this study was to compare two different treatment methods for pilonidal sinus with respect to complications, recurrence, and patient quality of life. METHODS Five hundred forty-nine patients who underwent surgery for pilonidal sinus between January 2007 and August 2012 were included in this study. The patients were classified into group I (excision and primary closure) and ...

AIM To compare the effects of intratracheal general anesthesia (ITGA) and regional (saddle block) anesthesia on leptin, C-reactive protein (CRP), and cortisol blood concentrations during anorectal surgery. METHODS Fifty-eight patients suffering from hemorrhoidal disease, pilonidal sinus, anal fissure, or anal fistula were included the study. Patients were randomly assigned into one of the two...

Because of a possible delayed wound healing, critical colonization and infection of wounds present a problem for surgeons, particularly in patients with compromised immune system or in case where the wound is heavy contaminated or poorly perfused. Molndal technique of wound dressing has proven to be effective in prevention of infection. In our study we wanted to describe the benefits of the app...

A modified method of excision of pilonidal sinus with primary closure was used in 280 patients with one year follow-up. The technique involves prophylactic pipracillin, limited excision with 1 cm skin safety margin and the use of interrupted and subcuticular polypropylene sutures with Radivac drainage. The mean healing time was 15 days. Primary healing failure occurred in 1.42% of patients and ...