BACKGROUND Pilonidal disease is a chronic disease of the natal cleft. Recurrent follicular infection is the causative factor. Surgical treatment has a significant failure rate, and recurrence is common. Laser removal of hair in the natal cleft could be an alternative to surgery. OBJECTIVE To determine the effectiveness of laser hair removal in the natal cleft on pilonidal disease. METHODS S...

Pilonidal sinus can present as acute abscess or chronic discharging sinus. Many surgical treatment options are available for pilonidal sinus ranging from simple excision to various types of flaps procedures. The present study was planned to know the comparative outcome of two methods of treatment of pilonidal sinus disease; first the open group and second the partial closure group. We concluded...

BACKGROUND The aim of this study is to compare the effectiveness and success of early (acute) period local surgical intervention (unroofing-curettage) followed by dressing and secondary healing with the surgery performed in elective conditions (pilonidal sinus excision and Karydakis flap) following conventional abscess treatment (drainage-antibiotic therapy) in pilonidal sinus abscess cases. ...

OBJECTIVE The study was planned to investigate the possible effects of peroperative prone and supine positions on postspinal headache incidence. METHODS This prospective study was completed at Demet Hospital, Ankara, Turkey between January-July 2003. Two groups of patients were studied, Group 1 comprised randomly selected male American Society of Anesthesiology Classification grade 1 (ASA 1)...

OBJECTIVE A randomized clinical trial was performed in patients with chronic or recurrent pilonidal sinus (PS) comparing primary closure coupled with random application of in house autologous platelet gel or produced by means of Vivostat- in order to assess whether a standardized product had an impact on the wound healing process. PATIENTS AND METHODS Between June 2006 and June 2009, 100 pati...

Background Squamous-cell carcinoma arising in a pilonidal sinus is a rare complication of a common disease. More than 60 cases are reported in literature. In all patients, squamous carcinoma arises in a long-term pilonidal disease. The gold-standard for treatment is radical excision of the neoplasm, with tumour-free margins. Some Authors consider the effectiveness of postoperative chemoor radio...

BACKGROUND The aim of this retrospective study was to evaluate the results of patients with sacrococcygeal pilonidal sinus who underwent surgery using the Karydakis technique. METHODS Two hundred fifty-seven patients with sacrococcygeal pilonidal sinus disease were treated by the Karydakis flap procedure between December 2003 and June 2011. Patients were evaluated with respect to age, gender,...

OBJECTIVE Pilonidal sinus disease (PSD) effects mainly young men's social and work life with frequent recurrence rate. Reoperation for unimproved or recurrent disease is somehow troublesome. Surgeons may think that changing treatment strategy after recurrence may prevent further relapses of PSD. We analyzed patients with recurrent pilonidal sinus to determine their predisposing features for rec...

Kathy Leak is Sister Wound Care, Department of Wound Care, Doncaster and Bassetlaw Foundation Trust Hospital Doncaster, South Yorkshire; Alan Widgerow is Emeritus Professor, Plastic Surgery Department, University of the Witwatersrand, Johannesburg, South Africa and Irvine, California, USA; Susan Johnson is Clinical Lead Nurse Wound Care, Department of Wound Care, Doncaster and Bassetlaw Foundat...

We describe a case of anaerobic streptococcal myonecrosis as a rare complication after pilonidal sinus excision with primary closure. The recognition of the disease in any patient who has early septic deterioration after a surgical procedure requires aggressive management for survival.