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Less invasive pilonidal sinus surgical procedures
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Cty Hosp Ryhov, Sweden.
2019 (English)In: Colo-Proctology, ISSN 0174-2442, E-ISSN 1615-6730, Vol. 41, no 2, p. 117-120Article in journal (Refereed) Published
Abstract [en]

Pilonidal disease can be treated by less invasive methods such as simple mechanical cleansing of the sinus and cavity of hairs and granulation tissue eventually supplemented by filling the space with an antiseptic or sclerosing agent like phenol (forbidden in Germany due to its toxicity) or space-holding fibrin glue. Minimal excision or debridement of the sinus and/or cavity through amidline or aseparate paramedial excision can also be performed, leaving the wounds open or closed. These methods are simple and cost-efficient, and associated with low pain, rapid healing, and arapid return to normal activity. Adisadvantage is the higher recurrence rate; however, these methods can be used repeatedly for recurrences. Whereas the evidence for treatment with phenol or fibrine glue is weak, there are numerous reports supporting the safety and efficiency of the minimally invasive surgical methods. Because of the associated low risk for complications and morbidity, these procedures are suitable for first-line treatment in the majority of pilonidal disease patients.

Place, publisher, year, edition, pages
Heidelberg, Germany: Springer Medizin , 2019. Vol. 41, no 2, p. 117-120
Keywords [en]
Minimally invasive surgical procedures; Antiseptics; Fibrin tissue adhesive; Phenol; Sclerosis
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-157561DOI: 10.1007/s00053-019-0341-5ISI: 000464835500008Scopus ID: 2-s2.0-85064219377OAI: oai:DiVA.org:liu-157561DiVA, id: diva2:1328648
Available from: 2019-06-22 Created: 2019-06-22 Last updated: 2019-11-04Bibliographically approved

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