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https://www.readbyqxmd.com/read/28915094/surgical-site-infections-after-tissue-flaps-performed-in-low-and-middle-human-development-index-countries-a-systematic-review
#1
Lawrence Z Cai, James Chang, Thomas G Weiser, Joseph D Forrester
BACKGROUND: Surgical site infections (SSIs) affect the safety of surgical care and are particularly problematic and prevalent in low and middle Human Development Index Countries (LMHDICs). METHODS: We performed a systematic review of the existing literature on SSIs after tissue flap procedures in LMHDICs through the PubMed, Ovid, and Web of Science databases. Of the 405 abstracts identified, 79 were selected for full text review, and 30 studies met inclusion criteria for analysis...
September 15, 2017: Surgical Infections
https://www.readbyqxmd.com/read/28904522/endoscopic-pilonidal-sinus-treatment-long-term-results-of-a-prospective-series
#2
Gabriella Giarratano, Claudio Toscana, Mostafa Shalaby, Oreste Buonomo, Giuseppe Petrella, Pierpaolo Sileri
BACKGROUND AND OBJECTIVES: Pilonidal sinus is a common problem in the sacrococcygeal region, especially in obese, sedentary young men. The ideal surgical solution is still under debate, and there is a high rate of recurrence. In the present study, we analyzed the long-term results of a video-assisted minimally invasive technique for the treatment of sacrococcygeal pilonidal disease: endoscopic pilonidal sinus treatment (EPSiT). METHODS: From October 2013 through November 2015, a total of 77 consecutive patients (69 Males and 8 Females, median age: 23 y) were referred to our colorectal units...
July 2017: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/28851413/a-large-cluster-randomized-trial-of-outcome-based-pathways-to-improve-home-based-wound-care
#3
Merrick Zwarenstein, Salimah Shariff, Nicole Mittmann, Anita Stern, Katie N Dainty
BACKGROUND: Although not always recognized as a pressing health care problem, wounds are a common, complex and costly condition. The burden of treating wounds is growing rapidly due to increasing health care costs, an aging population and a sharp rise in the incidence of diabetes and obesity worldwide. The Integrated Client Care (ICC) Project was a multi-year initiative to develop and test a new, integrated model of wound care within the home care sector in Ontario, Canada to improve health outcomes for patients and decrease system costs...
August 29, 2017: Trials
https://www.readbyqxmd.com/read/28838562/disseminate-recurrent-folliculitis-as-the-presenting-picture-of-hidradenitis-suppurativa
#4
J Revuz
BACKGROUND: Hidradenitis suppurativa (HS) has a polymorphous clinical presentation. Herein we report two cases of HS revealed by disseminate recurrent folliculitis. PATIENTS AND METHODS CASE 1: A 31-year-old woman consulted for disseminate recurrent folliculitis on the trunk and proximal segments of the limbs that had been ongoing for several years. No other cutaneous lesions were seen, particularly in the classic area for HS lesions. Weight loss and treatment with azithromycin 500mg/day resulted in complete remission, but relapse occurred on dosage reduction...
August 21, 2017: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/28835884/comparative-analysis-of-the-same-technique-the-same-surgeon-approach-in-the-surgical-treatment-of-pilonidal-sinus-disease-a-retrospective-cohort-study
#5
Emin Kose, Mustafa Hasbahceci, Hasan Tonyali, Muslum Karagulle
PURPOSE: Although there are several surgical methods for treatment of sacrococcygeal pilonidal sinus, there is no widespread consensus. In this study, we aimed to compare primary closure, Limberg, and modified Limberg flap techniques, with each performed by each of 3 surgeons. METHODS: A total of 802 patients who were operated on for pilonidal sinus disease were included in this retrospective cohort study. Patients were evaluated in 3 groups: group 1 (limited excision + primary closure), group 2 (large excision + Limberg flap technique), and group 3 (large excision + modified Limberg technique)...
August 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/28796737/strength-of-occipital-hair-as-an-explanation-for-pilonidal-sinus-disease-caused-by-intruding-hair
#6
Dietrich Doll, Friederike D Bosche, Verena K Stauffer, Inga Sinicina, Sebastian Hoffmann, Dominic van der Zypen, Markus M Luedi
BACKGROUND: Pilonidal sinus disease is thought to be caused by intrusion of hair into healthy skin; loose hair in the intergluteal fold is thought to promote disease. However, compelling evidence to support these postulates is lacking; the cause of pilonidal sinus disease remains uncertain. OBJECTIVE: To determine whether particular properties of hair are associated with susceptibility to pilonidal sinus disease, we compared physical properties of hairs of patients with pilonidal sinus disease with hairs from control subjects who were matched for sex, BMI, and age...
September 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28777519/effect-of-hyperbaric-oxygen-treatment-on-pilonidal-disease-surgery
#7
Feyzullah Ersoz, Soykan Arikan, Serkan Sari, Sefika Korpinar, Ozhan Ozcan, Bekir Poyraz, Sevim Purisa, Akin Savas Toklu
Surgical excision and lay-open is a well-known technique for the treatment of sacrococcygeal pilonidal disease, which impairs a patient's quality of life considerably since wound healing takes a substantial amount of time. It is known that with this method total healing period is longer, but recurrence rate of the disease is lower. The beneficial effects of hyperbaric oxygen (HBO₂) therapy on wound healing have been well established since it was first put into in clinical use. The purpose of this prospective randomized clinical trial was to investigate the effects of HBO₂ therapy on wound healing in the patients who had sacrococcygeal pilonidal disease and surgical treatment...
November 2016: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/28752401/muzi-s-tension-free-primary-closure-of-pilonidal-sinus-disease-updates-on-long-term-results-on-514-patients
#8
Marco Gallinella Muzi, Pietro Mascagni, Oreste Buonomo, Agnese Cianfarani, Claudia Mosconi, Marco Colella, Andrea Balla, Giuseppe Petrella, Silvia Quaresima, Pierpaolo Sileri
BACKGROUND: The aim of this study is to evaluate the long-term results of Muzi's tension free primary closure technique for pilonidal sinus disease (PSD), in terms of patients' discomfort and recurrence rate. METHODS: This study is a retrospective analysis of prospectively collected data. Five hundred fourteen patients were treated. Postoperative pain (assessed by a visual analog scale, VAS), complications, time needed to return to full-day activities, and recurrence rate were recorded...
July 27, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28688793/separation-of-pygopagus-omphalopagus-and-ischiopagus-with-the-aid-of-three-dimensional-models
#9
Xiangqi Liu, Kuiran Dong, Shan Zheng, Xianmin Xiao, Chun Shen, Chenbin Dong, Haitao Zhu, Hao Li, Yunli Bi, Ruixue Ma
BACKGROUND: The three-dimensional (3D) technique provides with accurate anatomical information. We present the separation surgeries for three different kinds of conjoined twins with the aid of three-dimensional techniques. METHOD: For the pygopagus twins, a pelvic and lower vertebral model was made. For the omphalopagus and ischiopagus, their enhanced computed tomography (CT) scan images were transferred to the Computer-Assisted Surgery Planning System (CASP) (Hisense, Qingdao, China) to generate the 3D models...
June 27, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28667368/-puberty-is-a%C3%A2-major-factor-in-pilonidal-sinus-disease-gender-specific-investigations-of-case-number-development-in-germany-from-2007-until-2015
#10
M Ardelt, U Dennler, R Fahrner, G Hallof, H-M Tautenhahn, F Dondorf, F Rauchfuss, U Settmacher
BACKGROUND: Pilonidal sinus disease is an acute abscess-forming or chronic subacute inflammation, characterized by a fistula system with typical ostia. Treatment is primarily surgical. OBJECTIVE: This study aimed to investigate and evaluate the evolution of pilonidal sinus disease in Germany on the basis of data provided by the Federal Statistical Office in Germany (Statistisches Bundesamt). MATERIAL AND METHODS: From the diagnosis data of hospital inpatients generated by the Federal Statistical Office in Germany the data on the International Classification of Diseases (ICD) code L05 for pilonidal sinus from 2007 to 2015 were extracted and processed...
June 30, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28649748/sonographic-comparison-of-morphologic-characteristics-between-pilonidal-cysts-and-hidradenitis-suppurativa
#11
Ximena Wortsman, Ariel Castro, Claudia Morales, Carmen Franco, Andres Figueroa
OBJECTIVES: To compare the sonographic characteristics of pilonidal cysts and hidradenitis suppurativa. METHODS: A retrospective study of sonographic examinations was performed on 2 groups: 1 with pilonidal cysts and the other with hidradenitis suppurativa. The sonographic characteristics of the pilonidal cyst and hidradenitis suppurativa groups were analyzed, compared, and correlated, including an analysis of the histologic findings. For the pilonidal cyst group, the distribution, morphologic characteristics, location, shape, diameter, axis, vascularity, and scarring were also described...
June 26, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28639004/the-hair-in-the-sinus-sharp-ended-rootless-head-hair-fragments-can-be-found-in-large-amounts-in-pilonidal-sinus-nests
#12
Friederike Bosche, Markus M Luedi, Dominic van der Zypen, Philipp Moersdorf, Bjoern Krapohl, Dietrich Doll
PURPOSE: Hair has been identified as the causative agent of Pilonidal Sinus Disease (PSD). Stiffer, dark hair as well as hairiness has been postulated as causative factors. Astonishingly, despite the early clinical significance of this condition (Hodges in Boston Med Surg J 2:485-486, 1880), macroscopic and microscopic examinations of hair inside pilonidal sinus cavities have been scarce. The purpose of this study was to study the morphological aspects of the hair found in PSD in order to determine the origin of the hair...
June 21, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28608765/concerns-m-dessily-f-charara-s-ralea-j-l-all%C3%A3-%C3%A2-pilonidal-sinus-destruction-with-a-radial-laser-probe-technique-and-first-belgian-experience-acta-chir-belg-2017-117-3-164-168
#13
https://www.readbyqxmd.com/read/28589180/treatment-of-pilonidal-disease-by-phenol-application
#14
REVIEW
Mustafa Emiroğlu, Cem Karaali, Hüseyin Esin, Göksever Akpınar, Cengiz Aydın
The literature indicates various approaches regarding the properties of phenol, the target patient group, and the complication and recurrence rates. Although phenol is most frequently used to treat the fistulated form of the disease, it can also be applied for other types. The overall success and complication rates of the application is reported as 62-95% and 0%-2%, respectively. Phenol treatment in pilonidal disease can be used more frequently as an alternative method with acceptable success, complication, and recurrence rates...
2017: Turk J Surg
https://www.readbyqxmd.com/read/28549686/pilonidal-sinus-disease-surgery-in-children-the-first-study-to-compare-crystallized-phenol-application-to-primary-excision-and-closure
#15
Ufuk Ates, Ergun Ergun, Gulnur Gollu, Sumeyye Sozduyar, Meltem Kologlu, Murat Cakmak, Huseyin Dindar, Aydin Yagmurlu
INTRODUCTION: Pilonidal sinus (PS) is an infectious and inflammatory disease of sacrococcygeal region. Current methods include; surgical excision with/without suturing the defect, rhomboid excision and flap and chemical substance application. In this study, crystallized phenol application was compared to excision and primary closure. PATIENTS AND METHODS: This retrospective study included pediatric patients with PS who were treated with excision and primer closure technique and phenol application...
May 16, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28541853/treatment-options-for-pilonidal-disease
#16
Denis Ehrl, Cornelia Choplain, Paul Heidekrueger, Holger C Erne, Horst-Guenter Rau, P Niclas Broer
Pilonidal disease can be treated medically; however, surgical excision remains the gold standard. Nonetheless, all current surgical approaches are still associated with potential for tissue loss, wound healing disorders, and high rates of recurrence. Aim of this study is to assess the long-term outcomes of the minimal-invasive pit-picking operation in comparison to the well-established technique of Karydakis flap-closure. Medical records of all patients undergoing either Karydakis flap-closure or the pit-picking operation for pilonidal disease at our department were reviewed retrospectively...
May 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28522786/pilonidal-sinus-finding-the-righttrack-for-treatment
#17
Wojciech Hap, Ewelina Frejlich, Julia Rudno-Rudzińska, Krzysztof Kotulski, Krzysztof Kurnol, Katarzyna Hap, Adam Skalski, Wojciech Kielan
Pilonidal cyst is a troublesome condition affecting usually young people. It significantly influences quality of life and causes low self-esteem. Despite its known pathophysiology and numerous therapeutic methods available, pilonidal cysts still constitute a significant problem in general surgery. A large number of surgical techniques indicates the lack of a single method that ensures therapeutic success, and frequent complications cause both patient's dissatisfaction and frustration of the operator. In many cases, therapy is based on methods developed in a given healthcare center and their efficacy is usually not scientifically verified...
February 28, 2017: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/28521574/treatment-of-recurrent-pilonidal-cysts-with-nd-yag-laser-report-of-our-experience
#18
F Dragoni, S Moretti, G Cannarozzo, P Campolmi
PURPOSE: Surgical treatment remains the first-line therapy of pilonidal cyst but is associated with high levels of postoperative pain, adverse events and a recurrence rate of 30%. We report our experience with laser hair removal using the Nd-YAG laser for the treatment of pilonidal cyst. MATERIALS AND METHODS: Ten patients affected by pilonidal cyst were examined and treated from October 2011 to November 2016. Treatments were carried out using the Nd-YAG laser (Deka M...
May 30, 2017: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/28448267/endogenous-thymosin-%C3%AE-4-expression-in-sacrococcygeal-pilonidal-sinus-disease-a-retrospective-immunohistochemical-analysis-of-excisional-skin-biopsy-samples
#19
Sevinc Sahin
Thymosin beta 4 (Tβ4) is a peptide that has been shown in dermal, corneal, and cardiac preclinical injury models to potentially affect tissue protection, regeneration, and repair. Sacrococcygeal pilonidal sinus disease (SPSD) is a chronic inflammatory disorder associated with a high incidence of recurrence, chronic fistulation, and a challenging postoperative surgical wound healing process. Retrospectively, an immunohistochemical analysis was conducted to evaluate endogenous Tβ4 expression in excisional skin biopsies from patients with SPSD...
April 2017: Ostomy/wound Management
https://www.readbyqxmd.com/read/28446832/taila-d%C3%A4-ha-cauterization-with-oil-an-innovative-approach-in-pilonidal-sinus
#20
Rabinarayan Tripathy, Neelima Sherly John, Sreedevi Vijayalekshmi, Nj Anuja Nair, Suresh Pasupalan
Summary: Pilonidal sinus is a chronic inflammatory track in mid gluteal cleft usually associated with hairs with an incidence rate of twenty six per one lakh population. It is more prevalently seen in the natal cleft of hairy middle aged obese, males. Such type of non-healing tracts may be considered as Nāḍivraṇa (Sinuses) and can either be treated by the conventional Kṣārasūtra (medicated seton) therapy or contemporary treatment methods. Irrespective of whatsoever management protocol adopted, it inevitably needs long term hospitalisation and is associated with complications...
October 2016: Ancient Science of Life
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