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https://www.readbyqxmd.com/read/29781208/a-useful-alternative-surgical-technique-to-reconstructing-large-defects-following-excision-of-recurrent-pilonidal-sinus-disease-in-the-intergluteal-region-an-operative-approach-for-the-transverse-lumbar-artery-perforator-flap
#1
Alethea My Tan, Zeeshan Ahmad, Charles Yy Loh, Sonya Gardiner, Bhagwat Mathur
The reconstruction of defects in the intergluteal region following pilonidal sinus excision is challenging due to its anatomical location, close proximity to the anus, and being a high-tension area prone to wound-healing problems. Excision and primary closure is known to carry a higher risk of recurrence and subsequent complications compared with using nearby local healthy tissue, such as a flap, to reconstruct defect. Extra due diligence should be given to patient selection and flap choice when deciding the reconstruction of a defect...
May 21, 2018: International Wound Journal
https://www.readbyqxmd.com/read/29771799/pilonidal-disease-management-and-definitive-treatment
#2
John P Kuckelman
No abstract text is available yet for this article.
May 15, 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29765193/re-jsls-2017-jul-sep-21-3-e2017-00043-doi-10-4293-jsls-2017-00043-endoscopic-pilonidal-sinus-treatment-long-term-results-of-a-prospective-series
#3
Pankaj Garg
No abstract text is available yet for this article.
April 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29762331/rare-location-for-pilonidal-sinus-the-nasal-dorsum
#4
Ayhan Kars, Fatma Atalay, Korhan Kilic, Fatih Bingöl, Yusuf Can
Pilonidal sinuses are recurrent chronic inflammatory lesions which may occur due to penetration of hair particles into skin. Herein, the authors report a pilonidal sinus case that is unusually seen on nasal dorsum and totally excised with the open technique rhinoplasty method. A 20-year-old male patient was admitted to the authors' outpatient clinic with complaints of dysmorphism and discharge from nasal dorsum. Physical examination revealed a swelling in nasal dorsum and hair-containing fistula. Excision was performed with an open rhinoplasty approach...
May 14, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29761904/prevalence-and-comorbidities-associated-with-hidradenitis-suppurativa-a-nationwide-population-based-study
#5
Ji Hae Lee, Hyuck Sun Kwon, Han Mi Jung, Gyong Moon Kim, Jung Min Bae
BACKGROUND: The prevalence of hidradenitis suppurativa (HS) in Asia is unknown. The associations between HS and other autoimmune disorders have rarely been reported. OBJECTIVE: We sought to determine the prevalence of and diseases associated with HS using the National Health Insurance (NHI) database. METHODS: We examined Korean NHI claim database data from 2007 to 2016. We enrolled all patients with HS and age- and sex-matched control subjects without HS...
May 15, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29756106/a-new-surgical-approach-for-pilonidal-sinus-disease-de-epithelialization-technique
#6
Özgür Dandin, Deniz Tihan, Dursun Özgür Karakaş, Batuhan Hazer, Ahmet Ziya Balta, Oğuz Uğur Aydın
Objective: In the treatment of pilonidal sinus disease different approaches are used such as conservative treatment and fasciocutaneous rotation flap. The aim of this study was to evaluate the efficacy of "de-epithelialization technique" as a new approach in pilonidal sinus disease treatment. Material and Methods: Forty pilonidal sinus disease patients treated with de-epithelialization method were evaluated retrospectively. Patient age, gender, body mass index, wound healing time, visual analog scale scores, operation times, hospital stay duration, drain removal time, cosmetic satisfaction rates, complications, and recurrence rates were evaluated...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29722734/endoscopic-pilonidal-sinus-how-far-have-we-come
#7
Marco Milone, Loredana Maria Sosa Fernandez, Francesco Milone, Giovanni Domenico De Palma
No abstract text is available yet for this article.
June 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29713735/a-new-oval-advancement-flap-design-for-reconstruction-of-pilonidal-sinus-defect
#8
Enver Arpaci, Serdar Altun, Erkan Orhan, Atilla Eyuboglu, Nilgun Markal Ertas
BACKGROUNDS: Pilonidal sinus is a common chronic disease of the sacrococcygeal region. Although many surgical methods have been described for treating pilonidal sinus disease, controversy still exists as to the best surgical technique. The aim of this study is to present a new modified advancement flap technique named "omega flap" for the treatment of pilonidal sinus disease. MATERIALS AND METHODS: This study included 18 patients with pilonidal sinus who were treated between March 2012 and August 2014...
April 30, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29699781/long-term-follow-up-for-pilonidal-sinus-surgery-a-review-of-literature-with-metanalysis
#9
REVIEW
M Milone, N Velotti, M Manigrasso, P Anoldo, F Milone, G D De Palma
BACKGROUND: Sacrococcygeal pilonidal sinus disease (PSD) is a common chronic inflammation of the natal cleft and presents as an abscess or a chronically discharging, painful sinus tract. The management of chronic PSD is variable, contentious, and problematic. Although many surgical procedures have been tried, the best surgical method remains controversial. The aim of this systematic review with meta-analysis of literature is to provide surgeons an objective instrument of decision through an analysis of recurrence rate of various surgical techniques in a long-term follow-up...
April 23, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29688925/interdisciplinary-dialogue-is-needed-when-defining-perioperative-recommendations-conflicting-guidelines-for-anesthetizing-patients-for-pilonidal-surgery
#10
Roland E Andersson, Dietrich Doll, Verena K Stauffer, Andreas P Vogt, Steven D Boggs, Markus M Luedi
National or international guidelines can help surgeons and anesthesiologists make treatment decisions, but the existence of conflicting recommendations can hinder treatment rather than helping. A case in point is the treatment of pilonidal sinus disease, a chronic subcutaneous infection located in the sacrococcygeal area. Its incidence is rising, reaching almost 100/100,000 inhabitants. Three surgical societies have proposed guidelines for treating the disease, but these guidelines vary greatly in their approach to anesthesia...
April 23, 2018: A&A practice
https://www.readbyqxmd.com/read/29688739/recurrent-pilonidal-sinus-cyst-on-penis
#11
Hakan Ercil, Ergun Alma, Mehmet Eflatun Deniz, Umut Unal, Alper Sozutek
Pilonidal sinus, including one or more sinus canals and hairs, is a disease with a chronic course showing acute attacks which is often encountered in the general population, usually affecting young adults, at a rate in males twice that of females. Pilonidal sinus on the penis is so rare that very few cases have been reported in literature. A 20-year-old male presented to the urology outpatient clinic with the complaint of a suppurative lesion with discharge on the skin of the penis which had been ongoing for approximately three months...
March 1, 2018: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/29675752/preliminary-report-on-endoscopic-pilonidal-sinus-treatment-in-children-results-of-a-multicentric-series
#12
Alessio Pini Prato, Cinzia Mazzola, Girolamo Mattioli, Maria Escolino, Ciro Esposito, Antonio D'Alessio, Laura Caterina Abati, Lorenzo Leonelli, Claudio Carlini, Franco Rotundi, Pier Carlo Meinero
BACKGROUND: Pilonidal disease is a troublesome acquired condition for whom various surgical treatments have been proposed with relatively high recurrence and complication rates. Since EPSiT technique has been described in 2013, it became an alternative treatment in adult practice. Our study reports the results of a multicentre series of pediatric patients who underwent EPSiT procedure over a 21-month period. METHODS: Between July 2015 and March 2017, all consecutive patients undergoing EPSiT in four different pediatric surgical units have been enrolled...
April 19, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29643877/comparison-between-primary-closure-with-limberg-flap-versus-open-procedure-in-treatment-of-pilonidal-sinus-in-terms-of-frequency-of-post-operative-wound-infection
#13
Muhammad Sohail Jabbar, Mahwish Mahboob Bhutta, Nayyab Puri
Objective: Pilonidal sinus is a disorder of the sacrococcygeal region affecting younger individuals with a higher hair and weight distribution. Treatment involves the use of various surgical modalities, most of which are associated with a high rate of complications. Open procedure (OP) and Limberg Flap (LF) are two commonly performed surgical procedures for the correction of pilonidal sinus disease in our setup. The objective of our study was to compare the treatment of pilonidal sinus disease by primary closure with Limberg Flap verses Open procedure in terms of frequency of postoperative wound infection...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29643728/use-of-otoscope-as-a-diagnostic-and-therapeutic-aid-in-umbilical-pilonidal-sinus-a-novel-technique
#14
Farhanul Huda, Sudhir Kumar Singh
Introduction: Umbilical disorders are frequently encountered in general surgical practice. Although the sacrococcygeal region is the most common site for pilonidal sinus disease, it can be seen occasionally in periumbilical area. Treatment is mostly conservative for umbilical pilonidal sinus in contrast to the sacrococcygeal sinus where it is always surgical. In the era of endoscopy and minimally invasive surgery, we describe the use of otoscope as a novel technique for the diagnosis and treatment of umbilical pilonidal sinus...
January 2018: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/29629896/the-v-y-flap-technique-in-complicated-and-recurrent-pilonidal-sinus-disease
#15
Yavuz Savas Koca, Ihsan Yıldız, Mustafa Ugur, Ibrahim Barut
OBJECT VES: This study presents early and long term (5 years) outcome of 61 complicated pilonidal sinus disease cases undergoing V-Y advancement flap method together with the literature data. METHOD: Data of 336 patients undergoing surgery for pilonidal sinus disease between 2008 and 2012 were retrospectively analyzed. Patients with defect size ≥ 10 cm, and more than one subcutaneous sinus tunnels were assumed to have complicated pilonidal sinus disease. A total of 61 patients were included in the study...
2018: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29603009/endoscopic-pilonidal-sinus-treatment-a-systematic-review-and-meta-analysis
#16
REVIEW
Sameh Hany Emile, Hossam Elfeki, Mostafa Shalaby, Ahmad Sakr, Valentina Giaccaglia, Pierpaolo Sileri, Steven D Wexner
BACKGROUND: Sacrococcygeal pilonidal disease (SPD) is a common surgical condition for which a multitude of surgical treatments have been described. The present review aimed to evaluate the efficacy and safety of a novel endoscopic procedure for the treatment of SPD. METHODS: An organized literature search was conducted. Electronic databases including PubMed/Medline, Scopus, Embase, and Cochrane library were searched for articles that assessed the endoscopic treatment for SPD...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29602548/endoscopic-pilonidal-sinus-treatment-versus-total-excision-with-primary-closure-for-sacrococcygeal-pilonidal-sinus-disease-in-the-pediatric-population
#17
Joana Barbosa Sequeira, Ana Coelho, Ana Sofia Marinho, Berta Bonet, Fátima Carvalho, João Moreira-Pinto
PURPOSE: To evaluate the effectiveness and safety of Endoscopic Pilonidal Sinus Treatment (EPSiT) in the pediatric population and compare it with excision followed by primary closure (EPC) regarding intra- and postoperative outcomes. METHODS: A retrospective analysis of all patients with chronic sacrococcygeal pilonidal sinus submitted to EPSiT and EPC during a 12-month period in our institution was performed. Data concerning patients' demographics and surgical outcomes were collected and compared between the two groups...
March 8, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29571946/nilotinib-in-locally-advanced-pigmented-villonodular-synovitis-a-multicentre-open-label-single-arm-phase-2-trial
#18
Hans Gelderblom, Claire Cropet, Christine Chevreau, Richard Boyle, Martin Tattersall, Silvia Stacchiotti, Antoine Italiano, Sophie Piperno-Neumann, Axel Le Cesne, Virginia Ferraresi, Nicolas Penel, Florence Duffaud, Philippe Cassier, Maud Toulmonde, Paolo Casali, Sophie Taieb, Séverine Guillemaut, Séverine Metzger, David Pérol, Jean-Yves Blay
BACKGROUND: Pigmented villonodular synovitis (alternatively known as diffuse-type giant cell tumour) is a rare, locally aggressive tumour driven by a specific translocation resulting in the overexpression of colony-stimulating factor 1 (CSF1). CSF1 receptor (CSF1R) inhibitors (ie, tyrosine kinase inhibitors and antibodies) induce a response in patients with pigmented villonodular synovitis. We investigated the safety and efficacy of a CSF1R tyrosine kinase inhibitor, nilotinib, in patients with locally advanced non-resectable pigmented villonodular synovitis...
March 20, 2018: Lancet Oncology
https://www.readbyqxmd.com/read/29553956/management-of-pilonidal-disease
#19
Michelle P Kallis, Caroline Maloney, Aaron M Lipskar
PURPOSE OF REVIEW: Pilonidal disease, and the treatment associated with it, can cause significant morbidity and substantial burden to patients' quality of life. Despite the plethora of surgical techniques that have been developed to treat pilonidal disease, discrepancies in technique, recurrence rates, complications, time to return to work/school and patients' aesthetic satisfaction between treatment options have led to controversy over the best approach to this common acquired disease of young adults...
March 16, 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29529705/video-assisted-subcutaneous-destruction-of-the-sinus-tract-with-vessel-loop-drainage-as-minimally-invasive-surgical-treatment-for-pilonidal-sinus-disease
#20
Michael Korenkov
The video-assisted subcutaneous destruction of the sinus tract (VADST) is a novel, minimally-invasive technique for the treatment of pilonidal sinus disease (PSD). This is an advancement of the previously described subcutaneous destruction of the sinus tract and the removal of hairs as well as the long-term vessel-loop drainage of the wound channel (DST). Although the first results of this operation seemed to be promising, some of my colleagues felt that the blind approach to this procedure could be its potential "weak point"...
March 12, 2018: Surgical Technology International
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