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Rebecca Hughes, Fahad M Iqbal, Fathi Salem, Raghavan Vidya
No abstract text is available yet for this article.
October 2016: British Journal of Hospital Medicine
Abdulwahid M Salih, F H Kakamad, Goran M Rauf
INTRODUCTION: Pilonidal sinus is a common benign disease that accounts for almost 15% of anal suppurations while basal cell carcinoma is the most common malignancy of the sun-exposed area occurring mainly on the head and neck. We report a case of basal cell carcinoma presented with signs and symptoms of PNS. A 40-year-old male presented with swelling of the lower back for 2 years. On examination, there was a round, mobile, soft 4×2.5cm mass on the sacrococcygeal area. Ultrasound showed subcutaneous cystic lesion...
September 28, 2016: International Journal of Surgery Case Reports
Yutaro Yamashita, Hiroaki Nagae, Ichiro Hashimoto
Pilonidal sinus is a cystic disease that occurs most often in the sacrococcygeal region. Surgical excision and coverage with a skin flap require postoperative bed rest. Most affected patients are young adults who find it difficult to obtain adequate postoperative bed rest owing to their work. The purpose of this study is to review the effectiveness of our ambulatory surgery procedure for pilonidal sinus, which involves tract excision and open treatment followed by at-home irrigation. We reviewed the 9 cases of chronic pilonidal sinus treated at our out-patient clinic by ambulatory surgery consisting of open excision without skin closure...
2016: Journal of Medical Investigation: JMI
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Advances in Skin & Wound Care
Connie Harris, R Gary Sibbald, Asfandyar Mufti, Ranjani Somayaji
PURPOSE: To present a 10-step approach to the assessment and treatment of pilonidal sinus disease (PSD) and related wounds based on the Harris protocol, expert opinion, and a current literature review. TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. OBJECTIVES: After participating in this educational activity, the participant should be better able to: ABSTRACT: Pilonidal sinus disease (PSD) is a common problem in young adults and particularly in males with a deep natal or intergluteal cleft and coarse body hair...
October 2016: Advances in Skin & Wound Care
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Advances in Skin & Wound Care
P B Lebo, S Dahmann, E Sinkovits, M Meyer-Marcotty
BACKGROUND: After excision of a pilonidal sinus, several treatment options are possible, but no gold standard has been established. A literature review revealed no study comparing the costs and time off work after either secondary wound closure or treatment with a Limberg transposition flap. The aim of this study was to focus on these aspects by analysing the patients treated at the KlinikumStadtSoest. METHOD: Sixty patients with pilonidal sinus after excision were treated either by secondary wound closure or Limberg transposition flap at the KlinikumStadtSoest between 2011 and 2012...
September 15, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Lauren Shikowitz-Behr, Alan M Freedman
No abstract text is available yet for this article.
August 2016: Journal of Hand and Microsurgery
WenChieh Chen, Gerd Plewig
Hidradenitis suppurativa/acne inversa is a diverse, enigmatic and distressful disease that has aroused growing interest in specialists from different disciplines. Both names describe its classical manifestations in the intertriginous regions and reflect the historical view of the disease definition, but cause confusions in the understanding of its pathogenesis and classification. In light of the advance in clinical, histopathological and pathophysiological findings, we propose the term "dissecting terminal hair folliculitis" (DTHF) to characterize its disease nature as folliculitis instead of acneiform disease or apocrine gland disorder...
September 13, 2016: Experimental Dermatology
Gonzalo Segurado-Miravalles, Camacho-Martínez Francisco, Salvador Arias-Santiago, Cristina Serrano-Falcón, Salvio Serrano-Ortega, Rita Rodrigues-Barata, Pedro Jaén Olasolo, Sergio Vañó-Galván
Dissecting cellulitis of the scalp (DCS) is a rare disorder in which inflammatory nodules, abscesses and sinuses may progress to scarring alopecia.(1) Along with hidradenitis suppurativa (HS), acne conglobate (AC) and pilonidal cyst, DCS forms the follicular occlusion tetrad.(2) These disorders share a similar etiology, in relation to hyperkeratosis, follicular occlusion and subsequent inflammation.(3) Although HS is a well-known entity, there are very few studies about the epidemiology, clinical profile and treatment of patients diagnosed with DCS...
August 25, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
Markus M Luedi, Peter Kauf, Theo Evers, Heidi Sievert, Dietrich Doll
STUDY OBJECTIVE: To assess the effect of the kind of anesthesia on postoperative pain and long term recurrence rate in pilonidal sinus disease. DESIGN: Retrospective study. SETTING: Surgical departments of German Armed Forces Hospitals in Hamburg, Bad Zwischenahn and Hamm. PATIENTS: 583 pilonidal sinus disease (PSD) surgery patients operated for pilonidal disease. INTERVENTION: Interview of randomly selected patients, who had been followed up to 20years after PSD surgery...
September 2016: Journal of Clinical Anesthesia
Y Jain, M A Javed, S Singh, S Rout, H Joshi, R Rajaganeshan
INTRODUCTION Pilonidal abscess is a common surgical emergency. Conventional treatment with incision and drainage is associated with significant postoperative morbidity. We report our initial experience of using minimally invasive endoscopic technique for the treatment of pilonidal abscesses, referred to as endoscopic pilonidal abscess treatment (EPAT). MATERIALS AND METHODS A prospective database of all patients undergoing EPAT between January 2015 and March 2016 at Whiston Hospital was maintained. Data regarding patient demographics, peroperative variables and postoperative follow-up were recorded...
August 23, 2016: Annals of the Royal College of Surgeons of England
Sukru Arslan, Erdem Karadeniz, Gurkan Ozturk, Bulent Aydinli, Muhammed Cagri Bayraktutan, Sabri Selcuk Atamanalp
OBJECTIVE: Pilonidal sinus (PS) is considered to be the acquired disease of especially in the sacrococcygeal region. Various primary or secondary or flap methods, accompanied by one of local curettage, phenol application, electro-cauterization and total sinus excision methods, are used for the treatment of pilonidal sinus. However, currently there is not a single widely accepted treatment method. MATERIALS AND METHODS: Ninety-eight patients who had operation for PS in Atatürk University, Department of General Surgery between January 2012 and August 2014 were included in this study...
June 2016: Eurasian Journal of Medicine
S Dahmann, P B Lebo, D Görlich, M V Meyer-Marcotty
OBJECTIVE: Some patients with sacral scars, e. g. those developing after pilonidal sinus surgery, report discomfort when sitting or putting strain on the scars. In order to establish objective criteria for the assessment of this kind of discomfort and for the evaluation of scar quality after various types of surgical interventions, it is of interest to provide a method which enables physicians to assess skin quality in the sacral region. For this purpose, we developed a mechanical, non-invasive, fast and cost-neutral method for the measurement of skin distensibility and mobility...
August 2016: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Ahmet Deniz Uçar, Erdem Barış Cartı, Erkan Oymacı, Erdem Sarı, Savaş Yakan, Mehmet Yıldırım, Nazif Erkan
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 recurrence and the outcomes of the preferred surgical methods. MATERIAL AND METHODS: From 2007 to 2012, out of 95 recurrent pilonidal sinus disease (rPSD) patients, 62 operated cases were included and examined retrospectively...
2016: Ulusal Cerrahi Dergisi
Anurakshat Gupta, Sunil Anand, Sandeep Mehrotra, Kamalkant Khidtta
BACKGROUND: Surgery for pilonidal sinus has no gold standard, and results depend purely on surgeon preference of procedure and experience. Till date, there has been no study comparing the surgical outcomes when performed by residents. Therefore, we designed our study to compare the short-term outcomes of Karydakis' and Limberg's flap procedures in the treatment of pilonidal disease when performed by surgical residents. METHOD: A prospective, double-blinded, observational study was carried out at Command Hospital, Pune, India...
July 27, 2016: World Journal of Surgery
Benjamin C Powell, Colin B Webb, Joseph A Ewing, Dane E Smith
Elective excision of noninfected pilonidal cysts has historically been plagued by a high rate of complications, such as wound breakdown and recurrence. Debate remains regarding the most effective method of wound closure. We previously reported a small group of patients (n = 17 out of 83 patients) in which a novel technique decreased wound complications and recurrence. The purpose of this article was to build on that prior study by evaluating the utility of the gluteal fascial advancement method to decrease complications over a 10-year period...
July 2016: American Surgeon
Amir Keshvari, Mohammad Reza Keramati, Mohammad Sadegh Fazeli, Alireza Kazemeini, Mohammad Kazem Nouritaromlou
BACKGROUND: This study describes risk factors leading to the development of various postoperative complications and recurrence after the Karydakis procedure. MATERIALS AND METHODS: In this prospective analytic cohort study, 179 patients with sacrococcygeal pilonidal disease underwent Karydakis procedure. Characteristics of the pilonidal disease and excised ellipse were measured as possible risk factors. Postoperative complications and recurrence were recorded as outcomes...
July 2016: Journal of Surgical Research
Kendall R McEachron, Wolfgang B Gaertner
Ependymoma is a type of glial tumor that arises from the ependymal lining of the ventricular system of the central nervous system. These tumors may present as a rare extraspinal variety at the sacrococcygeal region, and may be misdiagnosed as pilonidal disease in the post-sacral area or present with mass-effect symptoms on the bowel or bladder in the pre-sacral region. This is a case of soft tissue swelling at the post-sacral area that, after clinical examination, was diagnosed as pilonidal disease. Surgical excision and pathologic examination revealed a subcutaneous sacrococcygeal ependymoma...
2016: Journal of Surgical Case Reports
Emine Çiğdem Karadağ, Hatice Toy, Zekeriya Tosun
Pilonidal sinus is a chronic inflammatory disease commonly observed in the sacrococcygeal region. The authors report a patient of a pilonidal sinus in a rare location-the lateral orbital region. The authors' patient was misdiagnosed with an epidermal cyst, and the subsequent incomplete excision of the sinus tract led a pilonidal sinus with a high morbidity resulting in the destruction of bone tissue in the lateral orbital wall. It was, therefore, crucial to accurately diagnose and treat before the infection progressed through the bone and caused osteomyelitis...
July 2016: Journal of Craniofacial Surgery
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