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Pilonidal sinus

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https://www.readbyqxmd.com/read/27905018/minimal-excision-and-primary-suture-is-a-cost-efficient-definitive-treatment-for-pilonidal-disease-with-low-morbidity-a-population-based-interventional-and-a-cross-sectional-cohort-study
#1
Kaveh Khodakaram, Joachim Stark, Ida Höglund, Roland E Andersson
BACKGROUND: Conventional treatment of pilonidal disease with wide excision is associated with high morbidity. We describe the short- and long-term results and the impact on the health care system of a simple operation performed in the office under local anaesthesia, consisting of minimal excision of pilonidal sinuses with primary suture-the modified Lord-Millar operation (mLM). METHODS: All patients operated with mLM from February 2008 till November 2012 were prospectively followed for recurrence by telephone interviews and examination of symptomatic patients till July 2015...
November 30, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27790519/umbilical-pilonidal-sinus-a-report-of-two-cases-and-recent-update-of-literature
#2
Susanta Meher, Tushar Subhadarshan Mishra, Prakash Kumar Sasmal, Rakesh Sharma, Bikram Rout
Umbilical Pilonidal Sinus (UPS) is a rare differential diagnosis of umbilical disease as encountered by general surgeons. They usually present with history of pain and umbilical discharge. Young active adolescent males with dense hairy abdomen with a deep naval are at risk of developing this disease. There are no consensus guidelines for the management of this disease probably because of its rarity. Treatment depends on the type of presentation. Most of the cases are managed by conservative treatment with hair extraction and personal hygiene...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27790475/unique-application-of-cryocone-to-diagnose-umbilical-pilonidal-cyst
#3
Kimberly Mallin, Sudhakar Pemminati
Patients with umbilical disorders who present with complaints of a mass, pain, tenderness or discharge will typically have a differential diagnosis including umbilical hernias, pyogenic granuloma, endometriosis, Sister Mary Joseph nodule and urachal or epidermoid cysts. We would add the inclusion of pilonidal sinus disease and present the case of a patient with an umbilical pilonidal cyst. The use of a cryocone with lubricating jelly, in this case, proved to be an easy and convenient method that aided in visualization and diagnosis of this fairly uncommon condition...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27697696/basal-cell-carcinoma-mimicking-pilonidal-sinus-a-case-report-with-literature-review
#4
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
https://www.readbyqxmd.com/read/27644561/ambulatory-surgery-for-pilonidal-sinus-tract-excision-and-open-treatment-followed-by-at-home-irrigation
#5
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
https://www.readbyqxmd.com/read/27632446/pilonidal-sinus-disease-10-steps-to-optimize-care
#6
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/27632444/pilonidal-sinus-disease-10-steps-to-optimize-care
#7
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
https://www.readbyqxmd.com/read/27632435/pilonidal-sinus-disease-persistent-quandaries
#8
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/27629695/-pilonidal-sinus-secondary-wound-closure-vs-limberg-flap-cost-and-satisfaction-analysis
#9
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
https://www.readbyqxmd.com/read/27625543/recurrent-interdigital-pilonidal-sinus-in-a-dog-groomer
#10
Lauren Shikowitz-Behr, Alan M Freedman
No abstract text is available yet for this article.
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27558283/epidemiology-clinical-presentation-and-therapeutic-approach-in-a-multicenter-series-of-dissecting-cellulitis-of-the-scalp
#11
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
https://www.readbyqxmd.com/read/27555172/impact-of-spinal-versus-general-anesthesia-on-postoperative-pain-and-long-term-recurrence-after-surgery-for-pilonidal-disease
#12
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
https://www.readbyqxmd.com/read/27551169/modified-primary-closure-method-for-the-treatment-of-pilonidal-sinus
#13
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
https://www.readbyqxmd.com/read/27547929/-sacral-skin-elasticity-establishing-a-non-invasive-mechanical-method-for-measurement
#14
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
https://www.readbyqxmd.com/read/27528808/recurrent-pilonidal-disease-surgery-is-it-second-primary-or-reoperative-surgery
#15
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
https://www.readbyqxmd.com/read/27464913/learning-curve-for-pilonidal-sinus-surgery-the-best-option-for-budding-surgeons
#16
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
https://www.readbyqxmd.com/read/27391513/lateral-orbital-wall-destruction-due-to-pilonidal-sinus
#17
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
https://www.readbyqxmd.com/read/27384096/novel-approach-of-treatment-of-pilonidal-sinus-disease-with-thrombin-gelatin-matrix-as-a-sealant
#18
Hosam G Elbanna, Sameh Hany Emile, Mohamed Youssef, Waleed Thabet, Tito M Abd El-Hamed, Wagih M Ghnnam
BACKGROUND: Sacrococcygeal pilonidal sinus disease is a condition caused by insertion of fallen hair shafts into the skin. Different types of operations have been described for the management of pilonidal sinus, yet none of them have proven to be superior to the others. Recently, sealants like fibrin glue have been successfully used. OBJECTIVE: This study aimed to assess the efficacy of thrombin gelatin matrix as a new sealant for pilonidal sinus treatment. DESIGN: This was a prospective study conducted from March 2013 to March 2015...
August 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27383814/effect-of-triclosan-coated-suture-and-antibiotic-prophylaxis-on-infection-and-recurrence-after-karydakis-flap-repair-for-pilonidal-disease-a-randomized-parallel-arm-double-blinded-clinical-trial
#19
Aziz Bora Karip, Kafkas Çelik, Timuçin Aydın, Hanife Yazıcılar, Yalın İşcan, Canan Ağalar, Kemal Memişoğlu
BACKGROUND: Pilonidal sinus disease was first described by Mayo in 1833 as "a cyst that contains hair." Although surgical treatment of the lesions can have successful outcomes, it also can be associated with relatively high rates of post-operative infectioins and recurrence. Many studies have demonstrated that triclosan-coated sutures (TCS) decrease surgical site infections. OBJECTIVE: The goal of this randomized parallel-arm double-blind clinical trial was to investigate the ability of antibiotic prophylaxis, and secondarily of antibiotic-coated sutures, to prevent post-operative infections in the surgical management of pilonidal sinus disease...
October 2016: Surgical Infections
https://www.readbyqxmd.com/read/27372856/home-applied-ipl-epilation-may-prevent-the-problems-due-to-hair-follicle-in-amputees
#20
S Ergözen, E Ercan, Y Demir
Amputees may suffer from dermatoses such as folliculitis and pilonidal sinus caused by pressure on the stump in hairy parts of the skin. These conditions commonly cause pain and need treatment that result in abandonment of prosthesis use and disrupt the patient's daily living activities. We believe these conditions may be easily, effectively and cheaply prevented with the use of intense pulsed light technology, which is produced for home epilation. The use of this kind of epilator in the early period post-amputation may prevent the development of folliculitis and pilonidal sinus...
August 2016: Medical Hypotheses
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