Comparison of 3 different techniques in the treatment of pilonidal sinüs

Author:

Anadolulu Ali ihsan1,Gerçel Gonca

Affiliation:

1. Şanlıurfa Mehmet Akif İnan Eğitim ve Araştırma Hastanesi

Abstract

Abstract Purpose: It was aimed to compare the surgical excision and primary suturing, liquid phenol application and laser application in pilonidal sinus (Ps). Methods: The files of 358 patients diagnosed with Ps in the years 2019-2022 were retrospectively evaluated. The patients were divided into 3 groups. Group 1 consisted of 125 patients who underwent surgical excision and primary suturing in 2019, group 2 of 194 patients who underwent liquid phenol in 2020-2021, and group 3 of 39 patients who underwent laser in 2022. Results: A significant correlation was found between the groups and the development of infection (p<0.05). There was no statistically significant relationship between the groups and recurrence (p>0.05). A significant correlation was found between infection and recurrence (p<0.05). Recurrence is positive in 6.3% of infection-negative patients and 47.2% of infection-positive patients. Conclusions: Rapid recovery, short operative time, low complication and recurrence rates have increased the tendency for minimally invasive methods. The presence of infection may cause recurrence regardless of the method.

Publisher

Research Square Platform LLC

Reference12 articles.

1. Management of sacrococcygeal pilonidal sinus disease in children: A survey study in Turkey;Gurbanov A;Turkish Journal of Surgery,2021

2. Pilonidal sinus in adolescence: is there an ideal surgical approach? Cirugia pediatrica: organo oficial de la Sociedad Espanola de Cirugia Pediatrica;Golet MR,2021

3. Treatment strategies for pilonidal sinus disease in Switzerland and Austria;Lamdark T;Medicina,2020

4. Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population;Sequeira JB;Journal of Pediatric Surgery,2018

5. Crystallized phenol for treatment of pilonidal sinus disease in children: a comparative clinical study;Arslan S;Pediatric Surgery International,2021

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