Conservative vs. Surgical Interventions for Umbilical Pilonidal Sinus

2018 ◽  
pp. 261-276
Author(s):  
Mehmet Kaplan ◽  
Huseyin Cahit Yalcin ◽  
Onder Ozcan ◽  
Fatma Cigdem Kaplan
Keyword(s):  
Pilonidal Sinus ◽  
Surgical Interventions

scholarly journals NEW APPROACHES IN THE TREATMENT OF ACUTE INFLAMMATION OF THE EPITHELIAL PILONIDAL SINUS

2016 ◽  
Vol 7 (4) ◽  
pp. 49-57
Author(s):  
N K Gigin ◽  
N I Chernyi ◽  
Yu V Ivanov
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Pilonidal Sinus ◽  
Patient Management ◽  
Acute Inflammation ◽  
Wound Closure ◽  
Surgical Interventions ◽  
New Approaches ◽  
Surgical Access ◽  
Conservative And Surgical Treatment

Presents an overview of russian and foreign publications, devoted to contemporary methods of conservative and surgical treatment of acute inflammation of the epithelial pilonidal sinus. Details of surgical interventions, techniques, indications and contraindications. Special attention is paid to pre-operative preparation for surgery, wound closure after surgical access, patient management in the postoperative period.

scholarly journals A COMPARATIVE CLINICAL STUDY OF ‘CHEDANA KARMA & KSHARSUTRA (SETON) KARMA’ (GUGGULU BASED) IN THE MANAGEMENT OF SHALYAJ NADI VRANA(SINUS) W.S.R. TO PILONIDAL SINUS (ASSOCIATED WITH ROPAN LEPA)

2021 ◽  
Vol 9 (2) ◽  
pp. 327-334
Author(s):  
Syed Abdul Wahid ◽  
Arvind Gajbhiye
Keyword(s):  
Clinical Study ◽  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Common Disease ◽  
Natal Cleft ◽  
Surgical Interventions ◽  
Comparative Clinical Study ◽  
Ayurvedic Treatment ◽  
Treatment Aspect

A Pilonidal Sinus is a common disease of the natal cleft. Pilonidal Sinus is a track which contains hairs. The incidence of the disease is calculated to be 26 per 100,000 people. Pilonidal disease has a male pre-dominance with a ratio of 3:1. There are several methods to treat pilonidal sinus, but the recurrence rate is more in modern surgical interventions. According to Ayurveda it can be correlated to Salyajanya Nadi Vrana (pilonidal sinus), a type of Nadi Vrana (sinus). Whose etiopathology is described in Nidanasthana and treatment aspect in Chikitsasthana of Susrutha Samhita. Susrutha mentioned the ap-plication of Kshara (caustic alkali) and Ksharsutra (Seton) (Seton) in the management of Nadi Vrana (si-nus). Studies show that by Ayurvedic treatment, it helps to reduce recurrence rate, even though Nadi Vrana (sinus) is said to be Kricchrasadhya (difficult to cure). Hence successful management of this disease de-pends on the knowledge of pathogenesis, patient’s presentation and knowledge on treatment aspects. In this Clinical study, effect of Chedana karma & Ksharsutra (Seton) karma’ (Guggulu based) in the management of Salyajanya Nadi Vrana (pilonidal sinus) w.s.r. To pilonidal sinus (associated with ropan lepa) is seen and conclusion in drawn.

scholarly journals Pilonidal sinus disease: Case report and review of the literature

2018 ◽  
Vol 23 (2) ◽  
pp. 86-88
Author(s):  
Olayinka A. Olawoye ◽  
Izegaegbe O. Obadan ◽  
Joshua D. Choji
Keyword(s):  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Surgical Interventions ◽  
Hygiene Measures ◽  
Disease Case ◽  
History Of ◽  
Subcutaneous Tissues ◽  
High Index Of Suspicion

Pilonidal sinus disease is a chronic granulomatous condition resulting from the presence of hair in the subcutaneous tissues. Its treatment ranges from simple hygiene measures to complex surgical interventions depending on the mode of presentation. We present a 59-year-old man who had a history of re-current swelling in the left gluteal region of about 2 years duration. After a diagnosis was made of pilonidal sinus disease, he had open surgery with laying open of the sinus and exploration with a probe in the operating room under local anesthesia. The sinus measured about 4 cm. He had drainage of the sinus cavity with curettage of the floor of the sinus. Pilonidal sinus disease may not be as uncommon in our setting as previously thought. A high index of suspicion should be entertained based on the characteristic location and typical presentation of the condition. Keywords: pilonidal sinus; pilonidal disease; pilonidal cavity 

scholarly journals Quality of life in patients early after surgery

2018 ◽  
Vol 75 (6) ◽  
pp. 558-563
Author(s):  
Zarko Krivokapic ◽  
Goran Stojanovic ◽  
Negra Terzic ◽  
Ljiljana Jovcic ◽  
Gora Miljanovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Pilonidal Sinus ◽  
World Health ◽  
Surgical Interventions ◽  
Open Inguinal Hernia Repair ◽  
Postoperative Quality

Background/Aim. Quality of life in patients early after elective surgery is related to postoperative pain and recovery rate. The aim of this study was to compare immediate preoperative and early postoperative quality of life after three common elective surgical interventions in hospital settings. Methods. Population of this prospective cohort study included patients who underwent one of the three surgical interventions: elective laparoscopic cholecystectomy (n = 40), open inguinal hernia repair (n = 40) or excision of pilonidal sinus (n = 40). Primary outcome of the study was quality of life measured once-daily, starting from the day before surgery, and then each postoperative day. It was measured by visual analogue scale (VAS) and by Serbian translation of short questionnaire on quality of life developed by World Health Organization. Results. Postoperative quality of life dropped to the lowest level on the first postoperative day, regardless of the type of surgery. The drop was the most pronounced in physical and psychological aspects of quality of life (e.g. after cholecystectomy from 15.4 ? 2.5 to 12.5 ? 2.0, and from 15.9 ? 2.0 to 14.9 ? 2.1, respectively) while social and environmental aspects were the least affected by the surgery (e.g., after excision of pilonidal sinus from 16.3 ? 2.6 to 15.7 ? 2.1, and from 14.3 ? 2.6 to 14.1 ? 2.2, respectively). Quality of life was rapidly restored on the second postoperative day, and on the last day before discharge of the patient from hospital it surpasses preoperative level (e.g., after open inguinal hernia repair from 14.6 ? 3.6 to 15.2 ? 3.0. Conclusions. Minor elective surgical interventions are associated with only moderate (less than 25%) and short (one day) immediate postoperative decrease in quality of life, which is followed by increase on discharge from hospital to the levels, higher than preoperative one.

scholarly journals Surgical interventions for the treatment of sacrococcygeal pilonidal sinus disease in children: A systematic review and meta-analysis

2019 ◽  
Vol 54 (11) ◽  
pp. 2222-2233 ◽  
Author(s):  
Edward John Oliver Hardy ◽  
Philip J Herrod ◽  
Brett Doleman ◽  
Hannah G Phillips ◽  
Reesha Ranat ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pilonidal Sinus ◽  
Meta Analysis ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Surgical Interventions

A Review on Salyajanya Nadi Vrana (pilonidal sinus) with clinical approach

2019 ◽  
Vol 4 (02) ◽  
Author(s):  
Rajasree G. ◽  
Anita K. Patel
Keyword(s):  
Recurrence Rate ◽  
Pilonidal Sinus ◽  
Pilonidal Disease ◽  
Common Disease ◽  
Clinical Approach ◽  
Natal Cleft ◽  
Surgical Interventions ◽  
Male Predominance ◽  
Ayurvedic Treatment ◽  
Treatment Aspect

A Pilonidal Sinus is a common disease of the natal cleft. Pilonidal Sinus is a track which containing hairs. The incidence of the disease is calculated to be 26 per 100,000 people. Pilonidal disease has a male predominance with a ratio of 3:1. There are several methods to treat pilonidal sinus, but the recurrence rate is more in modern surgical interventions. According to Ayurveda it can be correlated to Salyajanya Nadi Vrana (pilonidal sinus), a type of Nadi Vrana (sinus). Whose etiopathology is described in Nidanasthana and treatment aspect in Chikitsasthana of Susrutha Samhita. Susrutha mentioned the application of Kshara (caustic alkali) and Ksharasutra (Seton) in the management of Nadivrana. Studies shows that by Ayurvedic treatment, it helps to reduce recurrence rate, even though Nadivrana is said to be Kricchrasadhya (difficult to cure). Hence sucessful management of this disease depends on the knowledge of pathogenesis, patients presentation and knowledge on treatment aspects.

Pilonidal Sinus: How to Choose Between Excision and Open Granulation Versus Excision and Primary Closure?

Swiss Surgery ◽  
2002 ◽  
Vol 8 (6) ◽  
pp. 255-258 ◽  
Author(s):  
Perruchoud ◽  
Vuilleumier ◽  
Givel
Keyword(s):  
Hospital Stay ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Healing Time ◽  
Incision And Drainage ◽  
The Mean ◽  
Primary Healing

Aims: The purpose of this study was to evaluate excision and open granulation versus excision and primary closure as treatments for pilonidal sinus. Subjects and methods: We evaluated a group of 141 patients operated on for a pilonidal sinus between 1991 and 1995. Ninety patients were treated by excision and open granulation, 34 patients by excision and primary closure and 17 patients by incision and drainage, as a unique treatment of an infected pilonidal sinus. Results: The first group, receiving treatment of excision and open granulation, experienced the following outcomes: average length of hospital stay, four days; average healing time; 72 days; average number of post-operative ambulatory visits, 40; average off-work delay, 38 days; and average follow-up time, 43 months. There were five recurrences (6%) in this group during the follow-up period. For the second group treated by excision and primary closure, the corresponding outcome measurements were as follows: average length of hospital stay, four days; average healing time, 23 days; primary healing failure rate, 9%; average number of post-operative ambulatory visits, 6; average off-work delay, 21 days. The average follow-up time was 34 months, and two recurrences (6%) were observed during the follow-up period. In the third group, seventeen patients benefited from an incision and drainage as unique treatment. The mean follow-up was 37 months. Five recurrences (29%) were noticed, requiring a new operation in all the cases. Discussion and conclusion: This series of 141 patients is too limited to permit final conclusions to be drawn concerning significant advantages of one form of treatment compared to the other. Nevertheless, primary closure offers the advantages of quicker healing time, fewer post-operative visits and shorter time off work. When a primary closure can be carried out, it should be routinely considered for socio-economical and comfort reasons.

The association of gynaecological malignancies with hemorheological parameters during the surgical interventions

2016 ◽  
Vol 76 (10) ◽  
Author(s):  
P Pinidis ◽  
A Liberis ◽  
Z Koukouli ◽  
P Naoumis ◽  
C Bouschanetsis ◽  
...  
Keyword(s):  
Surgical Interventions ◽  
Gynaecological Malignancies
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