T S Sian1,2, P J J Herrod3,4, J E M Blackwell3,4, E J O Hardy3,4, J N Lund3,4. 1. Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, UK. t.sian@nhs.net. 2. Department of Colorectal Surgery, Royal Derby Hospital, Derby Teaching Hospitals NHS Foundation Trust, Uttoxeter Road, Derby, DE22 3NE, UK. t.sian@nhs.net. 3. Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, UK. 4. Department of Colorectal Surgery, Royal Derby Hospital, Derby Teaching Hospitals NHS Foundation Trust, Uttoxeter Road, Derby, DE22 3NE, UK.
Abstract
BACKGROUND: Pilonidal sinus disease (PSD) is a common, chronic inflammatory condition involving hair follicles within the natal cleft. It mainly affects young males and creates a significant health, social and economic burden. Traditional surgery is often radical resulting in pain, wound complications, long recovery times and poor cosmesis. The aim of our study was to evaluate fibrin glue as a primary treatment for PSD. METHODS: Fibrin glue procedures for a single surgeon at our institution were identified from operative coding databases and the logbook from January 2011 to January 2016. Patients had curettage of the sinus with fibrin glue obliteration. Recurrence data was collected retrospectively. RESULTS: One hundred and forty-six patients were identified; (115 (79%) males, mean age 30 (range 16-78 years). One hundred and forty-four (99%) were discharged the same day. Four (2.7%) were treated conservatively for wound discharge. Median operating time was 9 (range 4-28) min. There were 40 (27%) recurrences after one glue application. Median time to recurrence was 4 (range 0.25-36) months. Twenty-four (60%) of the recurrences had repeat glue treatment with 4 (16.6%) recurrences. After 2 rounds of treatment with glue alone, 126 out of 130 (96.9%) patients had healed. CONCLUSIONS: Fibrin glue application following curettage of the sinus is a quick and effective procedure for first and second line treatment of PSD.
BACKGROUND:Pilonidal sinus disease (PSD) is a common, chronic inflammatory condition involving hair follicles within the natal cleft. It mainly affects young males and creates a significant health, social and economic burden. Traditional surgery is often radical resulting in pain, wound complications, long recovery times and poor cosmesis. The aim of our study was to evaluate fibrin glue as a primary treatment for PSD. METHODS: Fibrin glue procedures for a single surgeon at our institution were identified from operative coding databases and the logbook from January 2011 to January 2016. Patients had curettage of the sinus with fibrin glue obliteration. Recurrence data was collected retrospectively. RESULTS: One hundred and forty-six patients were identified; (115 (79%) males, mean age 30 (range 16-78 years). One hundred and forty-four (99%) were discharged the same day. Four (2.7%) were treated conservatively for wound discharge. Median operating time was 9 (range 4-28) min. There were 40 (27%) recurrences after one glue application. Median time to recurrence was 4 (range 0.25-36) months. Twenty-four (60%) of the recurrences had repeat glue treatment with 4 (16.6%) recurrences. After 2 rounds of treatment with glue alone, 126 out of 130 (96.9%) patients had healed. CONCLUSIONS: Fibrin glue application following curettage of the sinus is a quick and effective procedure for first and second line treatment of PSD.
Authors: Amir Keshvari; Mohammad Reza Keramati; Mohammad Sadegh Fazeli; Alireza Kazemeini; Alipasha Meysamie; Mohammad Kazem Nouritaromlou Journal: J Surg Res Date: 2015-05-28 Impact factor: 2.192
Authors: Mehmet Fatih Can; Mert Mahsuni Sevinc; Oguz Hancerliogullari; Mehmet Yilmaz; Gokhan Yagci Journal: Am J Surg Date: 2010-02-01 Impact factor: 2.565
Authors: Philip J Herrod; Brett Doleman; Edward J Hardy; Paul Hardy; Trevor Maloney; John P Williams; Jon N Lund Journal: Cochrane Database Syst Rev Date: 2022-05-20