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Results for “Pilonidal Sinus”

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Hair dresser's syndrome: a case report of an interdigital pilonidal sinus and review of the literature.

BACKGROUND: Hair dresser's disease is produced by short hairs that penetrate the interdigital spaces of the hand. OBJECTIVE: A case and review of the literature of pilonidal sinus in the interdigital web are reported. METHODS: Surgical excision and secondary healing are the preferred methods of treatment to prevent recurrence. We have performed a rotation flap for the defect formed after excision. RESULTS: The patient was not hospitalized, and postoperative patient comfort prevention of the recurrences was achieved. CONCLUSION: This acquired occupational disease is rare and preventable. The personal hygiene and use of protective barrier creams or gloves could prevent the formation of the disease.

Beauty Culture↗

[Pilonidal sinus in a hairdresser].

The patient is a 28-year-old hairdresser who began his apprenticeship after school and has worked in this profession since then. Within the last two years fistulas formed on both hands between the second and third fingers in which hairs accumulated during his daily work of cutting hair. So an infection with lymphadenitis occurred. The excision lead to the histological result of an interdigital pilonidal-sinus.

Adult↗

Pilonidal sinus.

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Humans↗

Septic arthritis due to bacteroides fragilis after pilonidal sinus resection in a patient with rheumatoid arthritis.

Bacteroides fragilis is a rare cause of septic arthritis. Most patients with B. fragilis septic arthritis have a chronic joint disease, particularly rheumatoid arthritis, and sources of infection are lesions of the gastrointestinal tract and the skin. We report a 69-year-old male, who developed B. fragilis septic arthritis after pilonidal sinus resection. High level of suspicion of development B. fragilis septic arthritis must be present in patients with chronic joint disease in whom gastrointestinal or skin surgery was previously performed.

Aged↗

Congenital pilonidal sinus of the nose.

The aetiology of pilonidal disease, which occurs frequently in the sacrococcygeal region, is uncertain; whether it is congenital or acquired has been debated considerably. An instance of pilonidal disease, occurring at a previously unreported site, and of definite congenital origin, is reported.

Adolescent↗

Primary closure or secondary granulation after excision of pilonidal sinus?

Two methods for treatment of chronic pilonidal disease were compared in a randomised trial of 100 patients with a mean follow-up of 29 months. Four patients were excluded from the excision and closure group, leaving 96 patients for analysis. Initial primary healing was significantly more frequent after excision and primary closure (45/46; 98%) compared with excision and healing by secondary granulation (36/50; 72%). The mean healing time was significantly shorter in the excision and closure group (10.3 days) compared to the excision and granulation group (13 weeks). There was, however, no significant difference between the two groups in cure rate after the first operation. The recurrence rate in the excision and granulation group was 12% and after primary closure 20%. The presence of stiff hair and anaerobic bacteria were related to the failure of primary healing, but not associated with recurrence. Although the cure rate was the same regardless which operation was done, the primary healing was quicker and the healing time and duration of sick-leave were shorter after primary closure. Excision with primary closure therefore seems to be the preferable method.

Adolescent↗

General anaesthetic for a pilonidal sinus excision in a patient with hereditary angio-oedema.

Hereditary angio-oedema is an autosomal dominant condition resulting in a deficiency of C1 esterase inhibitor protein in serum. The condition is characterized by oedematous attacks in the skin, mucous membranes and gastrointestinal tract triggered by mental and physical stress. We present the rare case of a young girl with known hereditary angio-oedema and spina bifida occulta being admitted for an elective pilonidal sinus excision. This case presented different challenges for the anaesthetists and surgeons.

Adolescent↗

Giant condyloma acuminatum (Buschke-Lowenstein tumor) involving a pilonidal sinus: a case report and review of the literature.

Giant condyloma acuminatum or Buschke-Lowenstein tumor has been reported to involve many areas about the perineum. The majority of previous documentations have implicated the coronal sulcus, prepuce, and fossa navicularis of the penis as the most likely foci to support growth. Authors have contributed multiple cases of perianal and rectal involvement as well as rare reports of inguinal, bladder, and endocervix-low uterine segment tumors. A case of giant condyloma acuminatum involving a chronic pilonidal sinus overlying the sacrum is described. Wide surgical extirpation was found to be a curative means of management.

Condylomata Acuminata↗