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At least 307 records · Page 17Linked to original sources
PubMed1995

The origin of pilonidal sinus: a case report.

The etiology of pilonidal sinus remains controversial. Some think it is congenital, and others think it is acquired. It is difficult to distinguish acquired pilonidal sinus from congenital, because infection almost always complicates both. We report here one case of acquired pilonidal sinus unaccompanied by infection. Histological examination showed that no epidermis or hair follicle was present in the inner wall of the sinus. This case shows that acquired pilonidal sinus is due to invasion of external hairs and that this condition needs to be distinguished from congenital pilonidal sinus.

Adult↗
PubMed1982

Isolation of Bacteroides ureolyticus (B corrodens) from clinical infections.

The introduction of an improved anaerobic system resulted in the isolation of Bacteroides ureolyticus (B corrodens) in numbers that suggested a pathogenic role from many more clinical specimens. During a three-year period B ureolyticus was isolated from 103 fairly superficial necrotic or gangrenous lesions all of which showed evidence of active infection. These included 27 perineal or genital infections, 15 perianal abscesses, 15 other soft tissue infections such as pilonidal abscesses and infected sebaceous cysts and 16 ulcers or gangrenous lesions of the lower limb. B ureolyticus was rarely isolated in pure culture but was usually one of the predominant organisms; the other organisms were mostly anaerobes and the combination of B ureolyticus with anaerobic Gram-positive cocci was particularly noticeable. The isolation and identification of B ureolyticus is not difficult but depends upon a reliable anaerobic system and the incubation of primary cultures for at least 72 h.

Anaerobiosis↗
PubMedDate not supplied

Pilonidal sinus. Excision--marsupialization--phenolization?

Too often still this disease is called sacrococcygeal cyst, pointing into the direction of congenital etiology. With this paper (and a review of the literature) we try to proof that the theory of acquired origin of pilonidal sinus is the only one logically to be accepted. We indicate that extensive surgical procedures such as Z-plasty rotated flap or broad excision--are really unnecessary and that a simple and accurate technique--marsupialization--gives excellent results with a minimum of recurrences. The last few years phenolization of the pilonidal sinus has become a popular, and eventually a worthwhile alternative.

Adult↗
PubMed1998

[Interdigital pilonidal sinus ("barber's disease")--a rare occupational disease].

Barber's disease is produced by short hairs that penetrate the interdigital spaces of the hands. The following chronic inflammatory reaction causes fistulas or sinuses and cysts. We present the case of a patient with interdigital pilonidal sinuses of all web spaces in both hands. Such an extensive case of this occupational disease has so far not been reported.

Barbering↗
PubMed1992

[Sacro-coccygeal cyst: surgical techniques and results].

69 patients with a chronic inflamed pilonidal sinus were reviewed. They were operated either with a deep excision to sacrum (37 patients) or with the Lord Millar technique (32 patients). 66 patients (87%) were controlled at a mean follow-up of 3.7 years after the operation. The socio-economical advantage of the Lord Millar operation is demonstrated by the shorter hospital stay (4.9 vs 7.6 days) and the shorter period of disability (14 vs 26 days). 5 recurrent episodes were observed among the 31 patients followed-up after an excision (16%) and 7 among the 29 followed-up after a Lord Millar operation (24%). In the later group one recurrence was seen in the sub-group of the 16 patients regularly epilated after the operation (6%) and 6 in the sub-group of the 13 who were not controlled (46%). We conclude that the Lord Millar operation is an alternative to the deep excision operation provided the patients is motivated enough to come regularly to the control for an epilation.

Follow-Up Studies↗