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Results for “Pilonidal Sinus”

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At least 523 records · Page 29Linked to original sources
PubMed2001

Early sonographic detection of a 'human tail': a case report.

We report on a newborn in whom an echogenic protrusion arising in the caudal region was detected at 12 weeks' gestation. Subsequent ultrasound examinations at weeks 15 and 22 failed to demonstrate this finding. After birth, the infant was found to have a pilonidal sinus. The pilonidal sinus may represent a remnant of the embryonic appendage ('human tail') that usually disappears by the end of the 8th week of gestation. This case might support the theory of congenital pilonidal sinus origin.

Adult↗
PubMedDate not supplied

A randomized study between excision and marsupialization and radiofrequency sinus excision in sacro-coccygeal pilonidal disease.

BACKGROUND: The surgical approach to pilonidal sinus disease is open to debate. This prospective, randomized study was aimed to compare the outcome of the excision and marsupialization and the sinus excision technique by radiofrequency. MATERIALS AND METHODS: Thirty patients of chronic pilonidal sinus disease were randomly assigned to radiofrequency sinus excision (n = 15) and excision and marsupialization (n = 15). The parameters measured included intraoperative and postoperative data, wound-related complications, and recurrence. Patient satisfaction score was assessed at 1-year follow-up. RESULTS: The operation time, postoperative pain, hospital stay, and off work periods were significantly less (p < 0.05) in the technique employing radiofrequency surgery. At 1-year follow-up, there was 1 case of recurrence in each group. The patients from radiofrequency group expressed better satisfaction than the patients operated by marsupialization. CONCLUSION: Radiofrequency sinus excision technique needs a shorter hospital stay with reduced postoperative pain and early resumption to work in comparison with the sinus excision and marsupialization technique.

Adolescent↗
PubMed1993

Outcome at three to five years of primary closure of perianal and pilonidal abscess. A randomised, double-blind clinical trial with a complete three-year followup of one compared with four days' treatment with ampicillin and metronidazole.

OBJECTIVE: To evaluate the long term results after primary closure of perianal abscess and pilonidal sinus. DESIGN: Follow up by questionnaire and study of casenotes. SETTING: University hospital and district hospital. SUBJECTS: 88 Patients who had previously been in a prospective random control trial of two regimens of antibiotic treatment (ampicillin and metronidazole for one compared with four days) before incision, curettage, and primary closure of perianal abscess or pilonidal sinus. MAIN OUTCOME MEASURES: Recurrence rate and outcome. RESULTS: 32 Patients had perianal abscesses of which 31 (97%) healed primarily (95% confidence interval [CI] 84 to 100%) with 4 recurrences (13%, 95% CI 2 to 24%). 56 Patients had pilonidal sinuses or abscesses of which 46 (82%) healed primarily (95% CI 70 to 91%) with 14 recurrences (30%, 95% CI 16 to 40%). There were no significant differences between the two antibiotic regimens. The mean followup was 53 months. Two patients had died, both had had perianal abscesses. Pilonidal sinuses tended to recur during the first year, whereas pilonidal abscesses recurred after a lapse of two years or more. Half the patients who had had previous operations for the same complications, compared with a third who were being operated on for the first time. CONCLUSIONS: A one day course of ampicillin and metronidazole is not associated with any more complications than a four day course. Perianal abscesses respond well to primary closure, but management of pilonidal abscesses and sinuses is more difficult.

Abscess↗
PubMed2003

[The comparison of incision and drainage with skin excision and curettage in the treatment of acute pilonidal abscess].

BACKGROUND: To compare therapeutic values of incision and drainage, with skin excision and curettage in surgical treatment of the patients with acute pilonidal abscess. METHODS: In this prospective study, patients with acute pilonidal abscess were divided into two groups. The first group of patients were treated with incision and drainage and the second with skin excision and curettage. Two treatment modalities were compared in terms of healing time, time of returning to active work and development of chronic pilonidal sinus rates with chi-square and student-t test. RESULTS: Development of chronic pilonidal sinus rate was 76% in incision and drainage group and 24% in skin excision and curettage group (p<0.001). Healing time and time of returning to active work were 27 and 35 days in skin excision and curettage group, 19 and 26 days in incision and drainage group, respectively (p<0.001). CONCLUSION: Skin excision and curettage, which is associated with lower rates of development of chronic pilonidal sinus, may be the treatment of choice in acute pilonidal abscess.

Abscess↗
PubMed2005

Outpatient pilonidal sinotomy complemented with good wound and surrounding skin care.

OBJECTIVE: To describe an improved method for treating pilonidal sinus disease. METHODS: An outpatient procedure involves laying the pilonidal sinus tract open under local anesthesia, removal of hair and debris, curettage of granulation tissue, with subsequent daily dressing, weekly shaving, and let it heal by secondary intention. The medical records of 100 patients underwent this procedure were studied regarding complications, healing time, and recurrence. This study was carried out at King Abdul-Aziz Medical City, Riyadh, Kingdom of Saudi Arabia, between January 2000 and December 2003. RESULTS: Ninety-five patients (95%) were males and 5 patients (5%) were females. The mean age was 21.7 years. Almost all patients who underwent the procedure were discharged after the procedure. Complications included 2 cases (2%) of bleeding, one case (1%) of vasovagal attack requiring admission overnight, 10 cases (10%) of delayed healing, and 2 cases (2%) of recurrence after an average of one year from complete wound healing. Ninety patients (90%) had completed healing after one month of daily dressing and 10 patients (10%) after 2 months. CONCLUSION: Outpatient pilonidal sinotomy with good wound and surrounding skin care is an ideal approach with high chance of cure.

Adolescent↗
PubMed1987

The management of patients with pilonidal disease--a comparative study.

Patients with pilonidal disease presenting at Wellington Hospital between 1979 and 1982 have been studied retrospectively. Of 218 admissions, 113 were for pilonidal sinus and 105 for pilonidal abscess. Fifty-five sinuses and 82 abscesses were 'laid open'. Hospital stay, recurrence rates and costs were considerably lower in those patients who were laid open. It is suggested that laying open is the procedure of choice for patients with both pilonidal abscess and sinus.

Abscess↗
PubMed1985

Anaerobic meningitis in an infant associated with pilonidal cyst abscess.

A 5-month-old infant whose infected pilonidal sinus was surgically removed, developed meningitis due to Bacteroides fragilis. A similar organism was also recovered from the infected pilonidal cyst along with anaerobic Gram positive cocci. The patient was treated with intravenous chloramphenicol for 4 weeks and recovered without sequela. Attention should be paid to the possibility of meningitis due to anaerobes in children with an infected pilonidal sinus.

Abscess↗