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Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection

Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali.

Cited by (4)

Abstract
Background: Pilonidal disease is a common chronic disorder mainly seen in the sacrococcygeal region, especially in young males. Different surgical methods have been described for the treatment. However, none of the methods has emerged as being superior to the others. An ideal treatment should be simple, lead to minimal disability, and have a rapid return to normal activity. We present the preliminary finding, an operative technique using fibrin glue in day-care surgery patients with a pilonidal sinus.
Methods: 40 consecutive patients with a primary pilonidal sinus seen between September 2008 and February 2009 were prospectively submitted to sinotomy and fibrin glue injection under local anesthesia as day surgery cases. There were 35 males and 5 females (M:F 7:1) with a mean age of 26.8 years (range 17–50 years).
Results: The mean duration of symptoms was 16.4 months (range 4–36 months). Mean operative time, including local anesthesia infiltration, was 17.3 min (range 15– 25 min). Postoperatively, the patient was observed for 15 minutes, then was discharged on oral analgesics containing paracetamol and codeine. All patients reported little or no discomfort after the procedure and were able to return to normal activities on the following day. There were no complications reported after surgery.
Conclusion: An ideal surgical procedure for a pilonidal sinus should be one aiming at reducing hospital stay, minimizing tissue assault, promoting early work resumption, and preventing recurrence. The method described in this paper was found to be simple, safe, and feasible as day-care surgery. The technique of sinotomy with a good wound and surrounding skin care is an ideal approach with a high chance of cure. The patients returned to their routine within a short duration of time.

Key words: Pilonidal sinus, fibrin sealant, excision, sinotomy, recurrence, local anesthesia


 
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This Article Cited By the following articles

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J Ultrasound 2015; 18(3): 237.

2
 
Comment on DayCare Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
Archives of Clinical and Experimental Surgery (ACES) 2014; (): 1.

3
 
Authors reply:Daycare surgery for pilonidal sinus using sinotomy technique and fibrin glue injection
Archives of Clinical and Experimental Surgery (ACES) 2013; (): 1.

4
 

How to Cite this Article
Pubmed Style

Sozen S, Ozturk V, Das K, Erdem H, Cetinkunar S, Bali I. Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection. Arch Clin Exp Surg. 2012; 1(3): 138-141. doi:10.5455/aces.20120625121721


Web Style

Sozen S, Ozturk V, Das K, Erdem H, Cetinkunar S, Bali I. Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection. http://www.ejmaces.com/?mno=19731 [Access: July 17, 2018]. doi:10.5455/aces.20120625121721


AMA (American Medical Association) Style

Sozen S, Ozturk V, Das K, Erdem H, Cetinkunar S, Bali I. Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection. Arch Clin Exp Surg. 2012; 1(3): 138-141. doi:10.5455/aces.20120625121721



Vancouver/ICMJE Style

Sozen S, Ozturk V, Das K, Erdem H, Cetinkunar S, Bali I. Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection. Arch Clin Exp Surg. (2012), [cited July 17, 2018]; 1(3): 138-141. doi:10.5455/aces.20120625121721



Harvard Style

Sozen, S., Ozturk, V., Das, K., Erdem, H., Cetinkunar, S. & Bali, I. (2012) Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection. Arch Clin Exp Surg, 1 (3), 138-141. doi:10.5455/aces.20120625121721



Turabian Style

Sozen, Selim, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, and Ilhan Bali. 2012. Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection. Archives of Clinical and Experimental Surgery (ACES), 1 (3), 138-141. doi:10.5455/aces.20120625121721



Chicago Style

Sozen, Selim, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, and Ilhan Bali. "Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection." Archives of Clinical and Experimental Surgery (ACES) 1 (2012), 138-141. doi:10.5455/aces.20120625121721



MLA (The Modern Language Association) Style

Sozen, Selim, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, and Ilhan Bali. "Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection." Archives of Clinical and Experimental Surgery (ACES) 1.3 (2012), 138-141. Print. doi:10.5455/aces.20120625121721



APA (American Psychological Association) Style

Sozen, S., Ozturk, V., Das, K., Erdem, H., Cetinkunar, S. & Bali, I. (2012) Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection. Archives of Clinical and Experimental Surgery (ACES), 1 (3), 138-141. doi:10.5455/aces.20120625121721





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