Abstract
| Lingua originale | Italian |
|---|---|
| pagine (da-a) | 331-334 |
| Numero di pagine | 4 |
| Rivista | IL GIORNALE DI CHIRURGIA |
| Volume | 27 |
| Stato di pubblicazione | Published - 2006 |
All Science Journal Classification (ASJC) codes
- Surgery
Cita questo
Use of fibrin glue in the treatment of pilonidal sinus disease: a pilot study. / Di Vita, Gaetano Giuseppe; Gioe', Francesco Paolo; Crivello, Floriana; Angileri, Maria Grazia; Sparacello, Massimiliano; Patti, Rosalia; Termine, Stefania.
In: IL GIORNALE DI CHIRURGIA, Vol. 27, 2006, pag. 331-334.Risultato della ricerca: Article
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TY - JOUR
T1 - Use of fibrin glue in the treatment of pilonidal sinus disease: a pilot study.
AU - Di Vita, Gaetano Giuseppe
AU - Gioe', Francesco Paolo
AU - Crivello, Floriana
AU - Angileri, Maria Grazia
AU - Sparacello, Massimiliano
AU - Patti, Rosalia
AU - Termine, Stefania
PY - 2006
Y1 - 2006
N2 - BACKGROUND: Pilonidal sinus (PS) disease of the sacrococcigeal region is an acquired condition resulting from penetration of shed hair shafts through the skin. Different types of operations have been described in the letterature. More recently fibrin glue has been used with succesfull. Aim of this study was to assess the effectiveness of fibrin glue for the treatment of pilonidal sinus. PATIENTS AND METHODS: Eight patients age ranged 21,8 +/- 6,5 affected by PS disease of sacrococcigeal region were included in this study. All patients undergoing surgical operation under local anaesthesia. Following administration of 1% methylene blue through the main opening, a small vertical elliptical incision is maked including the entire sinus opening and an excision of PS was performed without entering the sinus cavity, removing a minimal amount of subcutaneous tissue. Afterwards the highly concentrated fibrin glue, containing 1,000 U/ml of thrombin was applied to cover the wound. Post-operative pain, analgesic consumption, duration of hospital stay, failure healing, the rate and time of recurrence, time to healing, time to return to work and post-operative complications were recordered. RESULTS: All patients expressed satisfaction with the procedure. Mean hospital stay was 5.4 +/- 2.1 hours. Healing was achieved after 25.8 +/- 13.2 days. The post-operative pain mean score was 3.8 +/- 2.1 in first day, 2,9 +/- 1,8 in third day and 1,3 +/- 0,8 in the seventh day. The mean analgesic consumption per week was 5,6 +/- 3,2 medications. Mean time to return to work was 5,3 +/- 2,1 days. CONCLUSION: The minimal excision of PS and application of fibrin glue is a non-invasive effective treatment, easy and simple to performe and not associated to recurrences. For these reasons this procedure in our opinion as the first line treatment for pilonidal sinus disease.
AB - BACKGROUND: Pilonidal sinus (PS) disease of the sacrococcigeal region is an acquired condition resulting from penetration of shed hair shafts through the skin. Different types of operations have been described in the letterature. More recently fibrin glue has been used with succesfull. Aim of this study was to assess the effectiveness of fibrin glue for the treatment of pilonidal sinus. PATIENTS AND METHODS: Eight patients age ranged 21,8 +/- 6,5 affected by PS disease of sacrococcigeal region were included in this study. All patients undergoing surgical operation under local anaesthesia. Following administration of 1% methylene blue through the main opening, a small vertical elliptical incision is maked including the entire sinus opening and an excision of PS was performed without entering the sinus cavity, removing a minimal amount of subcutaneous tissue. Afterwards the highly concentrated fibrin glue, containing 1,000 U/ml of thrombin was applied to cover the wound. Post-operative pain, analgesic consumption, duration of hospital stay, failure healing, the rate and time of recurrence, time to healing, time to return to work and post-operative complications were recordered. RESULTS: All patients expressed satisfaction with the procedure. Mean hospital stay was 5.4 +/- 2.1 hours. Healing was achieved after 25.8 +/- 13.2 days. The post-operative pain mean score was 3.8 +/- 2.1 in first day, 2,9 +/- 1,8 in third day and 1,3 +/- 0,8 in the seventh day. The mean analgesic consumption per week was 5,6 +/- 3,2 medications. Mean time to return to work was 5,3 +/- 2,1 days. CONCLUSION: The minimal excision of PS and application of fibrin glue is a non-invasive effective treatment, easy and simple to performe and not associated to recurrences. For these reasons this procedure in our opinion as the first line treatment for pilonidal sinus disease.
KW - Disease
KW - Pilonidal Sinus
KW - pilonidal disease
UR - http://hdl.handle.net/10447/12712
M3 - Article
VL - 27
SP - 331
EP - 334
JO - Giornale di Chirurgia
JF - Giornale di Chirurgia
SN - 0391-9005
ER -