Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique.
Introduction; The pilonidal sinus represents a benign cystic formation located between the skin and the coccygeal bone in the mediogluteal line. It was first described in 1833 by Herbert Mayo and R.M Hodges. It is thought that the cause is the penetration of hair into the subcutaneous interglute...
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| Format: | Article |
| Language: | English |
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Albanian Society for Trauma and Emergency Surgery
2023-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
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| Online Access: | http://journal.astes.org.al/index.php/AJTES/article/view/324 |
| _version_ | 1828059035979481088 |
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| author | Enton Bollano Krenar Lilaj Dariel Thereska |
| author_facet | Enton Bollano Krenar Lilaj Dariel Thereska |
| author_sort | Enton Bollano |
| collection | DOAJ |
| description |
Introduction; The pilonidal sinus represents a benign cystic formation located between the skin and the coccygeal bone in the mediogluteal line. It was first described in 1833 by Herbert Mayo and R.M Hodges.
It is thought that the cause is the penetration of hair into the subcutaneous intergluteal area. This pathology is the result of an inflammatory expansion of the hair follicle accompanied by the expansion of the fatty glands and sweat.
The purpose of the study: To evaluate our results in the treatment of this pathology with the technique above and to compare them with the results of similar works referred to in the world literature.
Materials and Method; In our study are recorded 60 patients, diagnosed with uncomplicated and previously unoperated sacrococcygeal fistula were included in the study. Divided by sex, 43 men and 17 women. The average age of our patients was 29.5 years (18-41 years). The time period of the study extends from January 2015 - March 2019…
Results; All patients suffered from the chronic phase of pilonidal disease. The intervention was carried out with the help of spinal anesthesia by injecting 2 ml of 2% sol lidocaine in the L 3-L4 space. During the intervention, two grams of intravenous cephalosporin are applied. Interventions are performed by placing the patient in a ventral position with leucoplasts gluteal diversion.
Conclusion; The presence of hair inside the pilonidal sinus is a reason in favor of the acquired theory regarding the pathogenesis. In our study, only one patient referred to heredity related to pathology. The duration of the intervention depends on the skills of the surgeon and the difficulty of the pathology. The hospitalization was determined by postoperative complications.
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| first_indexed | 2024-04-10T21:35:53Z |
| format | Article |
| id | doaj.art-6f211e0cae29404eb56470ca280b19c1 |
| institution | Directory Open Access Journal |
| issn | 2521-8778 2616-4922 |
| language | English |
| last_indexed | 2024-04-10T21:35:53Z |
| publishDate | 2023-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj.art-6f211e0cae29404eb56470ca280b19c12023-01-19T12:03:08ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222023-01-017110.32391/ajtes.v7i1.324Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique.Enton Bollano0Krenar Lilaj1Dariel Thereska2The General Surgery Service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIADepartment of Surgery, Faculty of Medicine, University of Medicine, Tirana, ALBANIADepartment of Surgery, Faculty of Medicine, University of Medicine, Tirana, ALBANIA Introduction; The pilonidal sinus represents a benign cystic formation located between the skin and the coccygeal bone in the mediogluteal line. It was first described in 1833 by Herbert Mayo and R.M Hodges. It is thought that the cause is the penetration of hair into the subcutaneous intergluteal area. This pathology is the result of an inflammatory expansion of the hair follicle accompanied by the expansion of the fatty glands and sweat. The purpose of the study: To evaluate our results in the treatment of this pathology with the technique above and to compare them with the results of similar works referred to in the world literature. Materials and Method; In our study are recorded 60 patients, diagnosed with uncomplicated and previously unoperated sacrococcygeal fistula were included in the study. Divided by sex, 43 men and 17 women. The average age of our patients was 29.5 years (18-41 years). The time period of the study extends from January 2015 - March 2019… Results; All patients suffered from the chronic phase of pilonidal disease. The intervention was carried out with the help of spinal anesthesia by injecting 2 ml of 2% sol lidocaine in the L 3-L4 space. During the intervention, two grams of intravenous cephalosporin are applied. Interventions are performed by placing the patient in a ventral position with leucoplasts gluteal diversion. Conclusion; The presence of hair inside the pilonidal sinus is a reason in favor of the acquired theory regarding the pathogenesis. In our study, only one patient referred to heredity related to pathology. The duration of the intervention depends on the skills of the surgeon and the difficulty of the pathology. The hospitalization was determined by postoperative complications. http://journal.astes.org.al/index.php/AJTES/article/view/324pilonidal sinussimple closuresimple Closed Technique |
| spellingShingle | Enton Bollano Krenar Lilaj Dariel Thereska Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique. Albanian Journal of Trauma and Emergency Surgery pilonidal sinus simple closure simple Closed Technique |
| title | Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique. |
| title_full | Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique. |
| title_fullStr | Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique. |
| title_full_unstemmed | Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique. |
| title_short | Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique. |
| title_sort | surgical treatment of uncomplicated pilonidal sinus with the simple closed technique |
| topic | pilonidal sinus simple closure simple Closed Technique |
| url | http://journal.astes.org.al/index.php/AJTES/article/view/324 |
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