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Skin Glue Improves Outcome after Excision and Primary Closure of Sacrococcygeal Pilonidal Disease

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Abstract

Evaluating the effect of Histoacryl on the outcome and recurrence rate after excision and primary closure of sacrococcygeal pilonidal disease. Forty patients with sacrococcygeal pilonidal sinus were randomly divided into 2 equal groups through computer randomization program. Group I was operated by complete excision of sinus with wound closure using Histoacryl. Group II was operated with primary wound closure by interrupted inverting sutures. Mean operative time was 31.5 ± 5.6 minutes in group I and 35.9 ± 5.1 minutes in group II. Mean healing time was 13.4 ± 2.7 days in group I and 18.0 ± 8.9 days in group II. Wound infection occurred in 2 patients (10%) in Group II. Delayed wound healing occurred in 3 patients (15%) in group I and 4 patients (20%) in group II. Recurrence occurred in 1 patient (5%) in group I and 3 patients (15%) in group II. Histoacryl improves outcome (significantly decreases operative and healing times and increases patient satisfaction score, insignificantly decreases rates of complications and recurrence) after excision and primary closure of sacrococcygeal pilonidal disease.

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References

  1. Mayo OH (1833) Observations on injuries and disease of rectum. Burgess and Hill, London, pp 45–46 (Quoted from Da Silva JH (2000) Pilonidal cyst: cause and treatment. Dis Colon Rectum 43:1146–1156

    Google Scholar 

  2. Hodge RM (1880) Pilonidal sinus. Poston Med Surg J 103:485–6, 493, 544 (Quoted from Da Silva JH (2000) Pilonidal cyst: cause and treatment. Dis Colon Rectum 43:1146–1156

    Google Scholar 

  3. Caestecker J, Mann BD, Castellanos AE, Straus J (2006) Pilonidal Disease. http://emedicine.medscape.com/article/192668

  4. Karydakis GE (1992) Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust NZJ Surg 62:385–389

    Article  CAS  Google Scholar 

  5. Senapati A, Cripps NP, Thompson MR (2000) Bascom’s operation in the day-surgical management of symptomatic pilonidal sinus. Br J Surg 87:1067–1070

    Article  PubMed  CAS  Google Scholar 

  6. Ringelheim R, Silverberg MA, Villanueva NJJ (2006) Pilonidal Cyst and Sinus; http://emedicine.medscape.com/article/788127

  7. Berger A, Frileux P (1995) Pilonidal sinus. Ann Chir 49:889–901

    PubMed  CAS  Google Scholar 

  8. Binmoeller KF, Soehendra N (1999) New haemostatic techniques: histoacryl injection, banding/endoloop ligation and haemoclipping. Baillieres Best Pract Res Clin Gastroenterol 13:85–96

    Article  PubMed  CAS  Google Scholar 

  9. Von Oppell UO, Zilla P (1998) Tissue adhesives in cardiovascular surgery. J Long Term Eff Med Implants 8:87–101

    Google Scholar 

  10. Skeist I (1962) Handbook of adhesives. Reinhold Publishing corp, York

    Google Scholar 

  11. Zografos GC, Marti KC, Morris DL (1992) Laser Doppler flowmetry in evaluation of cutaneous wound blood flow using various suturing techniques. Ann Surg 215:266–268

    Article  PubMed  CAS  Google Scholar 

  12. Fotiadis C, Leventis I, Adamis S, Gorgoulis V, Domeyer P, Zografos G et al (2005) The use of isobutylcyanoacrylate as a tissue adhesive in abdominal surgery. Acta Chir Belg 105:392–396

    PubMed  CAS  Google Scholar 

  13. Huskisson EC (1974) Measurement of pain. Lancet 2(7889):1127–1131

    Article  PubMed  CAS  Google Scholar 

  14. Fuzun M, Bakir H, Soylu M, Tansug T, Kaymak E, Harmancioglu O (1994) Which technique for pilonidal sinus—open or closed? Dis Colon Rectum 37:1148–1150

    Article  PubMed  CAS  Google Scholar 

  15. Iesalnieks I, Furst A, Rentsch M, Jauch KW (2003) Primary midline closure after excision of a pilonidal sinus is associated with a high recurrence rate. Chirurg 74:461–468

    Article  PubMed  CAS  Google Scholar 

  16. Khatri V, Espinosa MH, Amin AK (1994) Management of recurrent pilonidal sinus by simple V-Y fasciocutaneous flap. Dis Colon Rectum 37:1232–1235

    Article  PubMed  CAS  Google Scholar 

  17. Toccaceli S, Persico Stella L, Diana M, Dandolo R, Negro P (2008) Treatment of pilonidal sinus with primary closure. A twenty-year experience. Chir Ital 60:433–438

    PubMed  Google Scholar 

  18. Tocchi A, Mazzoni G, Bononi M, Fornasari V, Miccini M, Drumo A et al (2008) Outcome of chronic pilonidal disease treatment after ambulatory plain midline excision and primary suture. Am J Surg 196:28–33

    Article  PubMed  Google Scholar 

  19. Al-Salamah SM, Hussain MI, Mirza SM (2007) Excision with or without primary closure for pilonidal sinus disease. J Pak Med Assoc 57:388–391

    PubMed  Google Scholar 

  20. Søndenaa K, Diab R, Nesvik I, Petter Gullaksen F, Magne Kristiansen R, Sæbø A, Kørner H (2002) Influence of failure of primary wound healing on subsequent recurrence of pilonidal sinus. Combined prospective study and randomized controlled trial. Eur J Surg 168:614–618

    Article  PubMed  Google Scholar 

  21. Quinn J, Maw J, Ramotar K, Wenckebach G, Wells G (1997) Octylcyanoacrylate tissue adhesive versus suture wound repair in a contaminated wound model. Surgery 122:69–72

    Article  PubMed  CAS  Google Scholar 

  22. Howell JM, Bresnahan KA, Stair TO, Dhindsa HS, Edwards BA (1995) Comparison of effects of suture and cyanoacrylate tissue adhesive on bacterial counts in contaminated lacerations. Antimicrob Agents Chemother 39:559–560

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, Tanta University, Tanta, Egypt

    Ibrahim Othman

  2. Ghodran General Hospital, P O Box 14, Baljrashi, 22888, KSA

    Ibrahim Othman

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  1. Ibrahim Othman
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Correspondence to Ibrahim Othman.

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Othman, I. Skin Glue Improves Outcome after Excision and Primary Closure of Sacrococcygeal Pilonidal Disease. Indian J Surg 72, 470–474 (2010). https://doi.org/10.1007/s12262-010-0170-9

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  • DOI: https://doi.org/10.1007/s12262-010-0170-9

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