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Press-Fit® (Natural Collagen Plug) Application in Perianal Sinus Treatmen

Year 2018, Volume: 4 Issue: 1, 716 - 723, 15.04.2018
https://doi.org/10.30569/adiyamansaglik.424742

Abstract

Objective: Although the pilonidal sinus is most commonly seen in the
sacrococcygeal region, it may emerge in any region of the body, where the hairs
may penetrate. The pilonidal sinus that develops in the perianal area is called
'endoanal' or 'perianal pilonidal sinus' and it is in the close neighborhood
with the anal verge.  In this study, our
objective was to present the patients with "perianal pilonidal
sinus", whom we treated with the "Natural Collagen Plug", which
is mainly used for the perianal fistulae.

Materials and methods: The data of four patients, who applied to our
clinic due to the perianal pilonidal sinus between June and December 2015 and
treated with “natural collagen plug” after curettage, were included in the
study.  The characteristics of patients
such as age, gender, treatment duration, complications and recurrence rates
were investigated.

Findings: The mean age of the patients was 25.75 ± 3.5 years and all patients
were males. The treatment was administered twice to one patient and just once
to the remaining 3 patients. Only one patient developed abscess as a
complication. Average recovery time was 27.5 ± 3.3 days. During the follow-up
(average: 5.75 ± 1.7 months) period, the disease recurred in one patient and
one patient did not recover. The success rate of the procedure was 50% even
though the number of patients was very limited.







Conclusion: Although the perianal pilonidal sinus disease is a rare condition,
it is difficult to treat due to the close neighborhood to the anal verge. Even
the duration of healing is long and the success rate is relatively low in these
patients, “natural collagen plug” application after a thorough local removal of
the hairs and debridement can be taken into consideration. This method can be
used safely around the anal region.

References

  • 1. Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg 1992; 62: 385-389.
  • 2. Kanat BH, Bozan MB, Yazar FM, Yur M, Erol F, Özkan Z, Emir S, Urfalıoğlu A. Comparison of early surgery (unroofing-curettage) and elective surgery (Karydakis flap technique) in pilonidal sinus abscess cases. Ulus Travma Acil Cerrahi Derg 2014; 20: 366-370
  • 3. Kanat BH, Sözen S. Disease that should be remembered: Sacrococcygeal pilonidal sinus disease and short history. World J Clin Cases 2015; 3(10): 876-879.
  • 4. Maurice BA, Greenwood RK. A conservative treatment of pilonidal sinus. Br J Surg 1964; 51: 510-512.
  • 5. Demirel AH, Kuşdemir A, Kaptanoğlu B, Barlas M, Bayram E. A Pilonidal Sinus of the Anal Canal (Case Report) The Medical Journal of Kocatepe (2003), 1, 63-66
  • 6. Testini M, Miniello S, Di Venere B, Lissidini G, Esposito E. Perineal pilonidal sinus. Case report. Ann Ital Chir. 2002 May-Jun;73(3):339-41.
  • 7. King ES. The intedigital pilonidal sinus. Aust N Z J Surg 1949; 19: 29-33.
  • 8. Arslan K, Doğru O, Aygen E, Turan E. Non-Operative Management of Pilonidal Sinuses Located Around Anus. Surgical Science, 2012, 3, 588-591.
  • 9. Corey W. Iqbal, Alessandra C. Gasior, and Charles L. Snyder, “Pilonidal Disease Mimicking Fistula-in-Ano in a 15-Year-Old Female,” Case Reports in Surgery, vol. 2012, Article ID 310187, 3 pages, 2012. doi:10.1155/2012/310187
  • 10. Kulaçoğlu H, Dener C, Tumer H, Aktimur R. Total subcutaneous fistulectomy combined with Karydakis flap for sacrococcygeal pilonidal disease with secondary perianal opening. Colorectal Dis. 2006 Feb;8(2):120-3.
  • 11. Zeybek N, Duran E, Çoşkun AK, Sinan H, Özerhan İH, Harlak A, Kılbaş Z, Peker Y. What is the best choice of treatment for pilonidal sinus disease with perianal openings? Gülhane Tıp Derg 2014;56: 238-240

PERİANAL SİNÜS TEDAVİSİNDE PRESS-FİT® (DOĞAL KOLLAJEN PLUG) UYGULAMASI

Year 2018, Volume: 4 Issue: 1, 716 - 723, 15.04.2018
https://doi.org/10.30569/adiyamansaglik.424742

Abstract

Amaç : Pilonidal
sinüs, en çok sakrokoksigeal bölgede görülmekle birlikte, vücutta kılların
penetre olabileceği her bölgede oluşabilir. Perianal bölgede gelişen pilonidal
sinüs ‘endoanal’ veya ‘perianal pilonidal sinüs’ olarak adlandırılır ve anal
verge yakın komşuluktadır.  Biz bu
çalışmada esas kullanım amacı perianal fistül hastalığı olan "Doğal
Kollajen Plug" uygulayarak tedavi ettiğimiz "perianal pilonidal
sinüs" hastalarını sunmayı amaçladık.

Gereç-Yöntem:
Kliniğimizde Haziran-Aralık 2015 tarihleri arasında perianal
pilonidal sinüs nedeni ile başvuran ve lokal anestezi altında küretaj sonrası
"Doğal Kollajen Plug" uygulanan 4 hastanın verileri çalışmaya alındı.
Hastaların yaşı, cinsiyeti, tedavi süreleri, komplikasyonlar ve nüks oranları
incelendi.





Bulgular:
Hastaların yaş ortalaması 25.75 ± 3.5yıl olup tüm hastalar erkekti.
Bir hastaya 2, üç hastaya 1 kez uygulandı. Sadece bir hastada komplikasyon
olarak apse gelişti. Ortalama iyileşme süresi 27.5±3.3 gündü. Ortalama takip
süresi 5.75±1.7 ay olup bu süre zarfında 1 nüks ve 1 tane de iyileşmeyen hasta
vardı. İşlemin başarı oranı hasta sayısı az olmakla birlikte %50 idi.
Sonuç: Perianal pilonidal sinüs hastalığı nadir görülmekle birlikte anal
verge yakın olmasından dolayı tedavisi problem olmaktadır. Bu hastalarda
iyileşme süresi uzun ve başarı oranı görece daha düşük olsa bile bu hastalarda
konservatif tedavi yöntemi olarak iyi bir kıl temizliği ve debritmandan sonra
"Doğal Kollajen Plug" kullanılması düşünülebilir. Bu yöntem anal
çevrede güvenle kullanılabilir.

References

  • 1. Karydakis GE. Easy and successful treatment of pilonidal sinus after explanation of its causative process. Aust N Z J Surg 1992; 62: 385-389.
  • 2. Kanat BH, Bozan MB, Yazar FM, Yur M, Erol F, Özkan Z, Emir S, Urfalıoğlu A. Comparison of early surgery (unroofing-curettage) and elective surgery (Karydakis flap technique) in pilonidal sinus abscess cases. Ulus Travma Acil Cerrahi Derg 2014; 20: 366-370
  • 3. Kanat BH, Sözen S. Disease that should be remembered: Sacrococcygeal pilonidal sinus disease and short history. World J Clin Cases 2015; 3(10): 876-879.
  • 4. Maurice BA, Greenwood RK. A conservative treatment of pilonidal sinus. Br J Surg 1964; 51: 510-512.
  • 5. Demirel AH, Kuşdemir A, Kaptanoğlu B, Barlas M, Bayram E. A Pilonidal Sinus of the Anal Canal (Case Report) The Medical Journal of Kocatepe (2003), 1, 63-66
  • 6. Testini M, Miniello S, Di Venere B, Lissidini G, Esposito E. Perineal pilonidal sinus. Case report. Ann Ital Chir. 2002 May-Jun;73(3):339-41.
  • 7. King ES. The intedigital pilonidal sinus. Aust N Z J Surg 1949; 19: 29-33.
  • 8. Arslan K, Doğru O, Aygen E, Turan E. Non-Operative Management of Pilonidal Sinuses Located Around Anus. Surgical Science, 2012, 3, 588-591.
  • 9. Corey W. Iqbal, Alessandra C. Gasior, and Charles L. Snyder, “Pilonidal Disease Mimicking Fistula-in-Ano in a 15-Year-Old Female,” Case Reports in Surgery, vol. 2012, Article ID 310187, 3 pages, 2012. doi:10.1155/2012/310187
  • 10. Kulaçoğlu H, Dener C, Tumer H, Aktimur R. Total subcutaneous fistulectomy combined with Karydakis flap for sacrococcygeal pilonidal disease with secondary perianal opening. Colorectal Dis. 2006 Feb;8(2):120-3.
  • 11. Zeybek N, Duran E, Çoşkun AK, Sinan H, Özerhan İH, Harlak A, Kılbaş Z, Peker Y. What is the best choice of treatment for pilonidal sinus disease with perianal openings? Gülhane Tıp Derg 2014;56: 238-240
There are 11 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Burhan Hakan Kanat

Ferhat Çay 0000-0001-5323-1599

Mustafa Girgin

Barış Çağlar Kanat This is me

Yavuz Selim İlhan This is me

Ali Aksu This is me

Kenan Binnetoğlu This is me

Publication Date April 15, 2018
Submission Date May 18, 2018
Acceptance Date May 27, 2018
Published in Issue Year 2018 Volume: 4 Issue: 1

Cite

AMA Kanat BH, Çay F, Girgin M, Kanat BÇ, İlhan YS, Aksu A, Binnetoğlu K. Press-Fit® (Natural Collagen Plug) Application in Perianal Sinus Treatmen. ADYÜ Sağlık Bilimleri Derg. April 2018;4(1):716-723. doi:10.30569/adiyamansaglik.424742