Use of crystallized phenol in pilonidal sinus in the pediatric age group: a 5-year single surgeon experience

Year 2024, Volume: 15 Issue: 53, 118 - 122, 05.12.2024

Aybegum Kalyoncu Ayçenk

Abstract

Objective: The Pilonidal Sinus (PS) is a pathology of the gluteal cleft that occurs with acute or chronic infection. This study aimed to report the evaluation of five-year experience with 50 patients’ data outcomes of crystallized phenol in pilonidal sinus treatment (CP) pediatric age group.
Method: This retrospective study included 50 patients who underwent CP between 2017 and 2023 years. Patient demographics, operative data, follow-up findings, complications, and recurrence data were also evaluated.
Results: Fifty patients (female:31, male:19), mean of age 15,4 years. Hirsutism was diagnosed in 10 female patients (20%). Sixteen (32 %) patients had a family history of PS. Five patients had a smoking habit history (%10). The form of anesthesia was local anesthesia in eight patients (16%), sedation and local anesthesia in 27 patients (54%), and spinal anesthesia in 15 patients (30%). The average duration of the procedure was 13,8 min (10–22 minutes). The mean postoperative leakage time were 6,6 days. Complications were observed in five patients (10%). Recurrence was observed in three patients (6%). The overall cure rate is 94%.
Conclusion: The CP procedure should be used as the first choice, especially in adolescents, compared to the primary method in PS, such as total sinus excision, due to its minimally invasive, painless, low risk of recurrence, and very short postoperative recovery time.

Keywords

Pilonidal sinus, crystallized phenol, minimally invasive surgery, recurrence, complication

Ethical Statement

thical permission was obtained from the Ordu University Clinical Research Ethics Committee for this study with date April 4, 2021 and number 78, and Helsinki Declaration rules were followed to conduct this study.

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