Crystallized Phenol Treatment in Postoperative Recurrent Pilonidal Disease

Abstract

Objective: A variety of surgical and minimally invasive treatment options are available to treat pilonidal sinus disease. Recurrence after surgery is a major problem. In addition to the surgical treatment of post-surgical recurrences, minimally invasive treatment methods are also available. In our study, we aimed to investigate the results of crystallized phenol application on patients who were admitted to our clinic with post-surgical pilonidal sinus recurrence. Methods: The data of 26 patients who were admitted to our clinic with postoperative pilonidal sinus recurrence and who were treated by crystallized phenol treatment were analyzed. Patients were evaluated in terms of age, gender, previous surgery, crystallized phenol application count, follow –up period and wound infection. Results: Data of 26 patients were analyzed.3 patients (11.5%) were admitted with recurrence after Modified Limberg surgery. 11 patients (42.3%) were admitted with recurrence after Limberg flap surgery and12 patients (46.15%) were admitted with recurrence after primary repair. 19 patients (73.02%) were treated by one time crystallized phenol application. 5 (19. 23%) patients underwent a second time application and provided treatment after the second application. The cure was achieved in 24 (92.3%) patients after repeated applications. Conclusion: Crystallized phenol application is a minimally invasive treatment method that can be applied easily under local anesthesia. The method has a high success rate after repeated applications in patients with recurrence after surgery and is a very good alternative to surgical therapy. J Clin Exp Invest 2016; 7 (1): 19-22

Keywords

• Recurrent pilonidal disease,crystallized phenol treatment,minimally invasive treatment

References

1. 1. Kaya B, Uctum Y, Simsek A, Kutanis R. Treatment of pilonidal sinus with primary closure. A simple and effective method. Kolon Rektum Hast Derg 2010;20:59-56.
2. 2. Chintapatla S, Safarani N, Kumar S, Haboubi N. Sacrococcygeal pilonidal sinus: historical review, pathological insight and surgical options. Tech Coloproctol 2003;7:3-8.
3. 3.Sözen S, Topuz O, Dönder Y, et al. Comparison between Karydakis flap repair and Limberg flap for surgical treatment of sacrococcygeal pilonidal sinus (short term results). Ulusal Cer Derg 2010;26:153-156.
4. 4. Isik A, Eryılmaz R, Okan I, et al. The use of fibrin glue without surgery in the treatment of pilonidal sinus disease. Int J Clin Exp Med 2014;7:1047-1051.
5. 5. Akan K, Tihan D, Duman U, et al. Comparison of surgical Limberg flap technique and crystallized phenol application in the treatment of pilonidal sinus disease: a retrospective study. Ulus Cerrahi Derg 2013;29:162-166.
6. 6. Caglayan K, Gungor B, Topgul K, et al. Investigation of patient dependent factors effecting complications and recurrence in pilonidal sinus disease. Kolon Rektum Hast Derg 2011;21:103-108.
7. 7. Ertan T, Koc M, Gocmen E, et al. Does technique alter quality of life after pilonidal sinus surgery? Am J Sur 2005;190:388-392.
8. 8. Aydede H, Erhan Y, Sakarya A, Kumkumoglu Y. Comparison of three methods in surgical treatment of pilonidal disease. ANZ J Surg 2001;71:362-364.

9. 9. Dogru O, Camci C, Aygen E, et al. Pilonidal sinus treated with crystallized phenol: an 8 year experience. Dis Colon Rectum 2004;47:1934-1938.
10. 10. Girgin M, Kanat BH, Ayten R, et al. Minimally invasive treatment of pilonidal disease: crystallized phenol and laser depilation.Int Surg 2012;97:288-292.
11. 11. Muzi MG, Milito G, Cadeddu F, et al. Randomized comparison of Limberg flap versus modified primary closure for the treatment of pilonidal disease. Am J Surg 2010;200:9-14.
12. 12. Schoeller T, Wechselberger G, Otto A, Papp C. Definite surgical treatment of complicated recurrent pilonidal disease with a modified fasciocutaneous V-Y advancement flap. Surgery 1997;121:258-63.
13. 13. Eryilmaz R, Okan I, Coskun A, et al. Surgical treatment of complicated pilonidal sinus with a fasciocutaneous V-Y advancement flap. Dis Colon Rectum 2009;52:2036-2040.
14. 14. Rushfeldt C, Bernstein A, Norderval S, Revhaug A. Introducing an asymmetric cleft lift technique as a uniform procedure for pilonidal sinus surgery. Scand J Surg 2008;97:77-81.
15. 15. Bali I, Aziret M, Sozen S, et al. Effectiveness of Limberg and Karydakis flap in recurrent pilonidal sinus disease. Clinics (Sao Paulo) 2015;70:350-355.
16. 16. Downs AM, Palmer J. Laser hair removal for recurrent pilonidal sinus disease. J Cosmet Laser Ther 2002;4:91.
17. 17. Aygen E, Arslan K, Dogru O, et al. Crystallized phenol in nonoperative treatment of previously operated, recurrent pilonidal disease. Dis Colon Rectum 2010;53:932-935.
18. 18. El-Khadrawy O, Hashish M, Ismail K, Shalaby H. Outcome of the rhomboid flap for recurrent pilonidal disease. World J Surg 2009;33:1064-1068.