@article{article_424742, title={Press-Fit® (Natural Collagen Plug) Application in Perianal Sinus Treatmen}, journal={Adıyaman Üniversitesi Sağlık Bilimleri Dergisi}, volume={4}, pages={716–723}, year={2018}, DOI={10.30569/adiyamansaglik.424742}, author={Kanat, Burhan Hakan and Çay, Ferhat and Girgin, Mustafa and Kanat, Barış Çağlar and İlhan, Yavuz Selim and Aksu, Ali and Binnetoğlu, Kenan}, keywords={Pilonidal sinus,collagen plaque,perianal sinus}, abstract={<p class="MsoNormal" style="text-align:justify;line-height:normal;"> <b> <span style="font-family:’Times New Roman’, serif;">Objective: </span> </b> <span style="font-family:’Times New Roman’, serif;"> 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. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:normal;"> <b> <span style="font-family:’Times New Roman’, serif;">Materials and methods: </span> </b> <span style="font-family:’Times New Roman’, serif;">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. <b> </b> </span> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="text-align:justify;line-height:normal;"> <b> <span style="font-family:’Times New Roman’, serif;">Findings: </span> </b> <span style="font-family:’Times New Roman’, serif;">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. <b> </b> </span> </p> <p> <b> </b> </p> <b> </b> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:normal;"> <b> <span style="font-family:’Times New Roman’, serif;">Conclusion: </span> </b> <span style="font-family:’Times New Roman’, serif;">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. </span> </p> <p> </p>}, number={1}, publisher={Adıyaman Üniversitesi}