Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol Injection
Objective: Sacrococcygeal pilonidal disease is a chronic discharging wound that causes pain and loss of quality of life. Phenol application is an outpatient procedure with low complications and low recurrence rates. We evaluated the radiological, histological, and clinical results of phenol applicat...
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Galenos Publishing House
2022-03-01
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| Series: | Medeniyet Medical Journal |
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| author | Tonguc Utku YILMAZ Omer YAVUZ Ahmet Oktay YIRMIBESOGLU Hasan Tahsin SARISOY Cigdem VURAL Umay KIRAZ Nihat Zafer UTKAN |
| author_facet | Tonguc Utku YILMAZ Omer YAVUZ Ahmet Oktay YIRMIBESOGLU Hasan Tahsin SARISOY Cigdem VURAL Umay KIRAZ Nihat Zafer UTKAN |
| author_sort | Tonguc Utku YILMAZ |
| collection | DOAJ |
| description | Objective: Sacrococcygeal pilonidal disease is a chronic discharging wound that causes pain and loss of quality of life. Phenol application is an outpatient procedure with low complications and low recurrence rates. We evaluated the radiological, histological, and clinical results of phenol application.
Methods: A total of 44 consecutive patients with sacrococcygeal pilonidal disease underwent phenol application in Kocaeli University Faculty of Medicine, General Surgery Clinic between December 2015 and March 2017. Demographics, complaints, symptom duration, and the number of sinuses were recorded. Patients were examined using ultrasonography (USG) before surgery and two months after surgery. Four patients who wanted rhomboid excision and Limberg flap procedure underwent preoperative local phenol application and were excluded from the study. The excised tissues were used for pathological evaluation.
Results: Purulent discharge was the leading symptom. All of the patients had hair in the preoperative USG evaluation, whereas five patients had still hairs in the sinuses in the postoperative USG examination. Four of these cases had recurrences on a 2-month follow-up. After phenol application, a 10% volume decrease was observed. Pathological examination was performed in four cases with phenol application, and in pathological material, the sinuses looked sclerotic and fibrotic.
Conclusions: Our study revealed that a single phenol application achieved 90% success. However, no significant difference was observed in the cavity volume after phenol injection. |
| format | Article |
| id | doaj-art-091cd5c787f9474ab3e80d0fc018d9e0 |
| institution | Kabale University |
| issn | 2149-2042 2149-4606 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Medeniyet Medical Journal |
| spelling | doaj-art-091cd5c787f9474ab3e80d0fc018d9e02025-01-30T07:15:45ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062022-03-01371293510.4274/MMJ.galenos.2022.22566MEDJ-22566Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol InjectionTonguc Utku YILMAZ0Omer YAVUZ1Ahmet Oktay YIRMIBESOGLU2Hasan Tahsin SARISOY3Cigdem VURAL4Umay KIRAZ5Nihat Zafer UTKAN6Acibadem Mehmet Ali Aydinlar University Atakent Hospital, Organ Transplantation Unit, Istanbul, TurkeyKocaeli University Faculty of Medicine, Department of General Surgery, Kocaeli, TurkeyKocaeli University Faculty of Medicine, Department of General Surgery, Kocaeli, TurkeyAcibadem Kocaeli Hospital, Clinic of Radiology, Kocaeli, TurkeyKocaeli University Faculty of Medicine, Department of Pathology, Kocaeli, TurkeyKocaeli University Faculty of Medicine, Department of Pathology, Kocaeli, TurkeyKocaeli University Faculty of Medicine, Department of General Surgery, Kocaeli, TurkeyObjective: Sacrococcygeal pilonidal disease is a chronic discharging wound that causes pain and loss of quality of life. Phenol application is an outpatient procedure with low complications and low recurrence rates. We evaluated the radiological, histological, and clinical results of phenol application. Methods: A total of 44 consecutive patients with sacrococcygeal pilonidal disease underwent phenol application in Kocaeli University Faculty of Medicine, General Surgery Clinic between December 2015 and March 2017. Demographics, complaints, symptom duration, and the number of sinuses were recorded. Patients were examined using ultrasonography (USG) before surgery and two months after surgery. Four patients who wanted rhomboid excision and Limberg flap procedure underwent preoperative local phenol application and were excluded from the study. The excised tissues were used for pathological evaluation. Results: Purulent discharge was the leading symptom. All of the patients had hair in the preoperative USG evaluation, whereas five patients had still hairs in the sinuses in the postoperative USG examination. Four of these cases had recurrences on a 2-month follow-up. After phenol application, a 10% volume decrease was observed. Pathological examination was performed in four cases with phenol application, and in pathological material, the sinuses looked sclerotic and fibrotic. Conclusions: Our study revealed that a single phenol application achieved 90% success. However, no significant difference was observed in the cavity volume after phenol injection.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-22566pilonidal sinusphenolultrasonographyhistology |
| spellingShingle | Tonguc Utku YILMAZ Omer YAVUZ Ahmet Oktay YIRMIBESOGLU Hasan Tahsin SARISOY Cigdem VURAL Umay KIRAZ Nihat Zafer UTKAN Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol Injection Medeniyet Medical Journal pilonidal sinus phenol ultrasonography histology |
| title | Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol Injection |
| title_full | Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol Injection |
| title_fullStr | Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol Injection |
| title_full_unstemmed | Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol Injection |
| title_short | Radiological, Clinical, and Histological Findings in the Treatment of Pilonidal Sinus with Phenol Injection |
| title_sort | radiological clinical and histological findings in the treatment of pilonidal sinus with phenol injection |
| topic | pilonidal sinus phenol ultrasonography histology |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-22566 |
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