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Comparison of Sinusectomy and Crystallized Phenol Procedure in Pilonidal Sinus Surgery
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Original Article
VOLUME: 53 ISSUE: 3
P: 485-491
2020

Comparison of Sinusectomy and Crystallized Phenol Procedure in Pilonidal Sinus Surgery

Acta Haematol Oncol Turc 2020;53(3):485-491
DOI: 10.5505/aot.2020.33602
Ergün Yüksel 1
Mehmet Akif Üstüner 2
1. University of Health Sciences Dr.Abdurrahman Yurtaslan Oncology Training and Research Hospital,Deparmant of General Surgery,Ankara,Turkey
2. University of Health Sciences Gülhane Training and Research Hospital,Deparmant of Gastroenterolojıc Surgery,Ankara,Turkey
3.
No information available.
No information available
Received Date: 2020-05-13T01:38:20
Accepted Date: 2020-12-30T17:41:47
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Abstract

INTRODUCTION

Surgical treatment of Pilonidal Sinus Disease (PSD) is still controversial and there is no consensus on the best treatment strategy. In our study, we compared sinusectomy method with (S) crystallized phenol(CP) method.

METHODS

Our study was designed prospectively and conducted retrospectively. In our study, 164 patients, who were operated for uncomplicated PSD between 2017-2020, were included. 44 of the patients underwent CP and 120 underwent S operation. Patients were followed for an average of 16 months. Age, sex, type of operation, presence of primary or recurrence, number of sinuses, BMI indexes, sinus size, how many different areas of sinus orifices, complications, duration of use of antibiotics and painkillers, discharge times and wound closure times were recorded in these patients.

RESULTS

In the CP group, there were 35 (79.5%) male and 9 (20.5%) female patients. In the S group, there were 105 (87.5%) male and 15 (12.5%) female patients. The median age of the patients was 24(17-58) in the CP group and 24.5 (16-55) in the S group. The median return to work time was 1 day in both groups, but the CP group returned to work in a shorter time period (p: 0.039). Postoperative bleeding was higher in the S group (14.2%) while recurrence was higher in CP Group (4.5%) (p: 0.04). The median sinus size was 2.5 cm in the S group and 1.3 cm (p<0.01) in the CP group. Wound closure times were calculated as a median of 7 weeks in both groups and were statistically later in the group S (p<0.01). Serous discharge duration was calculated as 11 days in the CP group and 12 days in S group (p<0.01). In the S group, amoxicillin+clavulanic (89.2%) were used as empirical antibiotics and ciprofloxacin +ornidazole (59.1%) in the CP group (p<0.01).

DISCUSSION AND CONCLUSION

According to our early results, sinusectomy was found to be superior to crystallized phenol in terms of recurrence, while crystallized phenol application was more effective in terms of postoperative bleeding.