Pilonidal sinus disease is a common problem of sacrococcygeal region. However, it is also observed in the periumbilical area. There are only a few reports about umbilical pilonidal sinus in the literature. In this study, 26 patients (24 men (92 %), 2 women (8 %) with a mean age of 22 years) with umbilical pilonidal sinus disease were included. Predisposing factors, patient characteristics, treatment modalities, and their results have been studied. Male sex, young age, hairiness, deep navel, and poor personal hygiene were found to be predisposing factors. Twenty-five patients were treated conservatively. However, two patients failed to respond to conservative treatment. Those patients underwent surgery where umbilectomy was carried out without reconstruction. One patient was also operated on for the preoperative misdiagnosis of irreducible umbilical hernia. Patients were followed for 14-96 months. We recommend conservative treatment in patients with umbilical pilonidal sinus. Surgery should be performed in recurrent cases resistant to conservative treatment. The importance of differential diagnosis of umbilical pilonidal sinus from other umbilical pathologies is also emphasized.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00268-005-7895-9 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Laser hair depilation therapy for pilonidal sinus disease: A 5-year, retrospective experience in a University Teaching Hospital in the UK, 2017-2023.
Clin Exp Dermatol
January 2025
University of Wolverhampton Faculty of Education, Health and Wellbeing, Walsall, UK.
Background: Pilonidal sinus disease (PSD) is a chronic debilitating condition predominantly affecting young men. Laser hair depilation is an established adjunct to surgical treatment for PSD and can lead to reduced rates of recurrence, and post-surgical interventions.This study aimed to assess the outcome of laser hair depilation therapy on disease progression in pilonidal sinus disease patients at the Birmingham Skin Regional Laser Centre.
View Article and Find Full Text PDFLived experience of pilonidal sinus disease: Systematic review and meta-ethnography.
Colorectal Dis
January 2025
Department of Colorectal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Aim: Pilonidal sinus disease (PSD) poses significant treatment challenges due to a lack of consensus on the diverse range of surgical approaches routinely employed, prompting a renewed focus on the patient experience. The aim of this study was to explore the lived experience of patients with PSD to better inform future person-centred treatment.
Method: A systematic review was performed to identify papers reporting qualitative studies on the lived experience of PSD.
Surgical combination for umbilical pilonidal sinus: Punch excision followed by chemical cauterization of base with 88% phenol.
JAAD Case Rep
January 2025
Department of Dermatology, Assistant Director-The Humanitarian Clinic: Skin, Hair and Laser Centre, Mumbai, Maharashtra, India.
Objective: Limberg flap, is a rotational rhomboid flap. A procedure done for people who have either complex or recurrent pilonidal disease. This study has been performed to determine effects of the Limberg flap for sacrococcygeal pilonidal sinus, regarding the wound infection rate, seroma formation, postoperative pain relief, recurrence rates, return to work, its cosmetic final result and patients' satisfaction.
View Article and Find Full Text PDFEvaluation of Clinical Outcomes and Quality of Life following the Karydakis Flap Procedure for Pilonidal Sinus Treatment.
Adv Skin Wound Care
January 2025
At the Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Paracelsus Medical University, Klinikum Nürnberg, Germany, David Breidung, MD, is Resident, and Moritz Billner, MD, is Attending Physician. Philipp Buben, MD, is Resident, Department for Plastic and Reconstructive Surgery, Burn Unit, BG Kliniken Bergmannstrost, Germany. Gerrit Grieb, MD, PhD, is Head of Department, Department of Plastic Surgery and Hand Surgery, Gemeinschaftskrankenhaus Havelhoehe, Germany. Also in the Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Paracelsus Medical University, Klinikum Nürnberg, Reiner Sievers, MD, is Attending Physician; Bert Reichert, MD, is Professor and Head of Department; Ioannis-Fivos Megas, MD, is past Chief Resident; and André A. Barth, MD, is Chief Resident.
Objective: To evaluate the clinical outcome of the Karydakis flap procedure performed by a single surgeon for the treatment of pilonidal sinus, focusing on postoperative complications, recurrence rate, wound healing time, and return to daily life.
Methods: Authors performed a retrospective data analysis of patients who underwent reconstruction of pilonidal sinus using the Karydakis technique at the Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries of Paracelsus Medical University, Klinikum Nürnberg, Germany, between 2014 and 2021. All cases were performed by a single surgeon.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!