A 43-year-old man presented with a painful itching penile lesion. Examination revealed multiple fistulas with protruding hairs and surrounding induration. The urologist identified them as pilonidal sinuses and surgically performed debridement. Penile pilonidal sinus is a very rare differential diagnosis of balanoposthitis, epidermal cyst and penile carcinoma.
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Lived experience of pilonidal sinus disease: Systematic review and meta-ethnography.
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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.
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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.
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Role of ultrasound-guided sacral erector spinae plane block for post-operative analgesia in pilonidal sinus surgery: A randomised trial.
J Anaesthesiol Clin Pharmacol
July 2024
Department of Anesthesia, Surgical ICU and Pain Medicine, Faculty of Medicine, Tanta University, Egypt.
Background And Aims: Pilonidal sinus surgery (PSS) can be done with local anaesthetic infiltration, spinal anaesthesia, or general anaesthesia (GA). Erector spinae plane block (ESPB) is used for peri-operative analgesia. Erector spinae muscles extend to the sacral region, so it can provide post-operative analgesia in PSS.
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