Online ISSN: 2515-8260

Keywords : Pilonidal sinus

Assessment of etiological factors in umbilical pilonidal sinus

Dr. Nitin Shiwach, Dr. Abhishek Jain, Dr. Sharad Kumar Dr. Anuj Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 991-994

Background: Pilonidal sinus (PS) is a chronic inflammatory disease which is characterized by a granulomatous reaction to fragments of hair shaft penetrating epidermis from the cutaneous surface. The present study was conducted to assess etiological factors in umbilical pilonidal sinus.
Materials & Methods: 58 cases of umbilical pilonidal sinus of both genders were enrolled. Patients were put in group I and healthy subjects in group II (control group). Parameters such as body mass index, profession, skin colour, personal history of PS, family history of PS, how frequently they take a bath, and whether they wear tight clothes and use belt.
Results: Out of 58 patients, males were 38 and females were 20. The mean BMI (Kg/m2) was 24.1 and 26.4, skin colour was darkin 28 and 32, brown in 13 and 10, blond in 10 and 9 and white in 7 and 7. Frequency of taking baths was less than twice a week in 34 and 40 and more than twice a week in 24 and 18. Familial history was seen in 6 and personal history in 3 patients. Belts were used by 35 and 40 and wearing tight cloths seen in 42 and 26 in group I and II respectively. The difference was significant (P< 0.05).
Conclusion: Common etiological factors were familial history, personal history, wearing tight cloths and belts etc.

Comparison between Perforator Dependent Island Flap and Limberg Flap for Treatment of Pilonidal Sinus

Ahmed Samy Fawzy, Doaa Omar Refaat, Abd Elhafez Mohammad Elshewail, Abd-Elrahman M. Metwalli

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3325-3334

Background: The optimal operation for pilonidal sinus disease should be a
straightforward one with low complication and recurrence rates. This is
accomplished by flap techniques which flatten the natal cleft with an off-midline
closure. The aim of this research was to compare two commonly used flap
strategies in Zagazig university hospitals in terms of complications, recurrence
rates, and patient satisfaction.
Patients and methods: 24 patients with pilonidal sinus disease were split into two
categories in this interventional comparative clinical review. The superior gluteal
artery perforator based flap was used to close the defect after complete excision of
the sinus and its side branches in Group 1 while Group (2): were operated with total
excision of the sinus and its side branches followed by closure of the defect using
the Limberg flap. Patients were followed up weekly for the first 4 postoperative
weeks and after that a visit once a month.
Results:In terms of postoperative wound complications, the gap between our two
classes was negligible. Recurrence occurred in none of the patients in group (1)
and one-sixth of the patients in group (2), but the disparity was statistically
insignificant with a P value of 0.478. In the SGAP community, patient satisfaction
with the operation was non-significantly higher.
Conclusion: Both perforator dependent island flap and limberg flap are safe
procedures and provide effective treatment for pilonidal sinus disease with low rate
of complications and recurrence.