دورية أكاديمية
أعرض في EDS

Non-excisional techniques for the treatment of intergluteal pilonidal sinus disease: a systematic review.

التفاصيل البيبلوغرافية
العنوان: Non-excisional techniques for the treatment of intergluteal pilonidal sinus disease: a systematic review.
المؤلفون: Huurman EA; Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands. e.huurman@erasmusmc.nl.; Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands. e.huurman@erasmusmc.nl., Galema HA; Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.; Department of Surgery, Ikazia Hospital, Rotterdam, The Netherlands., de Raaff CAL; Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands., Wijnhoven BPL; Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands., Toorenvliet BR; Department of Surgery, Ikazia Hospital, Rotterdam, The Netherlands., Smeenk RM; Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
المصدر: Techniques in coloproctology [Tech Coloproctol] 2023 Dec; Vol. 27 (12), pp. 1191-1200. Date of Electronic Publication: 2023 Nov 06.
نوع المنشور: Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1128-045X (Electronic) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2001->: Milano, Italy : Springer-Verlag Italia
Original Publication: Rome : UCP Club,
مواضيع طبية MeSH: Pilonidal Sinus*/surgery, Humans ; Gelatin ; Neoplasm Recurrence, Local ; Wound Healing ; Phenol/therapeutic use ; Recurrence ; Treatment Outcome
مستخلص: Non-excisional techniques for pilonidal sinus disease (PSD) have gained popularity over the last years. The aim of this study was to review short and long-term outcomes for non-excisional techniques with special focus on the additive effect of treatment of the inner lining of the sinus cavity and the difference between primary and recurrent PSD. A systematic search was conducted in Embase, Medline, Web of Science Core Collection, Cochrane and Google Scholar databases for studies on non-excisional techniques for PSD including pit picking techniques with or without additional laser or phenol treatment, unroofing, endoscopic techniques and thrombin gelatin matrix application. Outcomes were recurrence rates, healing rates, complication rates, wound healing times and time taken to return to daily activities. In total, 31 studies comprising 8100 patients were included. Non-excisional techniques had overall healing rates ranging from 67 to 100%. Recurrence rates for pit picking, unroofing and gelatin matrix application varied from 0 to 16% depending on the follow-up time. Recurrence rates after additional laser, phenol and endoscopic techniques varied from 0 to 29%. Complication rates ranged from 0 to 16%, and the wound healing time was between three and forty-seven days. The return to daily activities varied from one to nine days. Non-excisional techniques are associated with fast recovery and low morbidity but recurrence rates are high. Techniques that attempt to additionally treat the inner lining of the sinus have worse recurrence rates than pit picking alone. Recurrence rates do not differ between primary and recurrent disease.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Minimally invasive procedures; Non-excisional techniques; Pilonidal sinus; Pilonidal sinus disease
المشرفين على المادة: 9000-70-8 (Gelatin)
339NCG44TV (Phenol)
تواريخ الأحداث: Date Created: 20231106 Date Completed: 20231113 Latest Revision: 20231129
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10638206
DOI: 10.1007/s10151-023-02870-7
PMID: 37930579
قاعدة البيانات: MEDLINE
الوصف
تدمد:1128-045X
DOI:10.1007/s10151-023-02870-7