Fibrin glue in the treatment of pilonidal sinus: results of a pilot study.
ABSTRACT Pilonidal sinus is a common condition of uncertain etiology. There is no agreed best surgical treatment. Treatment of fistula-in-ano has been described with some success with fibrin tissue glue. The use of fibrin glue is investigated in this pilot study.
Six patients with chronic pilonidal sinus were treated with injection of fibrin tissue glue after curettage of the pits.
There were no complications. Postoperative discomfort was minimal and early return to normal activities was possible. There was no recurrence of disease in five of six patients at one year.
Fibrin tissue glue may be a possible novel treatment for pilonidal disease.
Diseases of the Colon & Rectum 09/2013; 56(9):1021-7. DOI:10.1097/DCR.0b013e31829d2616 · 3.20 Impact Factor
Article: The Authors ReplyDiseases of the Colon & Rectum 12/2005; 48(12). DOI:10.1007/s10350-005-0193-7 · 3.20 Impact Factor
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ABSTRACT: Pilonidal sinus disease is a common disabling condition affecting the natal clefts of the buttocks. We analyze the role of fibrin glue in the treatment of selected patients with pilonidal sinus disease. Forty patients diagnosed with pilonidal sinus disease at Vakif Gureba Training and Research Hospital were treated between December 2007 and December 2011. Recurrence was noted in four patients (10%). Ninety percent of patients had no recurrence one year later (95% confidence interval: 0.85-0.95). This procedure is suggested as a first line of treatment for patients with no prior history of infection and who have only one sinus orifice.International Journal of Clinical and Experimental Medicine 01/2014; 7(4):1047-51. · 1.42 Impact Factor