Scarless outpatient ablation of pilonidal sinus: a pilot study of a new minimally invasive treatment. Issue 5 (14th August 2014)

• Record Type: Journal Article
• Authors: Neola, Benedetto; Capasso, Stefano; Caruso, Luca; Falato, Armando; Ferulano, Giuseppe P
• Is Part Of: International wound journal. Volume 13:Issue 5(2016)
• Page Start: 705
• Page End: 708
• Publication Date: 2014-08-14
• Subjects: Farrell applicator -- Minimally invasive -- Outpatient -- Pilonidal disease -- Scarless; Wounds and injuries -- Treatment -- Periodicals; Wounds and injuries -- Periodicals; Wound healing -- Periodicals; 617.1005
• DOI: 10.1111/iwj.12350
• Languages: English
• ISSNs: 1742-4801

Abstract

Abstract: Pain and secretion of purulent materials are symptoms that are often associated with the pilonidal sinus. Generally, these symptoms are neglected by patients for a long time. Patients seek medical attention too late, fearing a prolonged period of pain and inability after surgery. The optimal therapy for pilonidal sinus should have the following characteristics: high healing rate, low recurrence rate, minimal postoperative pain and low cost. The aim of this study is to explore the effectiveness and safety of a new minimally invasive treatment: the scarless outpatient ablation of pilonidal sinus (SOAP). A total of 31 consecutive patients were enrolled; 27 of 31 patients were declared healed after the surgery (87·09%). After 1 year, only 4 of 27 patients (14·81%) reported symptoms related to recurrence of the disease. The average duration of the operation was 7·47 minutes. Patients reported the disappearance of painful symptoms after approximately 2·62 days and had been away from work for 0·53 days. No complications were recorded during the period of study. The advantages of the procedure examined in this study are its simplicity and rapidity of execution, its outpatient setting, its low cost and lack of complications. In our opinion, a randomised controlled trial should be conducted to validate the results related to this technique.