Pilonidal Disease Treatment with Pit Excision and Silver Nitrate (A Retrospective Study).

Autor: Kılc, Mahmut Burak, Dalda, Yasin, Şahin, Emrah, Kayaalp, Cüneyt
Předmět:
Zdroj: Iranian Journal of Colorectal Research; Mar2024, Vol. 12 Issue 1, p6-10, 5p
Abstrakt: Introduction: Minimally invasive treatment approaches for pilonidal disease comprise controlling tissue damage of the sinus cavity via chemical agents or lasers. Although silver is a widely used chemical for healing wounds, there are limited studies about pilonidal disease management. We aimed to evaluate the efficacy of silver nitrate on pilonidal disease. Methods: Patients who were diagnosed with pilonidal disease and were treated with silver nitrate application in Malatya, Turkey in 2018-2020 were evaluated. Silver nitrate was applied in the sinus tract following the excision of the sinus orifice with a small incision and debridement of the sinus cavity. Silver nitrate sticks were used to obtain controlled damage in the tissue of the sinus cavity for three sessions at baseline and on days one and seven. The obtained results were evaluated with the Mann Whitney U and chi-square tests. Results: 42 patients with the pilonidal disease were included in this study, and silver nitrate treatment was applied in our institute. The median age of the patients was 24 (range: 16-56) years, and all of the treatment procedures were applied in the operating room. Thirthy-three of the patients (78.6%) were accepted as treated at the end of the 12-month follow-up duration. Conclusion: Silver nitrate treatment is a simple, safe, and inexpensive minimally invasive treatment technique for pilonidal disease. This treatment can be an alternative treatment choice to other minimally invasive techniques. It is easy to perform in outpatient clinics, and the results of this study might be promising. A preprint version of this manuscript is available with DOI:10.21203/rs.3.rs-3612439/v1. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index