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International Journal of Colorectal Disease

, Volume 9, Issue 4, pp 200–202 | Cite as

Treatment of pilonidal sinuses by phenol injections

  • I. H. F. Schneider
  • K. Thaler
  • F. Köckerling
Original Articles

Abstract

Six female and 39 male outpatients, who suffered from acutely inflamed pilonidal sinus were treated by sclerotherapy between January 1985 and December 1988. Under local anaesthesia, 1–2 ml 80% phenol was injected into the sinus. The phenol, which was allowed to act for a minute, was washed out by irrigating the sinus with physiological common-salt solution. Of the questionnaire sent to all 45 patients, 37 proved suitable for evaluation. Complete healing occurred in 22 cases (59,8%). The healing time was 6.2 weeks on average. Besides a rather frequently observed transient reddening as a result of the local inflammation caused by the phenol, 5 patients developed an abcess which needed operative treatment. This study does not support the encouraging results of previous series.

Keywords

Public Health Internal Medicine Phenol Local Anaesthesia Operative Treatment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Six femmes et 39 hommes ont été traités entre janvier 1985 et décembre 1988 d'un sinus pilonidal non enflammé au moyen de sclérothérapie. En anesthésie locale, 1 à 2 ml d'une solution à 80% de phénol sont injectés dans le sinus. Le phénol est laissé en place durant 1 minute puis le sinus est irrigué avec une solution physiologique habituelle. Un questionnaire a été envoyé à 45 patients; 37 questionnaires sont utilisables pour l'évaluation. Une guérison compléte survient chez 22 patients (59,5%). Le temps de guérison moyen est de 6,2 semaines. En dehors d'une rougeur transitoire observée fréquemment en réponse á une inflammation causée par le phénol, 5 patients ont développé un abcès nécessitant un traitement chirurgical. Cette étude ne confirme donc pas les résultats encourageants d'autres séries.

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • I. H. F. Schneider
    • 1
  • K. Thaler
    • 1
  • F. Köckerling
    • 1
  1. 1.Surgical Clinic with Polyclinic of the University of Erlangen-NürnbergErlangenGermany

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