Advertisement

Techniques in Coloproctology

, Volume 17, Issue 1, pp 101–104 | Cite as

Fibrin glue in the treatment for pilonidal sinus: high patient satisfaction and rapid return to normal activities

  • E. Elsey
  • J. N. Lund
Original Article

Abstract

Background

Pilonidal sinus is a common condition often managed with invasive surgery associated with a significant morbidity and often a prolonged recovery time. Fibrin glue has been used in our institution as an alternative to conventional surgery. The purpose of this study was to perform a service evaluation of patient satisfaction and recovery following fibrin glue treatment for pilonidal sinus.

Methods

All pilonidal glue procedures for a single surgeon were identified from theatre and consultant diary records from March 2007 to September 2011. A questionnaire was sent by post to all patients. Patient satisfaction, time to return to normal activities, the need for further procedures and whether they would recommend a glue procedure to a friend were evaluated.

Results

Ninety-three patients were identified, accounting for a total of 119 glue procedures and 57/93 responses were received (61 %). The median age of respondents was 26 (17–70) years. Seventy-nine per cent (n = 45) were satisfied, pleased or very pleased with the result of their procedure. Fifty-four per cent (n = 31) were back to normal activities within a week with a further 17 % (n = 10) back to normal activities within 2 weeks. Seventy-four per cent (n = 42) required no further treatment. Of the 15 patients requiring a further procedure, 3 went on to have a repeat glue treatment which resulted in complete healing. Eighty-two per cent (n = 47) would recommend a glue procedure to a friend.

Conclusions

Fibrin gluing for pilonidal sinus should be considered as first-line treatment for most pilonidal sinuses. It has a high level of patient satisfaction and allows a rapid return to normal activities in this group of patients of working age.

Keywords

Pilonidal sinus Fibrin glue Bascom New treatment 

Notes

Conflict of interest

None.

References

  1. 1.
    Allen-Mersh TG (1990) Pilonidal sinus: finding the right track for treatment. Br J Surg 77:123–132PubMedCrossRefGoogle Scholar
  2. 2.
    Patey DH, Scarff RW (1946) Pathology of postanal pilonidal sinus: its bearing on treatment. Lancet 2:484–486PubMedCrossRefGoogle Scholar
  3. 3.
    McCallum IJ, King PM, Bruce J (2008) Healing by primary closure versus open healing after surgery for pilonidal sinus: systematic review and meta-analysis. BMJ 336:868–871PubMedCrossRefGoogle Scholar
  4. 4.
    Petersen S (2002) Primary closure techniques in chronic pilonidal sinus. Dis Colon Rectum 45:1458–1467PubMedCrossRefGoogle Scholar
  5. 5.
    Nessar G (2004) Elliptical rotation flap for pilonidal sinus. Am J Surg 187:300PubMedCrossRefGoogle Scholar
  6. 6.
    Eryilmaz R (1973) Surgical treatment of sacrococcygeal pilonidal sinus. Lancet 2:1414–1415Google Scholar
  7. 7.
    Lund JN, Leveson SH (2005) Fibrin glue in the treatment of pilonidal sinus: results of a pilot study. Dis Colon Rectum 48:1094–1096PubMedCrossRefGoogle Scholar
  8. 8.
  9. 9.
    Greenberg R (2004) Treatment of pilonidal sinus disease. Tech Coloproctol 8:95–98PubMedCrossRefGoogle Scholar
  10. 10.
    National patient safety agency, National Research Ethics Service. Defining research Leaflet. www.nres.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=355
  11. 11.
    AL-Khamis A, McCallum I, King PM, Bruce J (2010) Healing by primary versus secondary intention after surgical treatment for pilonidal sinus. Cochrane Database Syst Rev 20:CD006213Google Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  1. 1.Department of SurgeryRoyal Derby HospitalDerbyUK
  2. 2.Division of Surgery, School of Graduate Entry Medicine and HealthUniversity of NottinghamDerbyUK

Personalised recommendations