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Indian Journal of Surgery

, Volume 76, Issue 1, pp 81–84 | Cite as

Crystallized Phenol Treatment of Pilonidal Disease Improves Quality of Life

  • Ömer TopuzEmail author
  • Selim Sözen
  • Mustafa Tükenmez
  • Sezgin Topuz
  • Ümit Erkan Vurdem
Original Article

Abstract

The effects of crystallized phenol treatment of pilonidal sinus on quality of life has not been investigated before. This study aimed to compare the phenol treatment with surgical excision plus primary closure technique in terms of life quality by means of a life quality questionnaire. This is a prospective randomized clinical study. The study was conducted at Training and Teaching Hospital, Kayseri, Turkey. In total, 40 patients with pilonidal disease were randomly assigned into 2 clinically comparable groups between September 2010 and June 2011. Cristallyzed phenol application was done to 20 patients and surgical excision plus primary closure was done to 20 patients for the treatment of pilonidal disease. Data regarding demographic variables were recorded. To evaluate quality of life and patient comfort all patients asked to fill the questionnaire after complete healing occurred. There was no difference between the groups in age, sex and occupation. Two of the 20 patients in the excision and primary closure group had complication of wound dehiscience and needed prolonged wound care. There was significant differences in favor of the phenol group in all terms of life quality except for complete healing time. As a first degree treatment, phenol treatment is better than the other treatment choices of pilonidal disease in terms of time off work perioperative pain, being away from school and social life. Also phenol treatment can be done without any pretreatment laboratory examination. Further studies will be needed about cost-effectivity of phenol treatment.

Keywords

Crystallized phenol treatment Pilonidal sinus Quality of life 

Notes

Author disclosure statement

The authors do not have any commercial associations that might pose a conflict of interest in connection with this article.

Funding

There is no funding or any financial relationship.

References

  1. 1.
    Lukish JR, Kindelan T, Marmon LM, Pennington M, Norwood C (2009) Laser epilation is a safe and effective therapy for teenagers with pilonidal disease. J Pediatr Surg 44(1):282–285PubMedCrossRefGoogle Scholar
  2. 2.
    Kayaalp C, Aydin C (2009) Review of phenol treatment in sacrococcygeal pilonidal disease. Tech Coloproctol 13(3):189–193PubMedCrossRefGoogle Scholar
  3. 3.
    Lee SL, Tejirian T, Abbas MA (2008) Current management of adolescent pilonidal disease. J Pediatr Surg 43(6):1124–1127PubMedCrossRefGoogle Scholar
  4. 4.
    Ertan T, Koc M, Gocmen E, Aslar AK, Keskek M, Kilic M (2005) Does technique alter quality of life after pilonidal sinus surgery? Am J Surg 190(3):388–392PubMedCrossRefGoogle Scholar
  5. 5.
    Brunicardi F, Andersen D, Billiar T, Dunn D (2010) Schwartz’s principles of surgery, 9th ed., p. 710Google Scholar
  6. 6.
    Aygen E, Arslan K, Dogru O, Basbug M, Camci C (2010) Crystallized phenol in nonoperative treatment of previously operated, recurrent pilonidal disease. Dis Colon Rectum 53(6):932–935PubMedCrossRefGoogle Scholar
  7. 7.
    Doğru O, Camci C, Aygen E, Girgin M, Topuz O (2004) Pilonidal sinus treated with crystallized phenol: an 8 year experience. Dis Colon Rectum 47(11):1934–1938PubMedCrossRefGoogle Scholar
  8. 8.
    Goligher J (1984) Surgey of anus, rectum and colon, 5th edn. Bailliere Tindall, London, pp 221–236Google Scholar
  9. 9.
    Ekci B, Gokce O (2009) A new flap technique to treat pilonidal sinus. Tech Coloproctol 13:205–209PubMedCrossRefGoogle Scholar
  10. 10.
    Seleem M, Al-Hashemy AM (2005) Management of pilonidal sinus using fibrin glue: a new concept and preliminary experience. Color Dis 7(4):319–322CrossRefGoogle Scholar
  11. 11.
    Spyridakis M, Christoduolidis G, Chatszitheofilou C, Symeonidis D, Tepetes C (2009) The role of the platelet-rich plasma in accelerating the wound healing process and recovery in patients being operated for pilonidal sinus disease: preliminary results. World J Surg 33:1764–1769PubMedCrossRefGoogle Scholar
  12. 12.
    Gidwani AL, Murugan K, Nasir A, Brown R (2010) Incise and lay open: an effective procedure for coccygeal pilonidal sinus disease. Ir J Med Sci 179:207–210PubMedCrossRefGoogle Scholar
  13. 13.
    Aydede H, Erhan Y, Sakarya A, Kumkumoglu Y (2001) Comparison of three methods in surgical treatment of pilonidal disease. ANZ J Surg 71(6):362–364PubMedCrossRefGoogle Scholar
  14. 14.
    Kaymakcioglu N, Yagci G, Simsek A, Unlu A, Tekin OF, Cetiner S, Tufan T (2005) Treatment of pilonidal sinus by phenol application and factors affecting the recurrence. Tech Coloproctol 9:21–24PubMedCrossRefGoogle Scholar
  15. 15.
    Gips M, Melki Y, Salem L, Weil R, Sulkes J (2008) Minimal surgery for pilonidal disease using trephines: description of a new technique and long-term outcomes in 1,358 patients. Dis Colon Rectum 51(11):1656–1662PubMedCrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2012

Authors and Affiliations

  • Ömer Topuz
    • 1
    Email author
  • Selim Sözen
    • 1
  • Mustafa Tükenmez
    • 1
  • Sezgin Topuz
    • 2
  • Ümit Erkan Vurdem
    • 3
  1. 1.Kayseri Training and Teaching Hospital, General Surgery ClinicKayseriTurkey
  2. 2.Bitlis State Hospital, General Surgery ClinicBitlisTurkey
  3. 3.Kayseri Training and Teaching Hospital, Radiology ClinicKayseriTurkey

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