Fibrin glue in the treatment for pilonidal sinus: high patient satisfaction and rapid return to normal activities
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.
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.
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.
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.
KeywordsPilonidal sinus Fibrin glue Bascom New treatment
Conflict of interest
- 6.Eryilmaz R (1973) Surgical treatment of sacrococcygeal pilonidal sinus. Lancet 2:1414–1415Google Scholar
- 8.Tisseel product information PDF. http://www.baxter.com/downloads/healthcare_professionals/products/Tisseel_PI.pdf
- 10.National patient safety agency, National Research Ethics Service. Defining research Leaflet. www.nres.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=355
- 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