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

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.

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References

  1. 1.

    Allen-Mersh TG (1990) Pilonidal sinus: finding the right track for treatment. Br J Surg 77:123–132

    PubMed  Article  CAS  Google Scholar 

  2. 2.

    Patey DH, Scarff RW (1946) Pathology of postanal pilonidal sinus: its bearing on treatment. Lancet 2:484–486

    PubMed  Article  CAS  Google 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 336:868–871

    PubMed  Article  Google Scholar 

  4. 4.

    Petersen S (2002) Primary closure techniques in chronic pilonidal sinus. Dis Colon Rectum 45:1458–1467

    PubMed  Article  Google Scholar 

  5. 5.

    Nessar G (2004) Elliptical rotation flap for pilonidal sinus. Am J Surg 187:300

    PubMed  Article  Google Scholar 

  6. 6.

    Eryilmaz R (1973) Surgical treatment of sacrococcygeal pilonidal sinus. Lancet 2:1414–1415

    Google Scholar 

  7. 7.

    Lund JN, Leveson SH (2005) Fibrin glue in the treatment of pilonidal sinus: results of a pilot study. Dis Colon Rectum 48:1094–1096

    PubMed  Article  Google Scholar 

  8. 8.

    Tisseel product information PDF. http://www.baxter.com/downloads/healthcare_professionals/products/Tisseel_PI.pdf

  9. 9.

    Greenberg R (2004) Treatment of pilonidal sinus disease. Tech Coloproctol 8:95–98

    PubMed  Article  CAS  Google 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:CD006213

    Google Scholar 

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Elsey, E., Lund, J.N. Fibrin glue in the treatment for pilonidal sinus: high patient satisfaction and rapid return to normal activities. Tech Coloproctol 17, 101–104 (2013). https://doi.org/10.1007/s10151-012-0956-9

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Keywords

  • Pilonidal sinus
  • Fibrin glue
  • Bascom
  • New treatment