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Diseases of the Colon & Rectum

, Volume 48, Issue 5, pp 1094–1096 | Cite as

Fibrin Glue in the Treatment of Pilonidal Sinus: Results of a Pilot Study

  • Jonathan N. Lund
  • Stephen H. Leveson
Technical Note

INTRODUCTION

Pilonidal sinus is a common condition of uncertain etiology. There is no agreed best surgical treatment. Treatment of fistula-in-ano has been described with some success with fibrin tissue glue. The use of fibrin glue is investigated in this pilot study.

METHODS

Six patients with chronic pilonidal sinus were treated with injection of fibrin tissue glue after curettage of the pits.

RESULTS

There were no complications. Postoperative discomfort was minimal and early return to normal activities was possible. There was no recurrence of disease in five of six patients at one year.

CONCLUSIONS

Fibrin tissue glue may be a possible novel treatment for pilonidal disease.

Key words

Pilonidal sinus Fibrin tissue glue Nonoperative 

REFERENCES

  1. 1.
    Allenmersh, TG 1990Pilonidal-sinus: finding the right track for treatmentBr J Surg7712332PubMedGoogle Scholar
  2. 2.
    Petersen, S, Koch, R, Stelzner, S, Wendlandt, T-P, Ludwig, K 2002Primary closure techniques in chronic pilonidal sinus: a survey of the results of different surgical approachesDis Colon Rectum45145867PubMedGoogle Scholar
  3. 3.
    Nessar, G, Kayaalp, C, Seven, C 2004Elliptical rotation flap for pilonidal sinusAm J Surg1873003PubMedGoogle Scholar
  4. 4.
    Eryilmaz, R, Sahin, M, Alimoglu, O, Dasiran, F 2003Surgical treatment of sacrococcygeal pilonidal sinus with the Limberg transposition flapSurgery1347459PubMedGoogle Scholar
  5. 5.
    Karydakis, GE 1973New approach to the problem of pilonidal sinusLancet214145PubMedGoogle Scholar
  6. 6.
    Bascom, J 1990Pilonidal sinusFazio, VW eds. Current therapy in colon and rectal surgeryDeckerPhiladelphia329Google Scholar
  7. 7.
    Lynch, JB, Laing, AJ, Regan, PJ 2004Vacuum-assisted closure therapy: a new treatment option for recurrent pilonidal sinus disease. Report of three casesDis Colon Rectum4792932PubMedGoogle Scholar
  8. 8.
    Cintron, JR, Park, JJ, Orsay, CP, Pearl, RK, Nelson, RL, Abcarian, H 1999Repair of fistulas-in-ano using autologous fibrin tissue adhesiveDis Colon Rectum4260713PubMedGoogle Scholar
  9. 9.
    Vitale, A, Barberis, G, Maida, P, Salzano, A 1992L’uso del collante biologico nel trattamento chirurgico delle fistole sacro-coccigeeGiorn Chir132712Google Scholar
  10. 10.
    Loder, P 2000Minor anorectal conditionsPhillips, R eds. Colorectal surgeryWB SaundersLondon289318Google Scholar

Copyright information

© The American Society of Colon and Rectal Surgeons 2005

Authors and Affiliations

  1. 1.Wolfson Digestive Diseases Centre, School of Medical and Surgical Sciences, University of NottinghamThe Medical School, Derby City HospitalDerbyUnited Kingdom
  2. 2.Academic Surgical UnitYork HospitalYorkUnited Kingdom

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