Skip to main content
SpringerLink
Log in

The Results of a One-Time Crystallized Phenol Application for Pilonidal Sinus Disease

  • Original Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

The aim of this study was to investigate the cure rate after a one-time phenol application for pilonidal sinus disease. Forty-eight patients diagnosed with pilonidal sinus from May 2006 to September 2009 were retrospectively reviewed. They were all managed under the same polyclinic conditions in different hospitals by the same surgeon under local anesthesia. Crystallized phenol was applied a total of 97 times on 48 patients. The median follow-up was 22 months (range, six to 38 months). Two patients (4 %) could not participate in the follow-up. One of these patients had 12 sinuses and didn’t continue treatment after eight applications of phenol, and the other had nine sinuses and didn’t continue treatment after five applications of phenol. The one-time application cure rate was 64.5 %, and the rate of success was 95 % with two or more applications. Recurrence did not occur during this period. A one-time phenol application is an effective treatment for pilonidal sinus disease. Hence, it can be an alternative to surgical treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. 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 9:21–24

    Article  CAS  PubMed  Google Scholar 

  2. Anderson AW (1847) Hair extracted from an ulcer. Boston Med Surg J 36:74–76

    Google Scholar 

  3. Warren JM (1854) Abscess containing hair on the nates. Artı J Med Sci 28:112

    Google Scholar 

  4. Hodges RM (1880) Pilonidal sinüs. Boston Med Surg J 103:485–486

    Article  Google Scholar 

  5. Hull TL, Wu J (2002) Pilonidal disease. Surg Clin North Am 82(6):1169–1185

    Article  PubMed  Google Scholar 

  6. da Silva JH (2000) Pilonidal cyst: cause and treatment. Dis Colon Rectum 43(8):1146–1156

    Article  PubMed  Google Scholar 

  7. Schoeller T, Wechselberger G, Otto A, Papp C (1997) Definite surgical treatment of complicated recurrent pilonidal disease with a modified fasciocutaneous V-Y advancement flap. Surgery 121(3):258–263

    Article  CAS  PubMed  Google Scholar 

  8. Maurice BA, Greenwood RK (1964) A conservative treatment of pilonidal sinus. Br J Surg 51:510–512

    Article  CAS  PubMed  Google Scholar 

  9. Dogru O, Camci C, Aygen E, Girgin M, Topuz O (2004) Pilonidal sinus treated with crystallized phenol: an eight-year experience. Dis Colon Rectum 47:1934–1938

    Article  PubMed  Google Scholar 

  10. Meher R, Sethi A, Sareen D, Bansal R (2006) Pilonidal sinus of the neck. J Laryngol Otol 120:5

    Article  Google Scholar 

  11. Ferdinand RD, Scott DJ, McLean NR (1997) Pilonidal cyst of the breast. Br J Surg 84:784

    Article  CAS  PubMed  Google Scholar 

  12. Thomas D (2002) Comparison of three methods in surgical treatment of pilonidal disease. ANZ J Surg 72(7):528

    Article  PubMed  Google Scholar 

  13. Kapan M, Kapan S, Pekmezci S, Durgun V (2002) Sacrococcygeal pilonidal sinus disease with Limberg flap repair. Tech Coloproctol 6(1):27–32

    Article  CAS  PubMed  Google Scholar 

  14. McGuinness JG, Winter DC, OConnell PR (2003) Vacuum-assisted closure of a complex pilonidal sinus. Dis Colon Rectum 46(2):274–276

    Article  PubMed  Google Scholar 

  15. Katsoulis IE, Hibberts F, Carapeti EA (2006) Outcome of treatment of primary and recurrent pilonidal sinuses with the Limberg flap. Surgeon 4(1):7–10

    Google Scholar 

  16. Aslam MN, Shoaib S, Choudhry AM (2009) Use of lımberg flap for pılonıdal sınus—a vıable option. J Ayub Med Coll Abbottabad 21(4):31–33

    PubMed  Google Scholar 

  17. Abdel-razek ESM (2006) Cleft lift operation for recurrent pilonidal sinus repair; two years experience. Egypt J Plast Reconstr Surg 30(1):7–11

    Google Scholar 

  18. Liboni NS, Fregnani CHTG (2007) Preliminary results from 28 cases of pilonidal cyst treated by excision and primary closure of the wound, reinforced with support suturing. Einstein 5(2):148–152

    Google Scholar 

  19. Kayaalp C, Olmez A, Aydin C, Piskin T, Kahraman L (2010) Investigation of a one-time phenol application for pilonidal disease. Med Princ Pract 19(3):212–215

    Article  PubMed  Google Scholar 

  20. Kelly SB, Graham WJ (1989) Treatment of pilonidal sinus by phenol injection. Ulster Med J 58:56–59

    CAS  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Faculty of Medicine, Firat University, Elazig, Turkey

    Mustafa Girgin

  2. Department of General Surgery, Elazig Training and Research Hospital, Elazig, Turkey

    Burhan Hakan Kanat

Authors
  1. Mustafa Girgin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Burhan Hakan Kanat
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Burhan Hakan Kanat.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Girgin, M., Kanat, B.H. The Results of a One-Time Crystallized Phenol Application for Pilonidal Sinus Disease. Indian J Surg 76, 17–20 (2014). https://doi.org/10.1007/s12262-012-0548-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-012-0548-y

Keywords

Search

Navigation