A Systematic Review of Fibrin Glue as an Ideal Treatment for the Pilonidal Disease

被引：6

作者：

Win, Myat ^{[1
,2
]}

Went, Terry R. ^{[2
]}

Ruo, Sheila W. ^{[3
]}

Kannan, Amudhan ^{[2
,4
]}

Dominic, Jerry Lorren ^{[2
,5
,6
,7
]}

Sultan, Waleed ^{[8
,9
,10
]}

Kantamaneni, Ketan ^{[2
,11
]}

Yanamala, Vijaya Lakshmi ^{[2
]}

Tara, Anjli ^{[2
,12
]}

Elshaiksh, Abeer. O. ^{[13
]}

机构：

[1] Nottingham Univ Hosp NHS Trust, Gen Surg, Nottingham, England

[2] Calif Inst Behav Neurosci & Psychol, Surg, Fairfield, CA 94534 USA

[3] Calif Inst Behav Neurosci & Psychol, Res, Fairfield, CA USA

[4] Jawaharlal Inst Postgrad Med Educ & Res, Surg, Pondicherry, India

[5] Cornerstone Reg Hosp, Gen Surg & Orthopaed Surg, Edinburg, TX USA

[6] Stony Brook Southampton Hosp, Gen Surg, New York, NY USA

[7] LaSante Hlth Ctr, Surg, Brooklyn, NY USA

[8] Beni Suef Univ, Med, Fac Med, Bani Suwayf, Egypt

[9] Calif Inst Behav Neurosci & Psychol, Neurol, Fairfield, CA USA

[10] Halifax Hlth Med Ctr, Surg, Daytona Beach, FL USA

[11] Dr Pinnamaneni Siddhartha Inst Med Sci & Res Fdn, Surg, Gannavaram, India

[12] Liaquat Univ Med & Hlth Sci, Gen Surg, Jamshoro, Pakistan

[13] Calif Inst Behav Neurosci & Psychol, Internal Med, Fairfield, CA USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2021年 / 13卷 / 08期

关键词：

pilonidal sinus treatment; postoperative recovery; fibrin glue; outcome measure; adolescent and young adults; SINUS DISEASE; RISK-FACTORS; MANAGEMENT; RECURRENCE; GUIDELINES; SURGERY; SOCIETY;

D O I：

10.7759/cureus.16831

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pilonidal sinus is an acquired condition caused by irritation to the hair follicles at the natal cleft, presenting with an abscess or chronic infection. It is prevalent in young adults affecting their productive lifestyle with morbidities. There are varieties of treatment options; however, there is no consensus yet for the ideal procedure. Less invasive procedures have evolved to replace the traditional surgical techniques, which cannot significantly reduce the risks of recurrence and wound complications despite extensive surgeries. We aimed to assess the effect of fibrin glue as a primary treatment after cleaning the sinus in pilonidal sinus disease. We searched for articles from PubMed (R), Ovid MEDLINE (R), Ovid EMBASE (R), and Cochrane CENTRAL. Six studies that included 336 patients in total were analyzed. Fibrin glue treatment in these studies reported a quicker return to normal activities postoperatively, a low rate of infection, and an acceptable rate of recurrence. Thus, fibrin glue seems beneficial in the management of pilonidal disease. However, further high-quality studies are essential to support and confirm this evidence. Future research should also evaluate its cost and implications in the ambulatory service.

引用

页数：8