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Fibrin glue obliteration is safe, effective and minimally invasive as first line treatment for pilonidal sinus disease in children

Hardy, E.J.O.; Herrod, P.J.J.; Sian, T.; Boyd-Carson, H.; Blackwell, J.E.M.; Lund, J.N.; Quarmby, J.W.

Fibrin glue obliteration is safe, effective and minimally invasive as first line treatment for pilonidal sinus disease in children Thumbnail


Authors

E.J.O. Hardy

P.J.J. Herrod

T. Sian

H. Boyd-Carson

J.E.M. Blackwell

JONATHAN LUND JON.LUND@NOTTINGHAM.AC.UK
Clinical Associate Professor

J.W. Quarmby



Abstract

Background / Purpose: Sacrococcygeal pilonidal sinus disease (PSD) has an incidence of 1.2–2.5/1000 in children. Onset is around puberty. Symptoms of recurrent abscess and chronic suppuration may interfere with education and social integration. Treatments should cause minimal disruption while having good cure and recurrence rates. Curettage and Fibrin glue obliteration (FGO) show promising results in adults. We present our experience of its use in children.
Methods: Review of all pediatric patients receiving FGO of pilonidal sinus performed by a single surgeon from September 2014 to February 2018.
Results: Eighteen patients were identified. Median age was 16 (range 15–17), 55.6% were male. All procedures were completed as day cases. Median operative duration was 14 .1 (6–29) min. Twelve patients required only 1 procedure, 4 required 2 procedures, 1 required 5 procedures and 1 elected for formal excision after 2 FGO treatments. Median return to normal activities was 3 days, with 1 day school absence. Two patients developed minor surgical site infections. Median follow-up was 52 weeks (17–102), during which time there was 1 recurrence (5.6%).
Conclusion: This study demonstrates FGO is a safe, effective procedure for pediatric PNS, with results comparable to off-midline flap techniques and without the need for extensive tissue excision and the associated morbidity.

Journal Article Type Article
Acceptance Date Jul 31, 2018
Online Publication Date Sep 8, 2018
Publication Date Aug 1, 2019
Deposit Date Dec 6, 2018
Publicly Available Date Sep 9, 2019
Journal Journal of Pediatric Surgery
Print ISSN 0022-3468
Electronic ISSN 1531-5037
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 54
Issue 8
Pages 1668-1670
DOI https://doi.org/10.1016/j.jpedsurg.2018.07.024
Keywords Pediatrics, Perinatology, and Child Health; Surgery; General Medicine
Public URL https://nottingham-repository.worktribe.com/output/1379240
Publisher URL https://www.sciencedirect.com/science/article/pii/S0022346818305463?via%3Dihub

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