Pit excision with fibrin glue closure versus lateralizing flap procedures in the management of pilonidal sinus disease in adolescents: a 14-year cohort study
Topic overview
This 14-year cohort study compared pit excision with fibrin glue closure to traditional lateralizing flap procedures in 78 adolescents with pilonidal sinus disease. The minimally invasive fibrin glue approach showed significantly lower complication rates, reduced operative time, and fewer reoperations while maintaining similar recurrence rates to traditional techniques.
Key takeaways
- Pit excision with fibrin glue (PEF) showed lower recurrence (3%) vs lateralizing flaps (11%) in adolescent pilonidal disease over 14 years.
- PEF significantly reduced repeat interventions (12% vs 49%) and wound dehiscence (3% vs 31%) compared to traditional flap procedures.
- Operative time was significantly shorter with PEF, making it a faster minimally invasive option for chronic pilonidal sinus disease.
- PEF avoids extensive tissue excision while maintaining efficacy, offering a tissue-sparing alternative in pediatric pilonidal management.
- This largest pediatric PEF cohort (78 patients, median 2+ year follow-up) supports its use as first-line surgical treatment in adolescents.
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How to cite: GlobalCastMD. Pit excision with fibrin glue closure versus lateralizing flap procedures in the management of pilonidal sinus disease in adolescents: a 14-year cohort study. GlobalCastMD Medical Library. 2024-03-21. https://dev.library.globalcastmd.com/article/8397?via_space=staycurrentmd
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