Özet:

Aim: One of the most important complications of the treatment of pilonidal sinus disease (PSD) is recurrence. Despite all treatment modalities, there is still no method that promises zero recurrence rate. Additionally, there is no clear consensus about the treatment method in primary cases and uncertainty is even greater in the treatment of recurrent patients. The aim of this study was to compare the results of surgical treatment and crystallized phenol treatment in patients with recurrent PSD. Method: This study included patients with recurrent PSD who underwent re-surgery or crystallized phenol application as secondary treatment in a general surgery clinic. Both methods were compared in terms of patients’ gender, age, complaints and duration of complaints in the preoperative period and wound infection, length of hospital stay, recurrence and time to return to work in the postoperative period. Results: Of the total of 38 patients 31 (81.6%) were male. The mean age was 25.9±4.51 years (range: 19-36 years). The site of recurrence site was at the incision line in 29 (76.3%) and lateral in 9 (23.7%). Twenty-one (53.3%) underwent surgery and 17 (44.7%) were treated with crystallized phenol application. The mean treatment-recovery time was 40.7±28.45 days in the phenol group, while it was 20.33±24.05 days in the surgery group. Recurrence was observed in 3 (17.6%) patients in the phenol group and 1 (4.76%) patient in the surgery group. There was a statistically significant difference in these two parameters. Conclusion: While the surgical method was more effective in recurrent PSD, crystallized phenol is a less invasive method. It does not require hospitalization, can be applied under local anesthesia in outpatient settings, and can be repeated for a few sessions. Crystallized phenol is a preferred treatment method for recurrent PSD only in suitable cases.

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