Eryilmaz Ramazan, Sahin Mustafa, Okan Ismail, Alimoglu Orhan, Somay Adnan
Department of General Surgery, Vakif Gureba Training Hospital, E-4 Blok/55, Faith, Istanbul 34250, Turkey.
World J Surg. 2005 Sep;29(9):1158-60. doi: 10.1007/s00268-005-7895-9.
Pilonidal sinus disease is a common problem of sacrococcygeal region. However, it is also observed in the periumbilical area. There are only a few reports about umbilical pilonidal sinus in the literature. In this study, 26 patients (24 men (92 %), 2 women (8 %) with a mean age of 22 years) with umbilical pilonidal sinus disease were included. Predisposing factors, patient characteristics, treatment modalities, and their results have been studied. Male sex, young age, hairiness, deep navel, and poor personal hygiene were found to be predisposing factors. Twenty-five patients were treated conservatively. However, two patients failed to respond to conservative treatment. Those patients underwent surgery where umbilectomy was carried out without reconstruction. One patient was also operated on for the preoperative misdiagnosis of irreducible umbilical hernia. Patients were followed for 14-96 months. We recommend conservative treatment in patients with umbilical pilonidal sinus. Surgery should be performed in recurrent cases resistant to conservative treatment. The importance of differential diagnosis of umbilical pilonidal sinus from other umbilical pathologies is also emphasized.
藏毛窦病是骶尾部的常见问题。然而，在脐周区域也有发现。文献中关于脐部藏毛窦的报道较少。本研究纳入了26例脐部藏毛窦病患者（24例男性（92%），2例女性（8%），平均年龄22岁）。对易感因素、患者特征、治疗方式及其结果进行了研究。发现男性、年轻、多毛、脐深和个人卫生差是易感因素。25例患者接受了保守治疗。然而，2例患者对保守治疗无反应。这些患者接受了手术，手术方式为行脐切除术且未进行重建。1例患者还因术前误诊为不可复性脐疝而接受了手术。对患者进行了14 - 96个月的随访。我们建议对脐部藏毛窦患者采用保守治疗。对保守治疗耐药的复发病例应进行手术。同时强调了脐部藏毛窦与其他脐部病变进行鉴别诊断的重要性。
