Surgical Department, Sulaimani Teaching Hospital, Sulaimani, Kurdistan, Iraq.
Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.
Int Wound J. 2023 Sep;20(7):2505-2510. doi: 10.1111/iwj.14111. Epub 2023 Feb 1.
There are controversies regarding the management of umbilical pilonidal sinuses. The current study aims to report on the efficacy of a non-operative, umbilical conserving procedure in the treatment of umbilical pilonidal sinus. This is a prospective, single cohort study. The cases were managed in a single private practice center. Patients were assessed and managed throughout the previous nine years (from January 2013 to June 2022). The required information was obtained from the center's medical database. The current study included 114 patients. There were 82 (71.9%) male patients. The patients' ages varied from 14 to 56 years (mean = 23.24). The umbilicus was retracted under local anesthesia. The sinuses were cleaned with povidone-iodine. Following the drying of the cavity, the mixture was put in the umbilicus, and the area was dressed. The amount of mixture was determined by the size of the cavity. Following treatment, the patients were directly discharged home with instructions to remove all hair from the chest and abdomen and keep the dressing dry for three days. After three days, the patients were advised to use a clean cotton swab to remove the injected mixture. Recurrence was reported in 5 cases (4.4%). The current technique might be used effectively in the treatment of umbilical pilonidal sinus. It is an umbilical preserving technique with a minimal recurrence rate.
关于脐部藏毛窦的处理存在争议。本研究旨在报告一种非手术、保留脐部的方法治疗脐部藏毛窦的疗效。这是一项前瞻性的单队列研究。病例在一家私人诊所进行管理。在过去的九年中（从 2013 年 1 月至 2022 年 6 月），对患者进行了评估和管理。所需信息从中心的医疗数据库中获得。本研究共纳入 114 例患者。其中 82 例（71.9%）为男性。患者年龄为 14-56 岁（平均 23.24 岁）。在局部麻醉下将脐部缩回。用聚维酮碘清洁窦道。腔干燥后，将混合物放入脐部，包扎。根据腔的大小确定混合物的量。治疗后，患者直接出院回家，并指示他们去除胸部和腹部的所有毛发，保持敷料干燥三天。三天后，建议患者使用干净的棉签去除注入的混合物。5 例（4.4%）复发。目前的技术可能有效地用于治疗脐部藏毛窦。这是一种保留脐部的技术，复发率低。
