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Umbilical pilonidal sinus disease: predisposing factors and treatment
Ramazan Eryilmaz1, Mustafa Sahin, Ismail Okan
1Department of General Surgery, Vakif Gureba Training Hospital, E-4 Blok/55, Faith, Istanbul 34250, Turkey. ramazaneryilmaz@hotmail.com
World Journal of Surgery
|August 13, 2005
Summary
Umbilical pilonidal sinus is uncommon but treatable. Conservative management is recommended, with surgery reserved for recurrent or resistant cases. Early diagnosis is key.
Area of Science:
- Medical Sciences
- Surgical Pathology
Background:
- Pilonidal sinus disease typically affects the sacrococcygeal region.
- Umbilical pilonidal sinus is a rare variant with limited literature.
- Understanding its characteristics and management is crucial.
Purpose of the Study:
- To investigate predisposing factors, patient demographics, and treatment outcomes for umbilical pilonidal sinus.
- To evaluate the efficacy of conservative versus surgical interventions.
- To emphasize the importance of differential diagnosis.
Main Methods:
- Retrospective study of 26 patients diagnosed with umbilical pilonidal sinus.
- Analysis of predisposing factors, clinical presentation, and treatment modalities.
- Follow-up of treatment outcomes over 14-96 months.
Main Results:
- Predisposing factors included male sex, young age, hairiness, deep navel, and poor hygiene.
- 25 patients responded to conservative treatment; 2 required surgery (umbilectomy).
- One patient underwent surgery due to misdiagnosis of umbilical hernia.
Conclusions:
- Conservative treatment is the preferred initial approach for umbilical pilonidal sinus.
- Surgical intervention is indicated for cases refractory to conservative management or with recurrence.
- Differentiating umbilical pilonidal sinus from other umbilical pathologies is essential.