A comparison of crystallised phenol and silver nitrate treatments in sacrococcygeal pilonoidal sinus
Surgical Chronicles, cilt.30, sa.1, ss.73-77, 2025 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 30 Sayı: 1
- Basım Tarihi: 2025
- Dergi Adı: Surgical Chronicles
- Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS)
- Sayfa Sayıları: ss.73-77
- Anahtar Kelimeler: crystallised phenol, recurrence, Sacrococcygeal pilonidal sinus disease, silver nitrate
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim of the study: For cases of sacrococcygeal pilonidal sinus disease (SPD) the application of minimally invasive treatments such as crystallised phenol and silver nitrate has increased in recent years.The aim of this study was to compare the efficacy of crystallised phenol and silver nitrate in SPD treatment. Materials and methods: The study included a total of 77 patients; 38 applied with silver nitrate, 39 with crystallised phenol. Clinical data were recorded from patient files, patient satisfaction was evaluated with a Likert satisfaction scale, and the severity of postoperative pain with a Visual analog Scale (VAS). Results: The patients comprised 62 (80.5%) males and 15 (19.5%) females with a mean age of 27.2 ± 8.7 years. Treatments were applied of silver nitrate to 38 patients and crystallised phenol to 39. In the crystallised phenol group, the mean operating time was statistically significantly longer, the mean VAS values at postoperative 1 and 24 hours were higher, and the rate of acute complications was higher than in the siver nitrate group. At 6 months postoperatively, no statistically significant difference was observed between the groups in respect of recurrence rates and patient satisfaction. The relapse rate was lower in the crystallised phenol group than in the silver nitrate group (12.8% vs. 28.9%) but the difference was not statistically significant (p = 0.081). Conclusion: Compared to crystallised phenol, silver nitrate for the treatment of sacrococcygeal pilonoidal sinus has less postoperative pain, fewer acute complications and shorter operation time, but higher disease recurrence.