ORIGINAL ARTICLE   

Esperienze Dermatologiche 2019 December;21(2-4):54-7

DOI: 10.23736/S1128-9155.19.00494-1

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Efficacy of silverdin nitrate in patients with umbilical pilonidal sinus: a retrospective clinical study

Feyzi KURT ✉

Seyhan State Hospital, Adana, Turkey

BACKGROUND: Umbilical pilonidal sinus is a common disease in young men and women. There is no standard method for the treatment of this disease. There are different methods ranging from conservative procedures to surgical excision. The aim of this study was to investigate the efficacy of silverdin nitrate, one of the conservative measures, in the treatment of umbilical pilonidal sinus.
METHODS: Sixty-four patients who presented to the general surgery clinic for umbilical pilonidal sinus between January 2015 and September 2019 were included in the study. Cases with a previous operation for this condition and that were treated using any other methods were excluded from the study. Patients who were applied silverdin nitrate alone were included.
RESULTS: Of the 64 patients included in the study, 52 were males and 12 were females. The procedure was applied once in 50 patients, twice in four and three times in two patients. Surgical umbilectomy was performed in two patients in whom procedure was failed. The mean recovery time of the patients and the mean follow-up was 11.6 days and 26.8 months, respectively. Four patients had recurrence. Silverdin nitrate was readministered in the four patients who had a recurrence.
CONCLUSIONS: Silverdin nitrate is a non-invasive method. It can be applied in outpatient settings and requires no anesthesia. Patients can continue their daily activities. In this study, we conclude that treatment with Silverdin nitrate which provides healing in a short time period is effective in umbilical pilonidal sinus disease.

KEY WORDS: Umbilicus; Pilonidal sinus; Nitrates; Conservative treatment