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Conservative vs. Surgical Interventions for Umbilical Pilonidal Sinus

  • Mehmet Kaplan
  • Huseyin Cahit Yalcin
  • Onder Ozcan
  • Fatma Cigdem Kaplan
Chapter
Part of the Recent Clinical Techniques, Results, and Research in Wounds book series

Abstract

Umbilical pilonidal sinus (UPS) is a rare condition mostly seen in hairy young males and characterized by pain, swelling, bleeding, and seropurulant discharge from the umbilicus. Although it has long been recognized, it is yet little known clinical entity. Furthermore, there are some doubts regarding its best treatment options. Umbilicus is one of the ideal sites for pilonidal sinus formation. It occurs penetration of vulnerable skin of the umbilicus by hair which causing a foreign-body reaction and development of the sinus. Treatment depends on the severity of the disease, ranging from good personal hygiene to surgical excision of umbilical complex. However, most of the cases are administered with chronic intermittent form of the disease; for those patients the best permanent solution is umbilicus-preserving surgery.

Notes

Acknowledgement

The authors wish to thank Kenan Erzurum, director of the Library and Documentation Center of the Bahcesehir University, and officials responsible for periodicals for their supplying the originals of historical publications. We also thank Elif Tugce Kaplan, Tugba Kaplan, and Zeynep Sude Kaplan for their outstanding efforts in the technical artwork of the illustrations.

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Mehmet Kaplan
    • 1
    • 2
  • Huseyin Cahit Yalcin
    • 3
  • Onder Ozcan
    • 4
  • Fatma Cigdem Kaplan
    • 5
  1. 1.Department of General SurgeryBahcesehir University (BAU), School of MedicineIstanbulTurkey
  2. 2.Department of General SurgeryNCR International HospitalGaziantepTurkey
  3. 3.Department of General SurgeryHarran University, School of MedicineSanliurfaTurkey
  4. 4.Department of General SurgeryMuglaSitkiKocman University, School of MedicineMuglaTurkey
  5. 5.Family Physician25-Aralik Family Health Center, Ministry of HealthGaziantepTurkey

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