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Fibrin glue in the treatment of pilonidal sinus: results of a pilot study.

INTRODUCTION: Pilonidal sinus is a common condition of uncertain etiology. There is no agreed best surgical treatment. Treatment of fistula-in-ano has been described with some success with fibrin tissue glue. The use of fibrin glue is investigated in this pilot study.

METHODS: Six patients with chronic pilonidal sinus were treated with injection of fibrin tissue glue after curettage of the pits.

RESULTS: There were no complications. Postoperative discomfort was minimal and early return to normal activities was possible. There was no recurrence of disease in five of six patients at one year.

CONCLUSIONS: Fibrin tissue glue may be a possible novel treatment for pilonidal disease.

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