Evidence map›Paper›PMID 30413996›Full record

ArticleTechniques in coloproctology2018

Fibrin glue is a quick and effective treatment for primary and recurrent pilonidal sinus disease.

T S Sian, P J J Herrod, J E M Blackwell, E J O Hardy, J N Lund

Open access · hybridAbstract read
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In one paragraph

Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  10. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

T S SianDivision of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, UK. t.sian@nhs.net.
P J J HerrodDivision of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, UK.
J E M BlackwellDivision of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, UK.
E J O HardyDivision of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, UK.
J N LundDivision of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Derby, UK.
University of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPilonidal sinus disease (PSD) is a common, chronic inflammatory condition involving hair follicles within the natal cleft. It mainly affects young males and creates a significant health, social and economic burden. Traditional surgery is often radical resulting in pain, wound complications, long recovery times and poor cosmesis. The aim of our study was to evaluate fibrin glue as a primary treatment for PSD.

methodsFibrin glue procedures for a single surgeon at our institution were identified from operative coding databases and the logbook from January 2011 to January 2016. Patients had curettage of the sinus with fibrin glue obliteration. Recurrence data was collected retrospectively.

resultsOne hundred and forty-six patients were identified; (115 (79%) males, mean age 30 (range 16-78 years). One hundred and forty-four (99%) were discharged the same day. Four (2.7%) were treated conservatively for wound discharge. Median operating time was 9 (range 4-28) min. There were 40 (27%) recurrences after one glue application. Median time to recurrence was 4 (range 0.25-36) months. Twenty-four (60%) of the recurrences had repeat glue treatment with 4 (16.6%) recurrences. After 2 rounds of treatment with glue alone, 126 out of 130 (96.9%) patients had healed.

conclusionsFibrin glue application following curettage of the sinus is a quick and effective procedure for first and second line treatment of PSD.

Indexed as

AdolescentAdultAgedCurettageFemaleFibrin Tissue AdhesiveHumansMaleMiddle AgedOperative TimePilonidal SinusRecurrenceRetrospective StudiesTissue AdhesivesTreatment OutcomeYoung AdultFibrin Tissue AdhesiveTissue AdhesivesAmbulatory surgical proceduresFibrin glueMinimally invasive surgical proceduresPilonidal sinus

Identifiers

PMID30413996
OpenAlexW2900221848

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.