فهرست نشریات علمی دسترسی آزاد ایران

Introduction: Minimally invasive treatment approaches for pilonidal disease comprise controlling tissuedamage of the sinus cavity via chemical agents or lasers. Although silver is a widely used chemical for healingwounds, there are limited studies about pilonidal disease management. We aimed to evaluate the efficacy ofsilver nitrate on pilonidal disease.Methods: Patients who were diagnosed with pilonidal disease and were treated with silver nitrate applicationin Malatya, Turkey in 2018-2020 were evaluated. Silver nitrate was applied in the sinus tract following theexcision of the sinus orifice with a small incision and debridement of the sinus cavity. Silver nitrate sticks wereused to obtain controlled damage in the tissue of the sinus cavity for three sessions at baseline and on days oneand seven. The obtained results were evaluated with the Mann Whitney U and chi-square tests.Results: 42 patients with the pilonidal disease were included in this study, and silver nitrate treatment wasapplied in our institute. The median age of the patients was 24 (range: 16-56) years, and all of the treatmentprocedures were applied in the operating room. Thirthy-three of the patients (78.6%) were accepted as treatedat the end of the 12-month follow-up duration.Conclusion: Silver nitrate treatment is a simple, safe, and inexpensive minimally invasive treatment techniquefor pilonidal disease. This treatment can be an alternative treatment choice to other minimally invasivetechniques. It is easy to perform in outpatient clinics, and the results of this study might be promising.A preprint version of this manuscript is available with DOI:10.21203/rs.3.rs-3612439/v1.