What is the role of fibrin glue in the treatment of pilonidal disease?

Updated: Jun 11, 2018
  • Author: M Chance Spalding, DO, PhD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

A newer medical therapy that is applied after simple curetting of the sinus tract is fibrin glue. The glue is applied to each individual tract after curettage, and the excess is then wiped away. [17] Early data showed a reduction in time to return to work. Reports suggested that healing rates were comparable to those of the Bascom operation (see Surgical Therapy). [10]  An early-2017 Cochrane review found, however, that the currently available evidence was insufficient to determine whether fibrin glue offered a significant benefit in this setting, either alone or in conjunction with surgery. [18]


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