Filling Pilonidal Sinus Tracts with Sealant

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We read the article titled “Novel Approach of Treatment of Pilonidal Sinus Disease with Thrombin Gelatin Matrix as a Sealant” in Diseases of the Colon & Rectum by Elbanna and coworkers1 with interest. They proposed filling the tracts with a sealant for the treatment of sacrococcygeal pilonidal disease, and they reached to 1-year 96% success rate. We have previously systematically reviewed the outcomes of fibrin sealant use in pilonidal sinus disease,2 and we wanted to comment on the study of Elbanna and associates.
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