Phenol Is prohibited for the treatment of pilonidal disease in Germany, why not in the United States?

dc.authorid0000-0002-7110-0717
dc.contributor.authorYüksel, Mehmet Eren
dc.contributor.authorTamer, Funda
dc.date.accessioned2019-11-05T10:56:23Z
dc.date.available2019-11-05T10:56:23Z
dc.date.issued2019
dc.departmentTıp Fakültesi
dc.description*Yüksel, Mehmet Eren ( Aksaray, Yazar )
dc.description.abstract–We have read “The American Society of Colon and Rectal Surgeons’ Clinical Practice Guidelines for the Management of Pilonidal Disease” with great interest.1 Johnson et al1 stated that phenol application was an effective treatment that might result in rapid and durable healing in patients who had acute or chronic pilonidal disease without abscess. Using phenol in the treatment of pilonidal disease was strongly recommended based on moderate-quality evidence, grade 1B. Grade 1B recommendation necessitated that the benefit of phenol application clearly outweighed risk and burdens or vice versa. Moreover, grade 1B recommendation gave permission to physicians to apply phenol to most patients in most circumstances without reservation. However, Iesalnieks et al,2 who published a German national guideline on the management of pilonidal disease in 2016, reported that the treatment of pilonidal disease with phenol was prohibited by German health authorities (Bundesgesundheitsamt) in 1991.3 Moreover, Bruce et al3 reported that phenol poisoning could occur by skin absorption, vapor inhalation, or ingestion, and, regardless of route of exposure, acute toxicity could result in muscle weakness, convulsion, and coma.
dc.identifier.doi10.1097/DCR.0000000000001434
dc.identifier.endpage-en_US
dc.identifier.issn1530-0358
dc.identifier.issue9en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage416en_US
dc.identifier.urihttps://dx.doi.org/10.1097/DCR.0000000000001434
dc.identifier.urihttps://hdl.handle.net/20.500.12451/6964
dc.identifier.volume62en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherNLM (Medline)
dc.relation.ispartofDiseases of the Colon and Rectum
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectPhenol Is Prohibited
dc.subjectPilonidal Disease in Germany
dc.titlePhenol Is prohibited for the treatment of pilonidal disease in Germany, why not in the United States?
dc.typeArticle

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