Modified lay-open (incision, curettage, partial lateral wall excision and marsupialization) versus total excision with primary closure in the treatment of chronic sacrococcygeal pilonidal sinus

Abstract

The results of the present study suggest that modified lay-open is superior to excision with primary closure for the surgical treatment of chronic sacrococcygeal pilonidal sinus with regard to morbidity and recurrence rates, and time before return to work, although healing time is longer.

Is There a Relation Between Natal Cleft Depth and Post-Operative Morbidity After Different Methods of Excision of Sacro-Coccygeal Pilonidal Sinus?

“…The recurrence rate is higher in closed methods 9.6 % (3/31 cases), especially the simple closure method 11.1 % (2/18), while there were two cases of recurrence in open methods 5.7 % (2/35cases). These results agree with the findings of Iesalnieks et al [18].…”

Pilonidal Sinus Excision: New Vision

“…This disease can be treated with two distinct surgical methods comprising open and closed methods. The open method includes leaving the residual cavity opened after sinus excision, whilst the closed method includes closure of the residual cavity after sinus excision [11]. The open method is easy to perform and is associated with low recurrence rate.…”

Unroofing and Marsupialization vs. Rhomboid Excision and Limberg Flap in Pilonidal Disease

“…This complication has been reported after UM as a result of a deep intergluteal groove, especially in patients with a high body mass index. 17 Early bridging might be prevented by examining the wound more frequently and by placing wet gauzes until the granulation tissue fills at least half the depth of the wound, especially in patients with deep intergluteal grooves.…”